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Updated: Jul 22, 2026

Robotic Cochlear Implantation for Direct Cochlear Access
Published on: June 16, 2022
Auditory and speech performance in patients following transcutaneous Osia®2 system implantation
Mohamed Garrada1, Faisal Zawawi1
1Department of Otolaryngology - Head & Neck Surgery, King Abdulaziz University, Jeddah, Saudi Arabia.
Objective:
The aim of the study was to prospectively evaluate the clinical audiological outcomes as well as patient satisfaction following implantation with the Osia®2 System.
Methods:
This is a prospective clinical study was conducted at high volume academic center of patients who underwent implantation of the Cochlear Osia®2 System. Audiological outcomes included pre- and post-operative assessments of pure-tone audiometry, speech discrimination scores, and self-reported hearing difficulties questionnaire.
Results:
The surgical procedure and subsequent healing process proceeded without complications. We observed statistically significant improvements in audibility and speech understanding with the test device, compared to pre-operative conditions. The average gain across frequencies from 0.25 to 6 kHz was 39.17 db. Speech discrimination scores also showed an increase in scores' average from 64 ± 8 pre-operatively to 100 ± 8 post-operatively (p < .001). Additionally, the number of hearing issues assessed by the APHAB scale in various acoustic environments showed a statically significant decrease postoperative. The Global Score improved from 68.2 ± 5.53 pre-operatively to 27.3 ± 4.26 post-operatively.
Conclusions:
The Osia®2 System proves to be a safe and effective alternative for hearing rehabilitation in patients with conductive hearing loss (CHL), mixed hearing loss (MHL), or single-sided deafness (SSD).
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