{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,14]],"date-time":"2026-10-14T10:34:33Z","timestamp":1791974073476,"version":"4.4.0"},"reference-count":30,"publisher":"MDPI AG","issue":"7","license":[{"start":{"date-parts":[[2022,6,29]],"date-time":"2022-06-29T00:00:00Z","timestamp":1656460800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JPM"],"abstract":"<jats:p>The functional hearing outcome with hearing implants does not always properly reflect the subjective benefit in everyday listening situations. In this study, the functional hearing gain and the impact on the subjective hearing ability and quality of life were assessed in patients with a Bonebridge. A chart review was performed on 45 patients with a Bonebridge who were provided with questionnaires regarding the hearing quality and health-related quality of life during their last clinical visit. The questionnaires consisted of the Speech, Spatial and Qualities (SSQ) and the Health Utility Index Mark 3 (HUI3). Eleven patients had to be excluded due to missing data. A total of 34 patients (37 ears) were included in the study. Aided hearing thresholds were significantly lower compared with the unaided condition, with a mean functional gain of 26.87 dB for patients with mixed\/conductive hearing loss (MHL\/CHL). Although patients with single-sided deafness (SSD) scored slightly lower on the SSQ compared with patients with MHL\/CHL, all included patients reported improved subjective hearing quality with the BB compared with the hearing situation before implantation. No correlation was found between the functional hearing gain and the subdomains of the SSQ. SSD patients scored the HUI3 subdomain \u201chearing\u201d slightly lower compared with MHL\/CHL patients. Although not significant, a relationship was found between the functional gain and the \u201chearing\u201d subdomain. No correlation was found for the other subdomains of the HUI3. Audiological measurements showed significantly improved hearing thresholds with the Bonebridge. Most importantly, the subjective benefit achieved in everyday listening situations was superior compared with the previous hearing condition. The lack of correlation between subjective questionnaire results and the functional hearing gain shows the importance of assessing both audiological and subjective hearing quality parameters in clinical routine.<\/jats:p>","DOI":"10.3390\/jpm12071064","type":"journal-article","created":{"date-parts":[[2022,6,29]],"date-time":"2022-06-29T22:43:28Z","timestamp":1656542608000},"page":"1064","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":7,"title":["The Functional Hearing Gain with an Active Transcutaneous Bone Conduction Implant Does Not Correlate with the Subjective Hearing Performance"],"prefix":"10.3390","volume":"12","author":[{"given":"Alice","family":"Auinger","sequence":"first","affiliation":[{"name":"Department of Otorhinolaryngology, Medical University of Vienna, Waehringer Guertel 18-20, 1090 Vienna, Austria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rudolfs","family":"Liepins","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology, Medical University of Vienna, Waehringer Guertel 18-20, 1090 Vienna, Austria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0770-6677","authenticated-orcid":false,"given":"Faris","family":"Brkic","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology, Medical University of Vienna, Waehringer Guertel 18-20, 1090 Vienna, Austria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Erich","family":"Vyskocil","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology, Medical University of Vienna, Waehringer Guertel 18-20, 1090 Vienna, Austria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0066-810X","authenticated-orcid":false,"given":"Christoph","family":"Arnoldner","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology, Medical University of Vienna, Waehringer Guertel 18-20, 1090 Vienna, Austria"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2022,6,29]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"1076","DOI":"10.1097\/MAO.0b013e31828bb541","article-title":"First European multicenter results with a new transcutaneous bone conduction hearing implant system: Short-term safety and efficacy","volume":"34","author":"Sprinzl","year":"2013","journal-title":"Otol. Neurotol."},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"713","DOI":"10.1097\/MAO.0000000000001038","article-title":"A New Transcutaneous Bone Con-duction Hearing Implant: Short-term Safety and Efficacy in Children","volume":"37","author":"Baumgartner","year":"2016","journal-title":"Otol. Neurotol."