Middle Ear Implant in a Patient With Fibrous Dysplasia: An Alternative for Hearing Restoration

Alshawi, Yazeed; Alsughayer, Luluh Y.; Alradhi, Athair; Alzhrani, Farid

doi:10.1177/0145561320960542

Cited by 4 publications

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References 21 publications

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“…Recently, coupling the FMT to the short process of incus proved its efficiency in aural atresia cases 15 , 23 , 24 . Furthermore, the VSB was implanted successfully in external and middle ear malformations for different reasons, such as Fanconi anaemia and fibrous dysplasia of the temporal bone 25 , 26 . Reconstructive surgery for conductive hearing loss in patients with fibrous dysplasia of the temporal bone (FDTB) carries a high risk of poor hearing rehabilitation due to the chance of restenosis of the EAC, graft failure and EAC cholesteatoma.…”

Section: Discussionmentioning

confidence: 99%

“…Reconstructive surgery for conductive hearing loss in patients with fibrous dysplasia of the temporal bone (FDTB) carries a high risk of poor hearing rehabilitation due to the chance of restenosis of the EAC, graft failure and EAC cholesteatoma. Therefore, VSB can be an alternative choice for hearing rehabilitation in patients with FDTB 25 .…”

Section: Discussionmentioning

confidence: 99%

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Speech performance and subjective satisfaction of middle ear implant in congenital aural atresia

Alzhrani

Alhabib

Yousef

2022

Acta Otorhinolaryngol Ital

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SUMMARY Objectives To evaluate the safety, speech performance in noise and subjective satisfaction of patients with congenital aural atresia (CAA) implanted with the active middle ear implant. Methods This retrospective study included 13 patients (15 ears) implanted with middle ear implants with different methods of floating mass transducer attachment. In 6 ears, the floating mass transducer (FMT) was coupled with the short process of incus; in 8 ears, a clip coupler was used; and in one ear, a round window coupler was used. Patients were assessed preoperatively, and at one, three, and six months postoperatively. The assessment included Pure Tone Average (PTA4), Speech Reception Threshold (SRT) and Speech Discrimination Score (SDS). The Speech Spatial and Qualities of Hearing scale (SSQ12) was also used to evaluate levels of satisfaction. Results The mean aided PTA4 using Vibrant Sound Bridge (VSB) was 26.44 4.03 dB HL compared to 61.88 ±1.53 dB HL unaided. The SDS improved significantly (p = 0.002) from 51% (± 9.17%) to 94.60% (± 4.43%). Furthermore, there was a significant improvement in SDS in noise (p = 0.008) and SSQ12 responses (p < 0.0001). Conclusions Patients with hearing loss due to CAA can substantially benefit from VSB, with highly satisfactory subjective results and a negligible rate of complications.

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