Congenital aural atresia : hearing rehabilitation using active middle-ear implants
OBJECTIVE: To assess hearing rehabilitation in patients with congenital aural atresia using an active middle-ear implant (Vibrant Soundbridge).
METHODS: Of a cohort of 70 microtia and atresia patients, 10 underwent Vibrant Soundbridge implantation between 2008 and 2021. Two of the 10 patients had binaural implantation, resulting in 12 ears for analysis. Pre- and post-operative audiometry data were analysed, and patient satisfaction was evaluated. Surgical issues regarding coupling sites and outcomes were analysed.
RESULTS: Pure tone average (0.5, 1, 2 and 4 kHz) improved from a pre-operative mean (standard deviation) of 65.3 (8.7) dB HL to a post-operative mean of 26.8 (4.9) dB HL. This resulted in a mean pure tone average gain of 38.5 dB HL. The results indicate no obvious difference between stapes (n = 8) and incus (n = 4) coupling. The mean effective gain for 0.5, 1, 2 and 4 kHz was -17.8 dB HL (standard deviation = 4.3). Concerning effective gain, Vibrant Soundbridge performed best at 2 kHz. Patients reported high overall satisfaction, good sound quality and strongly improved directional hearing.
CONCLUSION: An active middle-ear implant (Vibrant Soundbridge) allows hearing rehabilitation in selected atretic ears, and provides long-term hearing stability in children and adults.
| Medienart: |
E-Artikel |
|---|
| Erscheinungsjahr: |
2023 |
|---|---|
| Erschienen: |
2023 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:137 |
|---|---|
| Enthalten in: |
The Journal of laryngology and otology - 137(2023), 8 vom: 28. Aug., Seite 851-865 |
| Sprache: |
Englisch |
|---|
| Beteiligte Personen: |
Thurnheer, S [VerfasserIn] |
|---|
| Links: |
|---|
| Themen: |
Correction Of Hearing Impairment |
|---|
| Anmerkungen: |
Date Completed 25.08.2023 Date Revised 25.08.2023 published: Print-Electronic Citation Status MEDLINE |
|---|
| doi: |
10.1017/S0022215122002183 |
|---|
| funding: |
|
|---|---|
| Förderinstitution / Projekttitel: |
|
| PPN (Katalog-ID): |
NLM346846099 |
|---|
| LEADER | 01000naa a22002652 4500 | ||
|---|---|---|---|
| 001 | NLM346846099 | ||
| 003 | DE-627 | ||
| 005 | 20231226032428.0 | ||
| 007 | cr uuu---uuuuu | ||
| 008 | 231226s2023 xx |||||o 00| ||eng c | ||
| 024 | 7 | |a 10.1017/S0022215122002183 |2 doi | |
| 028 | 5 | 2 | |a pubmed24n1156.xml |
| 035 | |a (DE-627)NLM346846099 | ||
| 035 | |a (NLM)36169002 | ||
| 040 | |a DE-627 |b ger |c DE-627 |e rakwb | ||
| 041 | |a eng | ||
| 100 | 1 | |a Thurnheer, S |e verfasserin |4 aut | |
| 245 | 1 | 0 | |a Congenital aural atresia |b hearing rehabilitation using active middle-ear implants |
| 264 | 1 | |c 2023 | |
| 336 | |a Text |b txt |2 rdacontent | ||
| 337 | |a ƒaComputermedien |b c |2 rdamedia | ||
| 338 | |a ƒa Online-Ressource |b cr |2 rdacarrier | ||
| 500 | |a Date Completed 25.08.2023 | ||
| 500 | |a Date Revised 25.08.2023 | ||
| 500 | |a published: Print-Electronic | ||
| 500 | |a Citation Status MEDLINE | ||
| 520 | |a OBJECTIVE: To assess hearing rehabilitation in patients with congenital aural atresia using an active middle-ear implant (Vibrant Soundbridge) | ||
| 520 | |a METHODS: Of a cohort of 70 microtia and atresia patients, 10 underwent Vibrant Soundbridge implantation between 2008 and 2021. Two of the 10 patients had binaural implantation, resulting in 12 ears for analysis. Pre- and post-operative audiometry data were analysed, and patient satisfaction was evaluated. Surgical issues regarding coupling sites and outcomes were analysed | ||
| 520 | |a RESULTS: Pure tone average (0.5, 1, 2 and 4 kHz) improved from a pre-operative mean (standard deviation) of 65.3 (8.7) dB HL to a post-operative mean of 26.8 (4.9) dB HL. This resulted in a mean pure tone average gain of 38.5 dB HL. The results indicate no obvious difference between stapes (n = 8) and incus (n = 4) coupling. The mean effective gain for 0.5, 1, 2 and 4 kHz was -17.8 dB HL (standard deviation = 4.3). Concerning effective gain, Vibrant Soundbridge performed best at 2 kHz. Patients reported high overall satisfaction, good sound quality and strongly improved directional hearing | ||
| 520 | |a CONCLUSION: An active middle-ear implant (Vibrant Soundbridge) allows hearing rehabilitation in selected atretic ears, and provides long-term hearing stability in children and adults | ||
| 650 | 4 | |a Journal Article | |
| 650 | 4 | |a Correction Of Hearing Impairment | |
| 650 | 4 | |a Hearing Aids | |
| 650 | 4 | |a Hearing Loss | |
| 650 | 4 | |a Humans | |
| 650 | 4 | |a Ossicular Prothesis | |
| 650 | 4 | |a Surveys And Questionnaires | |
| 650 | 4 | |a Treatment Outcome | |
| 700 | 1 | |a Müller, T |e verfasserin |4 aut | |
| 700 | 1 | |a Linder, T |e verfasserin |4 aut | |
| 700 | 1 | |a Simmen, D |e verfasserin |4 aut | |
| 700 | 1 | |a Harder, M |e verfasserin |4 aut | |
| 773 | 0 | 8 | |i Enthalten in |t The Journal of laryngology and otology |d 1945 |g 137(2023), 8 vom: 28. Aug., Seite 851-865 |w (DE-627)NLM000061794 |x 1748-5460 |7 nnns |
| 773 | 1 | 8 | |g volume:137 |g year:2023 |g number:8 |g day:28 |g month:08 |g pages:851-865 |
| 856 | 4 | 0 | |u http://dx.doi.org/10.1017/S0022215122002183 |3 Volltext |
| 912 | |a GBV_USEFLAG_A | ||
| 912 | |a GBV_NLM | ||
| 951 | |a AR | ||
| 952 | |d 137 |j 2023 |e 8 |b 28 |c 08 |h 851-865 | ||