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Related Experiment Video

Updated: Jan 19, 2026

Modeling Primary Bone Tumors and Bone Metastasis with Solid Tumor Graft Implantation into Bone
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Outcomes after Application of Active Bone Conducting Implants.

Eleonor Koro1, Mimmi Werner2

  • 1Department of Clinical Sciences, Otorhinolaryngology, Umeå University, Umeå, Sweden.

Audiology & Neuro-Otology
|September 10, 2019
PubMed
Summary

Active bone conducting implants (ABCIs) significantly improve hearing for individuals with conductive or mixed hearing loss and single-sided deafness. Patients experienced substantial hearing gain and improved quality of life with ABCIs.

Keywords:
Active hearing implantAudiometryBone conducting implantQuestionnairesSingle-sided deafness

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Area of Science:

  • Otorhinolaryngology
  • Audiology
  • Biomedical Engineering

Background:

  • Bone conducting implants offer solutions for conductive/mixed hearing loss and single-sided deafness when conventional hearing aids fail.
  • The active bone conducting implant (ABCI) is the sole available device since 2012, potentially reducing complications associated with earlier passive devices.
  • The study was conducted at a secondary care otosurgery center serving approximately 365,000 inhabitants, approved for ABCI implantation since 2012.

Purpose of the Study:

  • To evaluate the audiological and subjective outcomes of active bone conducting implants (ABCIs).

Main Methods:

  • A cohort study utilizing retrospective and prospective data collection.
  • Informed consent was obtained from the first 20 consecutive patients implanted with an ABCI.
  • Primary outcome measures included pure tone and speech audiometry, and the Glasgow Benefit Inventory (GBI).

Main Results:

  • Fifteen patients completed the study; six with conductive or mixed hearing loss (CHL/MHL) showed an average functional hearing gain of 29.8 dB HL.
  • For CHL/MHL patients, Word Recognition Score (WRS) in noise improved from 35.7% unaided to 62.7% aided.
  • Ten patients with single-sided deafness (SSD) achieved a sound field average of 29.3 dB HL aided (vs. >101 dB HL unaided with hearing ear blocked), with WRS in noise improving from 59.7% to 72.8% aided.
  • The mean GBI score was 42.1 for CHL/MHL and 20.6 for SSD patients.

Conclusions:

  • Active bone conducting implants (ABCIs) enhance quality of life and provide significant hearing gain for patients with CHL/MHL.
  • While patients with SSD benefit less compared to other indications, their outcomes with ABCIs are comparable to alternative treatments.
  • The study confirms the clinical benefit of ABCIs across different hearing loss profiles.