title: Fully implantable Otologics MET Carina(™) device for the treatment of sensorineural and mixed hearing loss: Audio-otological results.
abstract: CONCLUSIONS
  Our results attest that the Otologics MET Carina(™) is a viable treatment for moderate to severe sensorineural hearing loss (SNHL) and for cases of mixed hearing loss, and that in selected cases it could represent an alternative to conventional hearing aids.
  
  
  OBJECTIVE
  To describe our experience with the fully implantable Carina(™) in eight adult patients, seven with moderate to severe SNHL and one with mixed hearing loss.
  
  
  METHODS
  Eight implanted adult patients were submitted to a comprehensive audiological evaluation.
  
  
  RESULTS
  We did not record any surgical relevant complication in any of the patients, nor any significant postoperative variation in hearing thresholds, for air conduction or bone conduction, indicating the absence of surgical damage to the cochlea. All the patients demonstrated improvements in speech perception abilities with the device functioning and reported subjective benefits. With regard to the postoperative adverse effects, we had problems with feedback noise, which resolved with minor fitting adjustments in seven cases, while it required a second surgery to change the microphone position in the other patient. In one case a minimal extrusion of the microphone cable occurred requiring a revision surgery, a device failure occurred in one case, requiring substitution, and one patient decided on explantation of the device owing to psychological problems.
authors.affiliation: Otology-Cochlear Implant Centre, Department of Neuroscience, University of Pisa, Italy.
authors.forename: Luca
authors.initials: L
authors.lastname: Bruschini
authors.forename: Francesca
authors.initials: F
authors.lastname: Forli
authors.forename: Susanna
authors.initials: S
authors.lastname: Passetti
authors.forename: Paolo
authors.initials: P
authors.lastname: Bruschini
authors.forename: Stefano
authors.initials: S
authors.lastname: Berrettini
mesh_terms: D000328:Adult; D000368:Aged; D001309:Auditory Threshold / Q000502:physiology*; D001844:Bone Conduction / Q000502:physiology*; D005260:Female; D005500:Follow-Up Studies; D006310:Hearing Aids; D046089:Hearing Loss, Mixed Conductive-Sensorineural / Q000503:physiopathology / Q000601:surgery*; D006319:Hearing Loss, Sensorineural / Q000503:physiopathology / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D019736:Prostheses and Implants; D011474:Prosthesis Design; D012189:Retrospective Studies; D016896:Treatment Outcome