Zahnert, Thomas, Loewenheim, Hubert, Beutner, Dirk, Hagen, Rudolf, Ernst, Arneborg, Pau, Hans-Wilhelm, Zehlicke, Thorsten, Kuehne, Hilke, Friese, Natascha, Tropitzsch, Anke, Lueers, Jan-Christoffer, Mlynski, Robert ORCID: 0000-0001-6404-6364, Todt, Ingo and Huettenbrink, Karl-Bernd (2016). Multicenter Clinical Trial of Vibroplasty Couplers to Treat Mixed/Conductive Hearing Loss: First Results. Audiol. Neuro-Otol., 21 (4). S. 212 - 223. BASEL: KARGER. ISSN 1421-9700

Full text not available from this repository.

Abstract

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 warbletone 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. (C) 2016 S. Karger AG, Basel

Item Type: Journal Article
Creators:
CreatorsEmailORCIDORCID Put Code
Zahnert, ThomasUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Loewenheim, HubertUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Beutner, DirkUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Hagen, RudolfUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Ernst, ArneborgUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Pau, Hans-WilhelmUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Zehlicke, ThorstenUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Kuehne, HilkeUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Friese, NataschaUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Tropitzsch, AnkeUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Lueers, Jan-ChristofferUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Mlynski, RobertUNSPECIFIEDorcid.org/0000-0001-6404-6364UNSPECIFIED
Todt, IngoUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Huettenbrink, Karl-BerndUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
URN: urn:nbn:de:hbz:38-289042
DOI: 10.1159/000444616
Journal or Publication Title: Audiol. Neuro-Otol.
Volume: 21
Number: 4
Page Range: S. 212 - 223
Date: 2016
Publisher: KARGER
Place of Publication: BASEL
ISSN: 1421-9700
Language: English
Faculty: Unspecified
Divisions: Unspecified
Subjects: no entry
Uncontrolled Keywords:
KeywordsLanguage
ROUND WINDOW VIBROPLASTY; INTERNATIONAL OUTCOME INVENTORY; MIDDLE-EAR IMPLANT; AIDS IOI-HA; VIBRANT SOUNDBRIDGE; EXPERIENCE; FOOTPLATEMultiple languages
Audiology & Speech-Language Pathology; Neurosciences; OtorhinolaryngologyMultiple languages
Refereed: Yes
URI: http://kups.ub.uni-koeln.de/id/eprint/28904

Downloads

Downloads per month over past year

Altmetric

Export

Actions (login required)

View Item View Item