Benefits of Bimodal Hearing With Cochlear and Middle Ear Implants: Preliminary Results in Four Patients

Objective: Conventional hearing aids have some limitations in overcoming a large air-bone gap or in cases of severe high-frequency hearing loss. The authors aimed to evaluate the benefit of a new bimodal hearing configuration combining cochlear implantation (CI) and middle ear implant (MEI) in patients with severe mixed conductive and ski-slope hearing loss. Study Design: Retrospective case review. Setting: Tertiary referral center. Patients: Four patients with severe to profound hearing loss, who underwent CI in one ear and MEI in the other, were enrolled. Intervention: Audiological outcomes were assessed at least 6 months after the MEI/CI operation. Pure-tone audiometry (PTA) in unaided, CI-aided, and MEI-aided conditions were measured. Main Outcome Measures: Average threshold changes in bands of frequencies (

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