A Middle Ear Implant, the Symphonix Vibrant Soundbridge: Retrospective Study of the First 125 Patients Implanted in France

Sterkers, Olivier; Boucarra, Didier; Labassi, Samia; Bébéar, J. P.; Dubreuil, C.; Frachet, Bruno; Fraysse, Bernard; Lavieille, Jean‐Pierre; Magnan, Jacques; Martin, C.; Truy, Éric; Uziel, Alain; Vaneecloo, F. M.

doi:10.1097/00129492-200305000-00013

Cited by 127 publications

(118 citation statements)

References 13 publications

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“…This group of patients had tried conventional amplification in the form of analogue or digital HAs but cited the following reasons for dissatisfaction with them: insufficient benefit (83%), cosmetic issues (83%), poor sound quality (67%), feedback (50%), and harshness of sounds. Similarly, in 125 patients aged 24-81 years (mean = 56) consecutively implanted with the VSB, Sterkers et al [29] found significantly increased speech understanding in quiet and found most patients (83%) were either satisfied or very satisfied with the VSB.…”

Section: Active Middle Ear Implantsmentioning

confidence: 97%

Current Trends in Treating Hearing Loss in Elderly People: A Review of the Technology and Treatment Options – A Mini-Review

2010

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Background: According to the World Health Organization (WHO), by 2025 there will be approximately 1.2 billion people in the world over the age of 60, which marks a shift in world population to a greater proportion of older people. An estimated 70–80% of adults between 65 and 75 years of age suffer from presbycusis, or age-related, bilateral sensorineural hearing loss (HL) in the high frequencies. Presbycusis is correlated with decreased quality of life (QoL) and depression and according to WHO, is a leading cause of years lived with disability in the adult years. Objective: The purpose of the current study was to review the body of literature on treatment options and considerations for the elderly population, as there is a variety of audio-technology available today to treat presbycusis. Methods: A PubMed literature search was conducted using the keywords ‘presbycusis/presbyacusis/geriatric AND hearing aids/cochlear implants/electric acoustic stimulation/middle ear implants’ and ‘elderly AND cochlear implants’. References were also mined from papers found. Results: 431 articles were considered in this review of treatment options for elderly patients suffering from presbycusis. Conclusion: Hearing aids and cochlear implants (CIs) are the most commonly used devices for treating mild-severe presbycusis. Reported outcomes with hearing aids indicate they are an effective method for treating mild-moderate HL in cases where the patient is appropriately fitted and is willing, motivated, and able to use the device. Depending on the type and severity of the HL and the specific needs of the patient, electric-acoustic stimulation and active middle ear implants may also be appropriate solutions for treating presbycusis. Finally, very positive QoL and speech perception outcomes have been documented in treating severe-profound presbycusis with CIs. In some studies, QoL outcomes have even exceeded expectations of elderly patients.

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Section: Active Middle Ear Implantsmentioning

confidence: 97%

Current Trends in Treating Hearing Loss in Elderly People: A Review of the Technology and Treatment Options – A Mini-Review

2010

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“…Their short-and long-term efficacy and safety is now established [Sterkers et al, 2003;Vincent et al, 2004;Mosnier et al, 2008]. Based on these data, and the ability of these devices to deliver amplified sound energy in the middle ear, the idea of placing the transducer close to the cochlea in case of abnormal middle ear emerged.…”

Section: Introductionmentioning

confidence: 99%

Functional Results of Vibrant Soundbridge Middle Ear Implants in Conductive and Mixed Hearing Losses

et al. 2011

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Objective: Our purpose was to evaluate the results of Vibrant Soundbridge (VSB) in conductive or mixed hearing loss. Materials and Methods: Twenty-five adult patients (29 ears) with a mixed or conductive hearing loss and various etiologies were included in this retrospective study. The preoperative ipsilateral pure tone average was 71 ± 3.0 dB, and the average bone conduction threshold was 42 ± 2.8 dB (n = 29). The transducer was placed on the long apophysis of the incus (n = 16), in the round window (n = 10) or on the stapes (n = 3). Results: No complications were noted. The bone conduction threshold remained unchanged. VSB was activated in all cases. The postoperative pure tone average without VSB was 63 ± 3.9 dB (n = 24) and with VSB in free-field condition 24 ± 2.1 dB (n = 22). Conclusions: VSB is safe and efficacious for auditory rehabilitation in conductive and mixed hearing losses.

