A New Implantable Middle Ear Hearing Device for Mixed Hearing Loss

Huber, Alexander; Ball, Geoffrey R.; Veraguth, Dorothe; Dillier, Norbert; Daniel, Bodmer; Sequeira, Damien

doi:10.1097/01.mao.0000244352.49824.e6

Cited by 61 publications

(48 citation statements)

References 4 publications

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“…Another treatment option for hearing rehabilitation was provided by the development of active middle ear implants [Ball, 2010] and their approval for mixed and conductive hearing loss, providing new options for surgical intervention in difficult-to-treat middle ears [Huber et al, 2006]. Surgical implantation of an active or 'direct drive' device -with a transducer located in the middle ear -can provide vibratory stimulation closer to the cochlea while bypassing the outer ear canal and a damaged or partially missing ossicular chain.…”

Section: Introductionmentioning

confidence: 99%

Multicenter Clinical Trial of Vibroplasty Couplers to Treat Mixed/Conductive Hearing Loss: First Results

et al. 2016

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Objective: To evaluate the safety and effectiveness of round window (RW), oval window (OW), CliP and Bell couplers for use with an active middle ear implant. Methods: This is a multicenter, long-term, prospective trial with consecutive enrollment, involving 6 university hospitals in Germany. Bone conduction, air conduction, implant-aided warble-tone thresholds and Freiburger monosyllable word recognition scores were compared with unaided preimplantation results in 28 moderate-to-profound hearing-impaired patients after 12 months of follow-up. All patients had previously undergone failed reconstruction surgeries (up to 5 or more). In a subset of patients, additional speech tests at 12 months postoperatively were used to compare the aided with the unaided condition after implantation with the processor switched off. An established quality-of-life questionnaire for hearing aids was used to determine patient satisfaction. Results: Postoperative bone conduction remained stable. Mean functional gain for all couplers was 37 dB HL (RW = 42 dB, OW = 35 dB, Bell = 38 dB, CliP = 27 dB). The mean postoperative Freiburger monosyllable score was 71% at 65 dB SPL. The postimplantation mean SRT₅₀ (speech reception in quiet for 50% understanding of words in sentences) improved on average by 23 dB over unaided testing and signal-to-noise ratios also improved in all patients. The International Outcome Inventory for Hearing Aids (IOI-HA)quality-of-life questionnaire was scored very positively by all patients. Conclusion: A significant improvement was seen with all couplers, and patients were satisfied with the device at 12 months postoperatively. These results demonstrate that an active implant is an advantage in achieving good hearing benefit in patients with prior failed reconstruction surgery.

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Section: Introductionmentioning

confidence: 99%

Multicenter Clinical Trial of Vibroplasty Couplers to Treat Mixed/Conductive Hearing Loss: First Results

et al. 2016

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“…Mittlerweile sind diverse Modifikationen der Ankopplung beschrieben worden, die zudem die Entwicklung von Koppelelementen umfassten. Derart lässt sich der FMT auch an eine PORP ("partial ossicular replacement prosthesis", TORP (total ossicular replacement prosthesis") oder Stapesprothese koppeln [18,19,20]. Ist die operative Rekonstruktion des Schalleitungsapparats aufgrund von Fehlbildungen oder Zerstörungen des Außen-und Mittelohrs nicht möglich, lässt sich der FMT auch direkt an die Membran des runden Fensters ansetzen.…”

Section: Frequenz In Khzunclassified

Implantierbare Hörgeräte

Jc¹,

Beutner²,

Kb³

2011

HNO

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Strictly speaking, implantable hearing aids are technical systems that process audiological signals and convey these by direct mechanical stimulation of the ossicular chain or cochlea. They have certain benefits over conventional hearing aids in terms of wearing comfort and general acceptance. As current studies lack convincing audiological results, the indications for implantable hearing aids are primarily of medical or cosmetic nature. To date, three systems are available in Germany: Vibrant Soundbridge®, Carina®, and Esteem®. Because the performance of the different implantable and nonimplantable hearing systems together with various surgical procedures are currently undergoing major changes, audiological indications may also develop in the future.

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“…In den letzten 3 Jahren wurde mit der Entwicklung der Rundfenster-vibroplasty-Technik zusätzlich die Versorgung von Schalleitungsschwerhörig-keiten und kombinierten Schwerhörig-keiten mit aktiven Mittelohrimplantaten erschlossen [1,3,7]. Bei Kindern mit Gehörgangs-und Ohrmuschelatresien kann die kosmetische Rehabilitation mit einer Hörgeräteimplantation verbunden werden [4,7].…”

Section: Einführung Zum Themaunclassified

Hörrehabilitation mittels implantierbarer Hörsysteme

Tisch

2009

HNO

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A New Implantable Middle Ear Hearing Device for Mixed Hearing Loss

Abstract: Bell-Vibroplasty is feasible in TBs. Bell-Vibroplasty performance in TBs is sufficient to allow for a clinical trial as a next step.

Cited by 61 publications

References 4 publications

Multicenter Clinical Trial of Vibroplasty Couplers to Treat Mixed/Conductive Hearing Loss: First Results

Multicenter Clinical Trial of Vibroplasty Couplers to Treat Mixed/Conductive Hearing Loss: First Results

Implantierbare Hörgeräte

Hörrehabilitation mittels implantierbarer Hörsysteme

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