Vibrant Soundbridge Surgery in Patients With Severe External Otitis

Zwartenkot, Joost W.; Mulder, Jef J. S.; Snik, A.F.M.; Cremers, C.W.R.J.

doi:10.1097/mao.0b013e31820d966d

Cited by 8 publications

(5 citation statements)

References 16 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…If we observe Figures 1B and C, we may notice that the gains at 1 year after first fitting are slightly higher than those obtained at the last follow-up, but no significant difference was found except at 0.5 Hz. This slight decrease has been previously described also after implantation by the transmastoidal posterior tympanotomy approach (22). On the other hand, the aided effective exceeds the BC threshold by approximately 7 dB HL at 2 and 4 kHz.…”

Section: Hearing Resultssupporting

confidence: 73%

“…However, this rate may be higher, especially when considering implantation in open cavities. Zwartenkot et al (22) described five cases (38%) of conductor wire extrusions in a series of 13 patients with severe external otitis undergoing a transcanal approach for VSB implantation. The wire extrusion was noticed at a mean postoperative period of 25 months (range, 4Y41 mo).…”

Section: Complicationsmentioning

confidence: 99%

See 1 more Smart Citation

Pros and Cons of Round Window Vibroplasty in Open Cavities

Lassaletta¹,

Calvino²,

Sánchez‐Cuadrado³

et al. 2015

Otology &Amp; Neurotology

View full text Add to dashboard Cite

show abstract

Section: Hearing Resultssupporting

confidence: 73%

Section: Complicationsmentioning

confidence: 99%

Pros and Cons of Round Window Vibroplasty in Open Cavities

Lassaletta¹,

Calvino²,

Sánchez‐Cuadrado³

et al. 2015

Otology &Amp; Neurotology

View full text Add to dashboard Cite

show abstract

“…In short, a bony canal or groove was drilled in the external ear canal to avoid a mastoidectomy by providing an access for the electronic wire of the VSB device. The groove was covered with bone dust (17). …”

Section: Surgical Proceduresmentioning

confidence: 99%

“…Three revisions were indicated because of wire extrusions and skin defects in de external ear canal, as a result of the specific surgical method of implantation, the transcanal approach in patients with a therapy resistant external otitis. The evaluation of this method has been described in detail previously (17). Middle ear inspection was indicated for eight VSB implants because of a presumed decrease in fixation of the FMT onto the incus.…”

Section: Revision Surgerymentioning

confidence: 99%

Active Middle Ear Implantation

Zwartenkot

Mulder

Snik

et al. 2016

Otology &Amp; Neurotology

Self Cite

View full text Add to dashboard Cite

Medical and technical complications and device failures have mostly occurred in the initial period of active middle ear implants (AMEI) implementation and during clinical trials or experimental procedures. All four FIMOS had technical difficulties. An important decrease in the occurrence of both medical and technical complications was observed. Application in more recent years did not show any complications and the recent device failure rates are acceptable. Magnetic resonance imaging (MRI) incompatibility should be taken into account when indicating AMEI.

show abstract

“…In other reports, revision surgeries were performed and hearing was restored [ 41 ]. Still others have reported that despite wire extrusion in the external auditory canal, the patients are still actively using their VSB [ 42 ].…”

Section: Discussionmentioning

confidence: 99%

Long-Term Non-Users of Transcutaneous Auditory Implants: Thirty Years of Experience at a Single Institution

Calvino

Sánchez‐Cuadrado

Gavilán

et al. 2023

IJERPH

View full text Add to dashboard Cite

Background: Although it is a recognized phenomenon, there is little published in the literature on the discontinuation of auditory implant use. Aim: To evaluate the incidence of device non-use of transcutaneous auditory implants. Patients and Methods: This is a retrospective study of all living individuals (children and adults) implanted at the La Paz Hospital (Madrid, Spain) between 1992–2015, with a follow-up examination endpoint of December 2022. 356 device recipients were included: 316 with cochlear implants (CI), 22 with middle-ear implants (Vibrant Soundbridge, VSB), and 18 with bone conduction implants (Bonebridge, BB). Results: Nine CI recipients (2.8%) were identified as non-users (mean follow-up 15.1 ± 5.4 years). The reasons for non-use were implant failure and reimplantation rejection, lack of benefit, non-attendance of rehabilitation sessions, loss of the audio processor, and cognitive and linguistic difficulties. None of them experienced any surgical complications. Six VSB recipients (27.3%) were device non-users (mean follow-up 11.4 ± 2.1 years). All of them experienced device failure or surgical complications. To date, none of the BB recipients is a non-user (mean follow-up 8.6 ± 1.1 years). Conclusion: The rates of non-use of transcutaneous auditory implants vary widely between different types of implants. Given the small proportion of non-users, information on what are the predictive factors could not be determined. The reasons for non-use should be carefully documented and used to guide careful patient selection to reduce the risk of non-use in future candidates.

show abstract

Vibrant Soundbridge Surgery in Patients With Severe External Otitis

Abstract: The transcanal approach for the implantation of the VSB has led to postoperative complications different from those reported after the transmastoidal posterior tympanotomy approach. External otitis should be considered as a contraindication for VSB surgery by the transcanal approach.

Cited by 8 publications

References 16 publications

Pros and Cons of Round Window Vibroplasty in Open Cavities

Pros and Cons of Round Window Vibroplasty in Open Cavities

Active Middle Ear Implantation

Long-Term Non-Users of Transcutaneous Auditory Implants: Thirty Years of Experience at a Single Institution

Contact Info

Product

Resources

About