},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"132","DOI":"10.1017\/S0022215109991708","article-title":"Complications of bone-anchored hearing aid implantation","volume":"124","author":"Hobson","year":"2009","journal-title":"J. Laryngol. Otol."},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"272","DOI":"10.1016\/S0194-5998(00)70255-5","article-title":"Evaluation of implant losses and skin reactions around extraoral bone-anchored implants: A 0- to 8-year follow-up","volume":"122","author":"Reyes","year":"2000","journal-title":"Otolaryngol Head Neck Surg."},{"key":"ref_5","doi-asserted-by":"crossref","unstructured":"Brkic, F.F., Riss, D., Scheuba, K., Arnoldner, C., Gst\u00f6ttner, W., Baumgartner, W.-D., and Vyskocil, E. (2019). Medical, Technical and Audiological Outcomes of Hearing Rehabilitation with the Bonebridge Transcutaneous Bone-Conduction Implant: A Single-Center Experience. J. Clin. Med., 8.","DOI":"10.3390\/jcm8101614"},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"360","DOI":"10.3109\/14992027.2013.769066","article-title":"Why do people fitted with hearing aids not wear them?","volume":"52","author":"McCormack","year":"2013","journal-title":"Int. J. Audiol."},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"45","DOI":"10.1111\/j.1532-5415.1990.tb01595.x","article-title":"Association Between Hearing Impairment and the Quality of Life of Elderly Individuals","volume":"38","author":"Mulrow","year":"1990","journal-title":"J. Am. Geriatr. Soc."},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"17","DOI":"10.1159\/000371425","article-title":"Active Bone Conduction System: Outcomes with the Bonebridge Transcutaneous Device","volume":"77","author":"Bianchin","year":"2015","journal-title":"ORL"},{"key":"ref_9","first-page":"1","article-title":"Patient satisfaction after auditory implant surgery: Ten-year experience from a single implanting unit center","volume":"137","author":"Monini","year":"2016","journal-title":"Acta Oto-Laryngologica"},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"703","DOI":"10.1097\/01.aud.0000240635.70277.3f","article-title":"A Systematic Review of the Nonacoustic Benefits of Bone-Anchored Hearing Aids","volume":"27","author":"Johnson","year":"2006","journal-title":"Ear Hear."},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"90","DOI":"10.1159\/000499363","article-title":"The Bonebridge in Adults with Mixed and Conductive Hearing Loss: Audiological and Quality of Life Outcomes","volume":"24","author":"Ratuszniak","year":"2019","journal-title":"Audiol. Neurotol."},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"956","DOI":"10.1080\/14992027.2019.1657242","article-title":"Audiologic, surgical and subjective outcomes of active transcutaneous bone conduction implant system (Bonebridge)","volume":"58","author":"Oh","year":"2019","journal-title":"Int. J. Audiol."},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"125","DOI":"10.1177\/108471380400800402","article-title":"Challenges and recent developments in hearing aids. Part II. Feedback and occlusion effect reduction strategies, laser shell manufacturing processes, and other signal processing technologies","volume":"8","author":"Chung","year":"2004","journal-title":"Trends Amplif."},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"391","DOI":"10.1159\/000455058","article-title":"Towards a Unified Testing Framework for Single-Sided Deafness Studies: A Consensus Paper","volume":"21","author":"Mertens","year":"2016","journal-title":"Audiol. Neurootol."},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"11","DOI":"10.5604\/01.3001.0013.0400","article-title":"Evaluation of quality of life in patients after cochlear implantation surgery in 2014\u20132017","volume":"73","author":"Sekula","year":"2019","journal-title":"Otolaryngol. Polska"},{"key":"ref_16","first-page":"1","article-title":"Implantable Devices for Single-Sided Deafness and Conductive or Mixed Hearing Loss: A Health Technology As-sessment","volume":"20","author":"Quality","year":"2020","journal-title":"Ont Health Technol. Assess Ser."},{"key":"ref_17","doi-asserted-by":"crossref","first-page":"375","DOI":"10.3109\/07853890109002092","article-title":"The Health Utilities Index (HUI\u00ae) system for assessing health-related quality of life in clinical studies","volume":"33","author":"Furlong","year":"2001","journal-title":"Ann. Med."