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“…Recently, active middle ear implants (AMEI) have been developed to overcome these problems [Kasic and Fredrickson, 2001;Jenkins et al, 2004Jenkins et al, , 2007Jenkins et al, , 2008. The floating mass transducer of the Vibrant Soundbridge from Med-El (Innsbruck, Austria), the Middle Ear Transducer TM from Otologics LLC (Boulder, Colo., USA) and the Esteem 2 (Envoy Medical, St. Paul, Minn., USA) are three commercially available AMEI for the treatment of moderate-to-severe sensorineural hearing loss in adults [Kasic and Fredrickson, 2001;Sterkers et al, 2003;Jenkins et al, 2004Jenkins et al, , 2007Jenkins et al, , 2008; Barbara et al, 2009]. Some of these devices have been applied in conductive or mixed hearing loss therapy [Colletti et al, 2006;Siegert et al, 2007;Venail et al, 2007;Hüttenbrink et al, 2008;Tringali et al, 2008Tringali et al, , 2009Beltrame et al, 2009;Lefebvre et al, 2009;Martin et al, 2009] but none are currently FDA approved for this application.…”

Section: Introductionmentioning

confidence: 99%

Round Window Membrane Implantation with an Active Middle Ear Implant: A Study of the Effects on the Performance of Round Window Exposure and Transducer Tip Diameter in Human Cadaveric Temporal Bones

Tringali

Koka²,

Devèze

et al. 2010

Audiol Neurotol

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Objectives: To assess the importance of 2 variables, transducer tip diameter and resection of the round window (RW) niche, affecting the optimization of the mechanical stimulation of the RW membrane with an active middle ear implant (AMEI). Materials and Methods: Ten temporal bones were prepared with combined atticotomy and facial recess approach to expose the RW. An AMEI stimulated the RW with 2 ball tip diameters (0.5 and 1.0 mm) before and after the resection of the bony rim of the RW niche. The RW drive performance, assessed by stapes velocities using laser Doppler velocimetry, was analyzed in 3 frequency ranges: low (0.25–1 kHz), medium (1–3 kHz) and high (3–8 kHz). Results: Driving the RW produced mean peak stapes velocities (H_EV) of 0.305 and 0.255 mm/s/V at 3.03 kHz, respectively, for the 1- and 0.5-mm tips, with the RW niche intact. Niche drilling increased the H_EV to 0.73 and 0.832 mm/s/V for the 1- and 0.5-mm tips, respectively. The tip diameter produced no difference in output at low and medium frequencies; however, the 0.5-mm tip was 5 and 6 dB better than the 1-mm tip at high frequencies before and after niche drilling, respectively. Drilling the niche significantly improved the output by 4 dB at high frequencies for the 1-mm tip, and by 6 and 10 dB in the medium- and high-frequency ranges for the 0.5-mm tip. Conclusion: The AMEI was able to successfully drive the RW membrane in cadaveric temporal bones using a classical facial recess approach. Stimulation of the RW membrane with an AMEI without drilling the niche is sufficient for successful hearing outputs. However, the resection of the bony rim of the RW niche significantly improved the RW stimulation at medium and higher frequencies. Drilling the niche enhances the exposure of the RW membrane and facilitates positioning the implant tip.

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A Middle Ear Implant, the Symphonix Vibrant Soundbridge: Retrospective Study of the First 125 Patients Implanted in France

Cited by 127 publications

References 13 publications

Current Trends in Treating Hearing Loss in Elderly People: A Review of the Technology and Treatment Options – A Mini-Review

Current Trends in Treating Hearing Loss in Elderly People: A Review of the Technology and Treatment Options – A Mini-Review

Functional Results of Vibrant Soundbridge Middle Ear Implants in Conductive and Mixed Hearing Losses

Round Window Membrane Implantation with an Active Middle Ear Implant: A Study of the Effects on the Performance of Round Window Exposure and Transducer Tip Diameter in Human Cadaveric Temporal Bones

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