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Related Experiment Video

Updated: Jan 19, 2026

Systematic Hearing Performance Evaluation Process for Adolescents with Cochlear Implantation at Early Ages
06:04

Systematic Hearing Performance Evaluation Process for Adolescents with Cochlear Implantation at Early Ages

Published on: March 24, 2023

768

Active transcutaneous bone conduction hearing implants: Systematic review and meta-analysis.

Astrid Magele1,2, Philipp Schoerg1,2, Barbara Stanek1

  • 1University Clinic St. Poelten, Department of Otorhinolaryngology, Head & Neck Surgery, St. Poelten, Austria.

Plos One
|September 17, 2019
PubMed
Summary

The active transcutaneous bone conduction hearing device is safe and effective for treating hearing loss, showing beneficial audiological performance and high patient satisfaction with a low complication rate. This intact skin system is recommended for conductive, mixed hearing loss, and single-sided deafness.

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Area of Science:

  • Otolaryngology
  • Biomedical Engineering
  • Audiology

Background:

  • Active transcutaneous bone conduction hearing implants offer an alternative to percutaneous solutions.
  • FDA approval in July 2018 for patients 12+ with specific hearing loss types highlights a shift towards intact skin systems.

Purpose of the Study:

  • To critically evaluate the safety, efficacy, and subjective benefits of active transcutaneous bone conduction hearing devices.
  • Assess outcomes across different indications and age groups.

Main Methods:

  • Systematic review of literature including RCTs, CCTs, cohort studies, case series, and reports.
  • Searches of PubMed, Cochrane, and manual reference checks.
  • Independent screening and extraction by two reviewers, with subgroup and sensitivity analyses.

Main Results:

  • 39 citations analyzed, reporting on audiological results, speech performance, and subjective outcomes.
  • Meta-analysis confirmed functional gain and word recognition score benefits.
  • Low complication rates (minor: 9.9/person-years; major: 148.9/person-years) observed.

Conclusions:

  • The active transcutaneous bone conduction hearing device demonstrates beneficial audiological performance and high patient satisfaction.
  • Recommended as a safe and effective treatment for conductive, mixed hearing loss, and single-sided deafness.
  • Low complication rates support its clinical use.