Marco Carner, Luca Bianconi, Luca Sacchetto, Valerio Arietti, Riccardo Nocini, Maria Sofia Salvetta, Giuditta Maulu, Alessandro Diodati, Luca Turchet
{"title":"The\"symbiotic\"regulation approach in bimodal hearing adults.","authors":"Marco Carner, Luca Bianconi, Luca Sacchetto, Valerio Arietti, Riccardo Nocini, Maria Sofia Salvetta, Giuditta Maulu, Alessandro Diodati, Luca Turchet","doi":"10.1007/s12070-025-05449-w","DOIUrl":null,"url":null,"abstract":"<p><strong>Purpose: </strong>Patients with bimodal auditory stimulation represent an expanding group of cochlear implant users in many countries. The hearing results reported in the literature for subjects with bimodal hearing are controversial and often only evaluate hearing aids that are simply synchronized with their cochlear implant (\"synchronized\" regulation) and sometimes even adapted independently of the cochlear implant (\"classic\" regulation). This study aims to verify that the innovative \"symbiotic'' regulation of the cochlear implant with an integrated hearing aid and dedicated fitting formula allows to achieve adequate rehabilitative hearing levels.</p><p><strong>Material and methods: </strong>Thirty adult patients (12 females and 18 males; age range: 18-69 years) with bimodal hearing have been enrolled in a one-year study and divided into three groups of ten subjects for each of the regulation modes (\"classic\", \"synchronized\" and \"symbiotic\") applied to fit the cochlear implant and the hearing aid. Statistical analysis of the demographic characteristics and hearing outcomes observed in the three groups was conducted using the R statistical software.</p><p><strong>Results: </strong>For all subjects, the use of the \"symbiotic\" regulation approach with a dedicated bimodal regulation formula and integrated hearing aid allowed significantly better hearing performances (p < 0.05) compared to those obtained to either the \"classic\" or the \"synchronized\" regulations.</p><p><strong>Conclusion: </strong>The \"symbiotic\" bimodal fitting formula provides significant hearing benefits compared to \"classic\" and \"synchronized\" regulation and it proves to be the ideal adjustment and coupling modality between a cochlear implant and a contralateral integrated hearing aid in bimodal listeners.</p>","PeriodicalId":49190,"journal":{"name":"Indian Journal of Otolaryngology and Head and Neck Surgery","volume":"77 6","pages":"2239-2246"},"PeriodicalIF":0.6000,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12103414/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Indian Journal of Otolaryngology and Head and Neck Surgery","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1007/s12070-025-05449-w","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2025/5/2 0:00:00","PubModel":"Epub","JCR":"Q4","JCRName":"SURGERY","Score":null,"Total":0}
引用次数: 0
Abstract
Purpose: Patients with bimodal auditory stimulation represent an expanding group of cochlear implant users in many countries. The hearing results reported in the literature for subjects with bimodal hearing are controversial and often only evaluate hearing aids that are simply synchronized with their cochlear implant ("synchronized" regulation) and sometimes even adapted independently of the cochlear implant ("classic" regulation). This study aims to verify that the innovative "symbiotic'' regulation of the cochlear implant with an integrated hearing aid and dedicated fitting formula allows to achieve adequate rehabilitative hearing levels.
Material and methods: Thirty adult patients (12 females and 18 males; age range: 18-69 years) with bimodal hearing have been enrolled in a one-year study and divided into three groups of ten subjects for each of the regulation modes ("classic", "synchronized" and "symbiotic") applied to fit the cochlear implant and the hearing aid. Statistical analysis of the demographic characteristics and hearing outcomes observed in the three groups was conducted using the R statistical software.
Results: For all subjects, the use of the "symbiotic" regulation approach with a dedicated bimodal regulation formula and integrated hearing aid allowed significantly better hearing performances (p < 0.05) compared to those obtained to either the "classic" or the "synchronized" regulations.
Conclusion: The "symbiotic" bimodal fitting formula provides significant hearing benefits compared to "classic" and "synchronized" regulation and it proves to be the ideal adjustment and coupling modality between a cochlear implant and a contralateral integrated hearing aid in bimodal listeners.
期刊介绍:
Indian Journal of Otolaryngology and Head & Neck Surgery was founded as Indian Journal of Otolaryngology in 1949 as a scientific Journal published by the Association of Otolaryngologists of India and was later rechristened as IJOHNS to incorporate the changes and progress.
IJOHNS, undoubtedly one of the oldest Journals in India, is the official publication of the Association of Otolaryngologists of India and is about to publish it is 67th Volume in 2015. The Journal published quarterly accepts articles in general Oto-Rhino-Laryngology and various subspecialities such as Otology, Rhinology, Laryngology and Phonosurgery, Neurotology, Head and Neck Surgery etc.
The Journal acts as a window to showcase and project the clinical and research work done by Otolaryngologists community in India and around the world. It is a continued source of useful clinical information with peer review by eminent Otolaryngologists of repute in their respective fields. The Journal accepts articles pertaining to clinical reports, Clinical studies, Research articles in basic and applied Otolaryngology, short Communications, Clinical records reporting unusual presentations or lesions and new surgical techniques. The journal acts as a catalyst and mirrors the Indian Otolaryngologist’s active interests and pursuits. The Journal also invites articles from senior and experienced authors on interesting topics in Otolaryngology and allied sciences from all over the world.
The print version is distributed free to about 4000 members of Association of Otolaryngologists of India and the e-Journal shortly going to make its appearance on the Springer Board can be accessed by all the members.
Association of Otolaryngologists of India and M/s Springer India group have come together to co-publish IJOHNS from January 2007 and this bondage is going to provide an impetus to the Journal in terms of international presence and global exposure.