By now you’re likely familiar with BrainHearing™, our guiding principal when it comes to developing our hearing systems. Simply put, it is an acknowledgement that the most vital hearing processes, including speech comprehension and understanding, occurs in the brain, not ears. Therefore, effective hearing systems need to make it as easy as possible for your brain to make sense of incoming sounds, not just pick up and amplify them. Our Ponto™ bone-anchored hearing systems (BAHS) support better sound processing that enables wearers to learn faster[1], remember more[2], and expend less listening effort[3] — and we have the evidence to prove it.
Learn faster with Ponto
Principal investigator Professor Andrea Pittman of Arizona State University studied 17 preteen 
children, 16 of whom had conductive hearing loss and one with single-sided deafness (SSD). She initially tested the children with the Ponto Power fitted on softbands. Prof. Pittman had the children listen to and learn six new made-up words and assessed the number of repetitions required before each child learned the words. Then she repeated the test, only this time with the Ponto Power affixed to the children’s abutments. The results were significant — it took the children approximately 166 trials to learn the words when sounds were transmitted through the skin via the softband yet only 60 trials when sounds were transmitted directly through the attached devices. That’s an impressive 2.5 times increase in learning speed! 
Ponto helps wearers remember more
Professor Thomas Lunner worked with Oticon Medical at the Ericksholm Research Center in 
Denmark to assess how Ponto aids in improving memory. Participants in the study included 16 adults in their late fifties with conductive or mixed hearing loss. Again, the subjects were first tested wearing their Pontos on softbands only. Their assigned task was to recall seven words after listening to sentences including each word individually. The results showed the subjects remembered the words at a rate of approximately 46 percent. However, when they wore their Pontos on their abutments and were tested again, that number rose to a significant 52 percent. This means wearers experienced a 13 percent relative improvement in ability to recall with direct sound transmission vs. skin transmission — likely because fewer mental resources were needed to process the signal, and so more can be devoted to memory. 
Reduce listening effort with Ponto 3 SuperPower
The principal investigator in this study was Oticon Medical, working out of our Global 
headquarters in Denmark. Participants consisted of 21 adults in their late 50s with conductive or mixed hearing loss. They were tested using three different processors with different maximum outputs: Ponto Pro, Ponto 3, and Ponto 3 SuperPower. Participants were tasked with listening to and repeating sentences heard through background noise, while an eye-tracking camera monitored their pupil dilation, an established measurement of listening effort wherein the pupil dilates in direct relation to the amount of listening effort expended. Our researchers compared the performance of the subjects using each device and noted a sizeable decrease in listening effort and retention with use of the Ponto 3 SuperPower as indicated by reduced pupil dilation as compared to the Ponto Pro and the regular Ponto 3. This supports the idea that higher power hearing systems allows wearers to comprehend speech with significantly less effort. 
What it all means to you
The evidence is in that direct sound transmission through a Ponto system with a higher maximum output offers far more than the ability to hear better. When worn implanted on an abutment, these powerful BAHS let you learn 2.5 times faster — especially important for school-age wearers. They improve ability to remember by 13 percent, which offers an advantage to older wearers who might have memory concerns in general. And they require wearers to expend less listening effort to keep up with conversations, reducing the fatigue associated with difficulty straining to hear and understand speech daily. Ready to try your first Ponto BAHS or upgrade to our latest Ponto model? Click below to get in touch with an audiologist in your area who can help you choose the best option for your hearing needs.
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[1] Pittman, A. L. (2019) Bone conduction amplification in children: Stimulation via a percutaneous abutment vs. a transcutaneous softband. Ear Hear.
[2] Lunner, T., Rudner, M., Rosenbom, T., Ågren, J., and Ng, E.H.N. (2016) Using Speech Recall in Hearing Aid Fitting and Outcome Evaluation Under Ecological Test Conditions. Ear Hear 37 Suppl 1: 145S-154S.
[3] Bianchi, F., Wendt, D., Wassard, C., Maas, P., Lunner, T., Rosenbom, T., and Holmberg, M. (2019) Benefit of higher maximum force output on listening effort in bone-anchored hearing system users: a pupillometry study. Ear Hear.
When asked what her hearing journey with her daughter has taught her so far she said, “Ask about all your options and don’t settle. I pushed several times and finally was able to get our doctor to call an Oticon Medical representative in for our appointment. Now the whole staff at our hospital is Oticon Medical trained. Don’t give up. 
hearing devices and experiencing issues with feedback, her mother Jillian decided to conduct her own research and become an advocate for her daughter. 
paying extra attention to cleaning the area around the abutment as any residual dye can cause an infection.
