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Updated: Feb 16, 2026

Systematic Hearing Performance Evaluation Process for Adolescents with Cochlear Implantation at Early Ages
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Published on: March 24, 2023

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Implantable hearing devices.

Matthias Tisch1

  • 1Department of Otolaryngology, Head & Neck Surgery, Bundeswehrkrankenhaus Ulm, Germany.

GMS Current Topics in Otorhinolaryngology, Head and Neck Surgery
|December 28, 2017
PubMed
Summary
This summary is machine-generated.

Combined hearing loss often requires implantable hearing systems. Options like transcutaneous and percutaneous bone conduction implants (BCI), and active middle ear implants, offer solutions based on hearing loss severity and patient factors.

Keywords:
active middle ear implantactive percutaneous systemsactive transcutaneous systemsbone conduction implantsfully implantable systemshearing disorderhearing lossmiddle ear implantpartially implantable systemspassive systems

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Area of Science:

  • Otolaryngology
  • Biomedical Engineering
  • Audiology

Background:

  • Combined hearing loss necessitates advanced auditory prosthetic solutions.
  • Bone conduction thresholds and cochlear function dictate treatment strategies.

Purpose of the Study:

  • To outline implantable hearing system options for combined hearing loss.
  • To correlate specific implant types with degrees of hearing impairment.

Main Methods:

  • Review of current implantable hearing system technologies.
  • Categorization of systems based on bone conduction thresholds and cochlear status.

Main Results:

  • Transcutaneous bone conduction implants (BCI) suit mild sensorineural deafness.
  • Percutaneous BCI are effective for moderate hearing loss.
  • Active middle ear implants are indicated for moderate to high-grade cochlear hearing loss.

Conclusions:

  • Implantable hearing systems provide effective therapeutic options for combined hearing loss.
  • System selection is guided by audiological assessment.
  • Implants are valuable for patients with contraindications or prior middle ear surgery.