Round window application of an active middle ear implant (AMEI) system in congenital oval window atresia

2015 ◽  
Vol 136 (1) ◽  
pp. 23-33 ◽  
Author(s):  
Shouqin Zhao ◽  
Shusheng Gong ◽  
Demin Han ◽  
Hua Zhang ◽  
Xiaobo Ma ◽  
...  
2016 ◽  
Vol 127 (2) ◽  
pp. 500-503 ◽  
Author(s):  
Annekatrin Coordes ◽  
Linda Jahreiss ◽  
Uwe Schönfeld ◽  
Minoo Lenarz

2011 ◽  
Vol 145 (4) ◽  
pp. 641-647 ◽  
Author(s):  
J. Eric Lupo ◽  
Kanthaiah Koka ◽  
Blake J. Hyde ◽  
Herman A. Jenkins ◽  
Daniel J. Tollin

2016 ◽  
Vol 130 (4) ◽  
pp. 404-407 ◽  
Author(s):  
J F Polanski ◽  
A D Soares ◽  
Z M Dos Santos ◽  
O L Mendonça Cruz

AbstractObjective:The Vibrant Soundbridge is an active middle-ear implant for hearing rehabilitation that is usually placed in the long process of the incus or round window. This study reports on the unusual implant attachment to the short process of the incus in a patient with ear malformation, and describes their audiological and clinical outcomes.Methods:Case report and literature review.Results:Audiological evaluation with the Vibrant Soundbridge implant showed a pure tone average of 31 dB. The speech test, at 65 dB HL, revealed correct recognition of 92 per cent of disyllabic words. The Glasgow Hearing Aid Benefit Profile showed high levels of satisfaction, hearing aid use and benefit.Conclusion:Fixation of the Vibrant Soundbridge implant on the short process of the incus is a feasible option, with good clinical and audiological outcomes. Coupling the floating mass transducer to the short process of the incus is a good surgical option, especially when the long process and the oval or round window are inaccessible.


2010 ◽  
Vol 263 (1-2) ◽  
pp. 238
Author(s):  
Thomas Zahnert ◽  
Nikoloz Lasurashvili ◽  
Matthias Bornitz ◽  
Karl-Bernd Hüttenbrink

2017 ◽  
Vol 38 (6) ◽  
pp. e145-e151 ◽  
Author(s):  
Satoshi Iwasaki ◽  
Shin-ichi Usami ◽  
Haruo Takahashi ◽  
Yukihiko Kanda ◽  
Tetsuya Tono ◽  
...  

2018 ◽  
Vol 39 (10) ◽  
pp. e1060-e1063 ◽  
Author(s):  
Thomas Lenarz ◽  
Denise Zimmermann ◽  
Hannes Maier ◽  
Susan Busch

2016 ◽  
Vol 21 (6) ◽  
pp. 347-355 ◽  
Author(s):  
Susan Busch ◽  
Thomas Lenarz ◽  
Hannes Maier

The active middle ear implant Vibrant Soundbridge© provides a variety of coupling modalities of the floating mass transducer (FMT) to various structures of the ossicular chain and the round window. A retrospective analysis was performed on 125 subjects (n = 137 ears) (1) to compare the efficacy of the different FMT coupling modalities with increasing degree of hearing loss, (2) to compare the performance in speech outcome and the effective gain between the coupling types, and (3) to evaluate the risk of additional hearing loss of each coupling procedure. The patients were grouped according to their type of FMT coupling into incus vibroplasty (incus group, n = 59), round window vibroplasty with coupler (RWC group, n = 23), round window vibroplasty without coupler (RW group, n = 22), and oval window vibroplasty with coupler (OWC group, n = 33). For each coupling group, pre- and postoperative thresholds, the results of the Freiburg monosyllable test at 65 dB SPL, and the effective gain across frequencies (0.5-6 kHz) were evaluated. A logistic regression function was used to describe the relationship between word recognition scores (WRS, in % correct) and the mean bone conduction (BC) hearing loss. The surgical procedure had no clinically relevant effect on BC thresholds of patients in each coupling group. The BC pure tone average (PTA4) for 50% WRS predicted by the model function was similar for the incus (48.2 dB nHL), RW (47.8 dB nHL), and OWC (49.0 dB nHL) groups, but higher for the RWC group (67.9 dB nHL). However, the median WRS was 80% or better with no significant differences in speech perception between coupling types (Kruskal-Wallis test, p = 0.229). The effective gain shows an advantage for the incus coupling between 0.5 and 2 kHz over the other coupling types. The performance of the FMT coupling modalities is equally good for patients with a mild-to-moderate hearing loss, but the efficacy of coupling types differs for patients with greater hearing loss (>48 dB BC HL).


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