},{"key":"ref_18","doi-asserted-by":"crossref","first-page":"54","DOI":"10.1186\/1477-7525-1-54","article-title":"The Health Utilities Index (HUI): Concepts, measurement properties and applications","volume":"1","author":"Horsman","year":"2003","journal-title":"Health Qual. Life Outcomes"},{"key":"ref_19","doi-asserted-by":"crossref","first-page":"85","DOI":"10.1080\/14992020400050014","article-title":"The Speech, Spatial and Qualities of Hearing Scale (SSQ)","volume":"43","author":"Gatehouse","year":"2004","journal-title":"Int. J. Audiol."},{"key":"ref_20","doi-asserted-by":"crossref","first-page":"144","DOI":"10.1111\/coa.13248","article-title":"Audiological and clinical outcomes of a transcutaneous bone conduction hearing implant: Six-month results from a multicentre study","volume":"44","author":"Monksfield","year":"2019","journal-title":"Clin. Otolaryngol."},{"key":"ref_21","doi-asserted-by":"crossref","first-page":"3011","DOI":"10.1007\/s00405-017-4614-8","article-title":"A multicenter study on objective and subjective benefits with a transcutaneous bone-anchored hearing aid device: First Nordic results","volume":"274","author":"Hougaard","year":"2017","journal-title":"Eur. Arch. Oto-Rhino-Laryngol."},{"key":"ref_22","doi-asserted-by":"crossref","first-page":"310","DOI":"10.1159\/000512496","article-title":"Bone-Anchored and Closed Skin Bonebridge Implant in Adults: Hearing Performances and Quality of Life","volume":"26","author":"Garcier","year":"2021","journal-title":"Audiol. Neurootol."},{"key":"ref_23","doi-asserted-by":"crossref","first-page":"858","DOI":"10.1097\/MAO.0000000000003159","article-title":"Long-Term, Multicenter Results With the First Transcutaneous Bone Conduction Implant","volume":"42","author":"Sprinzl","year":"2021","journal-title":"Otol. Neurotol."},{"key":"ref_24","doi-asserted-by":"crossref","first-page":"1151","DOI":"10.1097\/MAO.0000000000000791","article-title":"Functional Results and Subjective Benefit of a Transcutaneous Bone Conduction Device in Patients With Single-Sided Deafness","volume":"36","author":"Laske","year":"2015","journal-title":"Otol. Neurotol."},{"key":"ref_25","doi-asserted-by":"crossref","first-page":"1608","DOI":"10.1097\/MAO.0000000000001225","article-title":"Outcomes of Bone Anchored Hearing Aids (BAHA) for Single Sided Deafness in Nontraditional Candidates","volume":"37","author":"Schwartz","year":"2016","journal-title":"Otol. Neurotol."},{"key":"ref_26","doi-asserted-by":"crossref","first-page":"39","DOI":"10.1097\/MAO.0b013e3181fcf271","article-title":"Comparison of Pseudobinaural Hearing to Real Binaural Hearing Rehabilitation After Cochlear Implantation in Patients With Unilateral Deafness and Tinnitus","volume":"32","author":"Arndt","year":"2011","journal-title":"Otol. Neurotol."},{"key":"ref_27","doi-asserted-by":"crossref","first-page":"1482","DOI":"10.1097\/00005537-200208000-00028","article-title":"Impact of Cochlear Implants on the Functional Health Status of Older Adults","volume":"112","author":"Francis","year":"2002","journal-title":"Laryngoscope"},{"key":"ref_28","doi-asserted-by":"crossref","first-page":"29","DOI":"10.1159\/000448352","article-title":"Treatment for Hearing Loss among the Elderly: Auditory Outcomes and Impact on Quality of Life","volume":"21","author":"Calavia","year":"2016","journal-title":"Audiol. Neurotol."},{"key":"ref_29","doi-asserted-by":"crossref","first-page":"1221","DOI":"10.1001\/archotol.125.11.1221","article-title":"A prospective study of the cost-utility of the multichannel cochlear implant","volume":"125","author":"Palmer","year":"1999","journal-title":"Arch. Otolaryngol. Head Neck Surg."},{"key":"ref_30","doi-asserted-by":"crossref","first-page":"1214","DOI":"10.1001\/archotol.125.11.1214","article-title":"Cost-utility of the cochlear implant in adults: A meta-analysis","volume":"125","author":"Cheng","year":"1999","journal-title":"Arch. Otolaryngol. Head Neck Surg."}],"container-title":["Journal of Personalized Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/2075-4426\/12\/7\/1064\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,10]],"date-time":"2025-10-10T23:40:13Z","timestamp":1760139613000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/2075-4426\/12\/7\/1064"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,6,29]]},"references-count":30,"journal-issue":{"issue":"7","published-online":{"date-parts":[[2022,7]]}},"alternative-id":["jpm12071064"],"URL":"https:\/\/doi.org\/10.3390\/jpm12071064","relation":{},"ISSN":["2075-4426"],"issn-type":[{"value":"2075-4426","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,6,29]]}}}