Direct round window stimulation with the Med-El Vibrant Soundbridge: 5 years of experience using a technique without interposed fascia
PBN-AR
Instytucja
Instytut Fizjologii i Patologii Słuchu
Informacje podstawowe
Główny język publikacji
angielski
Czasopismo
EUROPEAN ARCHIVES OF OTO-RHINO-LARYNGOLOGY
ISSN
0937-4477
EISSN
Wydawca
DOI
URL
Rok publikacji
2013
Numer zeszytu
Strony od-do
477-482
Numer tomu
271(3)
Link do pełnego tekstu
Identyfikator DOI
Liczba arkuszy
Open access
Tryb otwartego dostępu
Inne
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Wersja opublikowana
Licencja otwartego dostępu
Creative Commons — Uznanie autorstwa
Czas opublikowania w otwartym dostępie
Razem z publikacją
Data udostępnienia w sposób otwarty
Streszczenia
Język
angielski
Treść
The objective of this study was to present 5 years of surgical experience, and the extended results of hearing preservation (based on 3-year follow-up), with the Med-El Vibrant Soundbridge (VSB) in which the floating mass transducer (FMT) is placed directly against the round window membrane, and the fascia is used only as covering tissue to keep it in position. A retrospective survey of surgical and audiological data was conducted to evaluate the performance and stability of patient hearing, with audiometric measurements performed over fixed time intervals up to 36 months. 21 patients, aged 19-62 years (mean 48.4), with mixed or conductive, bilateral or unilateral hearing loss were included in this study. Surgical intervention involved monaural implantation of the Med-El VSB between 2006 and 2009. The results were assessed using pure tone audiometry. In 5 years of experience with the technique, no significant complications or device extrusion were observed except for two revision surgeries requiring FMT repositioning. In the 3-year follow-up, we observed stable hearing in the implanted ear. It is concluded that direct round window stimulation without interposed fascia is an alternative for patients with hearing impairment caused by chronic otitis media and/or lack of ossicles, especially after modified radical mastoidectomy. It allows good results in a selected group of patients, although further observation on a larger population is needed to confirm long-term validity and effectiveness.
Inne
System-identifier
PX-56b45b088106eb71826df4ab
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