The vibrating ossicular prosthesis in children and adolescents: a retrospective study

Lailach, Susen; Zahnert, Thomas; Maurer, Jan; Hempel, John Martin; Koitschev, Assen; Hollfelder, Daniela; Frenzel, H; Wollenberg, Barbara; Arndt, Susan

doi:10.1007/s00405-019-05667-3

Cited by 9 publications

(14 citation statements)

References 21 publications

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“…25 Other studies have suggested that WRS was better in the VSB-aided condition than the VSB-unaided condition in patients with CAA. 5,15,21 We ascribed the benefit in speech understanding to VSB implantation in CAA patients.…”

Section: Discussionmentioning

confidence: 99%

“…Speech intelligibility and sound localisation can be affected due to the lack of binaural input in patients with unilateral hearing loss, and this may affect quality of life. [4][5][6][7] Adequate benefit from conventional hearing rehabilitation, including canalplasty and ossiculoplasty, can be difficult to achieve due to insufficient hearing improvement, skin problems, inflammation, tympanic membrane lateralization, and restenosis of the reconstructed ear canal. 8,9 Many individuals seek other surgical interventions to improve their hearing.…”

Section: Introductionmentioning

confidence: 99%

“…14,15 Over the past decades, many articles have supported the effectiveness and stability of this device for treatment of CHL/ MHL. 5,6,14,16,17 However, the average follow-up period in these studies was relatively short and they were not conducted in a single center. And published data were limited to a small number patients of Clip coupler attached to the stapes, or studies of implantation in CHL/MHL caused by different diseases.…”

Section: Introductionmentioning

confidence: 99%

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Long-term Outcomes of Clip Coupler Implantation in Patients with Unilateral Congenital Aural Atresia

Zhao

Yang

Liu

et al. 2020

Ann Otol Rhinol Laryngol

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Objective: To evaluate the long-term safety and efficacy of the Clip coupler attached to the stapes head in patients with unilateral congenital aural atresia (CAA). Methods: This single-center retrospective study included 16 Mandarin-speaking patients who had unilateral microtia accompanied by CAA. All patients were divided into two groups: the short-term follow-up group (n = 9) and the long-term follow-up group (n = 7). The floating mass transducer of the Vibrant Soundbridge (VSB) was positioned in the stapes head by the Clip coupler. The safety of the VSB was investigated by comparing preoperative and postoperative bone-conduction (BC) thresholds as well as by complications. The effectiveness was evaluated by functional gain (FG), word recognition score (WRS), speech reception threshold (SRT) and signal-to-noise ratio (SNR). Results: Pre- and post-operative BC thresholds were no different in all patients. And no complications developed. VSB-aided thresholds in the free-field had improved significantly in both short- and long-term follow-up groups. The improvements of WRS were observed in two groups. The monosyllabic VSB-aided WRS in the long-term follow-up group was significantly higher than that in the short-term follow-up group. When speech was from the impaired ear and noise presented to the side of normal ear (SVSBNCL), lower SNRs were found in two groups after VSB implantation. However, there was no statistical difference in aided SNR between the two groups at SVSBNCL status. Conclusions: Our results show that the FMT connected to the stapes head is a secure and useful device for patients with unilateral CHL/MHL, not only in terms of improved hearing thresholds, but also improved speech intelligibility in quiet and noisy environments.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Long-term Outcomes of Clip Coupler Implantation in Patients with Unilateral Congenital Aural Atresia

Zhao

Yang

Liu

et al. 2020

Ann Otol Rhinol Laryngol

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“…Dislokationen des FMT wurden bei 1,8–8% der mit einer VSB versorgten Patienten im Verlauf beobachtet 84 105 180 181 182 183 184 185 . Die Revisionshäufigkeit variierte zwischen 4 und 27% 84 105 180 181 182 184 185 186 . Freiliegende Verbindungskabel im äußeren Gehörgang führte bei 10–33% der Patienten mit chronischer Otitis media zur Revision 179 185 .…”

Section: Ergebnisseunclassified

“…Transient facial paresis occurred only in one of 12 patients in a trial published by Lassaletta et al [179]. In the further course, dislocations of the FMT were observed in 1.8-8 % of the patients treated with a VSB [84,105,[180][181][182][183][184][185].…”

Section: Complicationsmentioning

confidence: 99%

Ergebnisse und Lebensqualität nach Implantation aktiver Mittelohrimplantate

Lailach

Zahnert

2022

Laryngorhinootologie

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ZusammenfassungDie Versorgung mit implantierbaren Hörgeräten stellt einen Bereich mit hohem Entwicklungs- und Innovationspotenzial dar. Der vorliegende Übersichtsartikel gibt einerseits einen Überblick über derzeitige Indikationskriterien für die Versorgung mit aktiven Mittelohrimplantaten. Andererseits werden Zielparameter sowie Ergebnisse nach der Versorgung mit aktiven Mittelohrimplantaten beleuchtet. Hierbei liegt der Fokus auf audiologischen Ergebnissen sowie dem vom Patienten bewerteten Gesundheitszustand. Sogenannte „Patient Reported Outcome Measures“ (PROMs) nehmen mittlerweile auch in der Hörimplantatversorgung einen festen Stellenwert in der Evaluierung des Versorgungserfolges ein. Bisher ist die Studienlage sowohl hinsichtlich audiologischer als auch subjektiver Erfolgsparameter gemessen an den Evidenz-Level-Kriterien nicht befriedigend. Ein bislang fehlender internationaler Konsens über akzeptierte Outcomeparameter erschwert eine metaanalytische Aufarbeitung der Ergebnisse immens. In den bislang publizierten Untersuchungen konnte sowohl für Patienten mit einer Schallempfindungsschwerhörigkeit als auch für Patienten mit einer Schallleitungs- oder kombinierten Schwerhörigkeit ein besseres Sprachverstehen mit dem aktiven Mittelohrimplantat im Vergleich zur konventionellen Hörsystemversorgung ermittelt werden. Aktuelle Analysen zeigen eine signifikante Verbesserung der allgemeinen sowie der hörspezifischen Lebensqualität nach Versorgung mit einem aktiven Mittelohrimplantat. Zur Beurteilung des Versorgungserfolges bei Kindern existieren bislang keine validierten, hörspezifischen Lebensqualitätsmessinstrumente. Insbesondere bei Kindern mit komplexen Fehlbildungen des äußeren Ohres sowie des Mittelohres zeigen sich audiologisch zufriedenstellende Ergebnisse, welche zukünftig jedoch durch Lebensqualitätsmessungen untermauert werden müssen.

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Hearing rehabilitation with the Vibrant Soundbridge in patients with congenital middle ear malformation

Hempel

Epp

Volgger

2021

HNO

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The vibrating ossicular prosthesis in children and adolescents: a retrospective study

Cited by 9 publications

References 21 publications

Long-term Outcomes of Clip Coupler Implantation in Patients with Unilateral Congenital Aural Atresia

Long-term Outcomes of Clip Coupler Implantation in Patients with Unilateral Congenital Aural Atresia

Ergebnisse und Lebensqualität nach Implantation aktiver Mittelohrimplantate

Hearing rehabilitation with the Vibrant Soundbridge in patients with congenital middle ear malformation

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