Application of an active middle ear implant in congenital middle ear malformations: A contemporary review
Objective: To evaluate hearing outcomes and postoperative complications among patients with middle and external ear malformations undergoing active middle ear implantation with Vibrant Soundbridge® (VSB). Methods: Review of the literature. Studies published in English, Portuguese, or Spanish at the...
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| Format: | Article |
| Language: | English |
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Elsevier
2025-05-01
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| Series: | Brazilian Journal of Otorhinolaryngology |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S1808869425000059 |
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| author | Vagner Antonio Rodrigues da Silva Henrique Furlan Pauna Guilherme Correa Guimarães Joel Lavinsky Thomas E. Linder Arthur Menino Castilho |
| author_facet | Vagner Antonio Rodrigues da Silva Henrique Furlan Pauna Guilherme Correa Guimarães Joel Lavinsky Thomas E. Linder Arthur Menino Castilho |
| author_sort | Vagner Antonio Rodrigues da Silva |
| collection | DOAJ |
| description | Objective: To evaluate hearing outcomes and postoperative complications among patients with middle and external ear malformations undergoing active middle ear implantation with Vibrant Soundbridge® (VSB). Methods: Review of the literature. Studies published in English, Portuguese, or Spanish at the following databases: PubMed, MEDLINE, Scopus, Web of Science, EMBASE, and Cochrane Library were searched. The search strategy yielded a total of 141 potentially relevant studies. Of these, ten were included in this analysis. Results: The mean preoperative air conduction threshold was 66.7 ± 6.2 dB. The mean air-bone gap was 46 ± 7.7 dB. VSB implantation resulted in mean hearing gain of 40.5 ± 7.1 dB in the air-conduction thresholds among the evaluated frequencies. The speech recognition index if the Floating Mass Transducer (FMT) was placed in the short process was 86.0% ± 9.6%, with significant difference when compared to long process coupling (p = 0.035) and the round window coupling (p = 0.048). Conclusion: Bone conduction thresholds did not worsen in any of the studies included in the present review. VSB implantation resulted in a mean hearing gain of 40 dB at air conduction thresholds. |
| format | Article |
| id | doaj-art-06df3e68a5e74f3abf13e26263b0c375 |
| institution | Kabale University |
| issn | 1808-8694 |
| language | English |
| publishDate | 2025-05-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Brazilian Journal of Otorhinolaryngology |
| spelling | doaj-art-06df3e68a5e74f3abf13e26263b0c3752025-02-07T04:47:22ZengElsevierBrazilian Journal of Otorhinolaryngology1808-86942025-05-01913101562Application of an active middle ear implant in congenital middle ear malformations: A contemporary reviewVagner Antonio Rodrigues da Silva0Henrique Furlan Pauna1Guilherme Correa Guimarães2Joel Lavinsky3Thomas E. Linder4Arthur Menino Castilho5Faculdade de Ciências Médicas da Universidade Estadual de Campinas (UNICAMP), Departamento de Otorrinolaringologia e Cirurgia de Cabeça e Pescoço, Campinas, SP, Brazil; Corresponding author.Hospital Universitário Cajuru, Departamento de Otorrinolaringologia, Curitiba, PR, BrazilFaculdade de Ciências Médicas da Universidade Estadual de Campinas (UNICAMP), Departamento de Otorrinolaringologia e Cirurgia de Cabeça e Pescoço, Campinas, SP, BrazilUniversidade Federal do Rio Grande do Sul (UFRGS), Departamento de Cirurgia, Porto Alegre, RS, BrazilHals-, Nasen-, Ohrenklinik, Luzerner Kantonsspital, Luzern, SwitzerlandFaculdade de Ciências Médicas da Universidade Estadual de Campinas (UNICAMP), Departamento de Otorrinolaringologia e Cirurgia de Cabeça e Pescoço, Campinas, SP, BrazilObjective: To evaluate hearing outcomes and postoperative complications among patients with middle and external ear malformations undergoing active middle ear implantation with Vibrant Soundbridge® (VSB). Methods: Review of the literature. Studies published in English, Portuguese, or Spanish at the following databases: PubMed, MEDLINE, Scopus, Web of Science, EMBASE, and Cochrane Library were searched. The search strategy yielded a total of 141 potentially relevant studies. Of these, ten were included in this analysis. Results: The mean preoperative air conduction threshold was 66.7 ± 6.2 dB. The mean air-bone gap was 46 ± 7.7 dB. VSB implantation resulted in mean hearing gain of 40.5 ± 7.1 dB in the air-conduction thresholds among the evaluated frequencies. The speech recognition index if the Floating Mass Transducer (FMT) was placed in the short process was 86.0% ± 9.6%, with significant difference when compared to long process coupling (p = 0.035) and the round window coupling (p = 0.048). Conclusion: Bone conduction thresholds did not worsen in any of the studies included in the present review. VSB implantation resulted in a mean hearing gain of 40 dB at air conduction thresholds.http://www.sciencedirect.com/science/article/pii/S1808869425000059Hearing lossExternal ear malformationEar surgeryHearing aidsMiddle ear implants |
| spellingShingle | Vagner Antonio Rodrigues da Silva Henrique Furlan Pauna Guilherme Correa Guimarães Joel Lavinsky Thomas E. Linder Arthur Menino Castilho Application of an active middle ear implant in congenital middle ear malformations: A contemporary review Brazilian Journal of Otorhinolaryngology Hearing loss External ear malformation Ear surgery Hearing aids Middle ear implants |
| title | Application of an active middle ear implant in congenital middle ear malformations: A contemporary review |
| title_full | Application of an active middle ear implant in congenital middle ear malformations: A contemporary review |
| title_fullStr | Application of an active middle ear implant in congenital middle ear malformations: A contemporary review |
| title_full_unstemmed | Application of an active middle ear implant in congenital middle ear malformations: A contemporary review |
| title_short | Application of an active middle ear implant in congenital middle ear malformations: A contemporary review |
| title_sort | application of an active middle ear implant in congenital middle ear malformations a contemporary review |
| topic | Hearing loss External ear malformation Ear surgery Hearing aids Middle ear implants |
| url | http://www.sciencedirect.com/science/article/pii/S1808869425000059 |
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