Improvement of bone conduction after stapes surgery in otosclerosis patients with mixed hearing loss depending from surgical technique

2009 ◽  
Vol 266 (8) ◽  
pp. 1225-1228 ◽  
Author(s):  
Alireza Karimi Yazdi ◽  
Amir Arvin Sazgar ◽  
Maziar Motiee ◽  
Mohammadtaghi Khorsandi Ashtiani
Keyword(s):  
Hearing Loss ◽  
Surgical Technique ◽  
Bone Conduction ◽  
Stapes Surgery ◽  
Mixed Hearing Loss

scholarly journals Minimal invasive pocket technique for magnet bone implant hearing aid without fixation

2019 ◽  
Vol 277 (3) ◽  
pp. 715-725
Author(s):  
Pierre Dolhen ◽  
Samuel Lipski ◽  
Rachid Touijar ◽  
Juliette Van Bogaert
Keyword(s):  
Hearing Loss ◽  
Surgical Technique ◽  
Hearing Aid ◽  
Bone Conduction ◽  
Magnetic Coupling ◽  
Skin Incision ◽  
Medical Systems ◽  
Bone Implant ◽  
Mixed Hearing Loss ◽  
Baha Attract

Abstract Introduction The BAHA (bone-anchored hearing aid) Attract is a magnetic transcutaneous bone conduction device anchored into the temporal bone. The standard surgical technique for BAHA Attract is a multi-tools time-consuming process, which requires a large cutaneous incision. The objective of this study is to describe and test the feasibility of a minimally invasive pocket (MIP) technique for Magnet Bone Implant Hearing Aid (MBIHA) with a modified magnet of BAHA Attract without fixation and without any tissue reduction. We use a 3-cm vertical skin incision and a subperiosteal pocket. Method A study of 10 patients with conductive or mixed hearing loss who benefited from a MBIHA using the MIP technique is presented. The pure tone average (PTA) (dB) for air-conduction thresholds and the speech recognition threshold (SRT) (dB) in speech audiometry in quiet are calculated. The Entific Medical Systems (EMS) questionnaire and the postoperative clinical outcomes are realized. Results We found a significant improvement of 33.8 dB on average for the PTA and 44.8 dB for the SRT with MBIHA at 3 months, compared with unaided situation. No implant was removed or displaced after 2 years of follow-up. The skin condition remains intact in all the cases. Conclusion The minimally subperiosteal pocket surgical technique MIP without fixation and with tissue preservation for the MBIHA is safe, rapid and effective for patients with conductive or mixed hearing loss. It opens new perspectives of development and modify conventional concept in magnetic coupling of bone-conducted device.

Stapes Surgery for Otosclerosis in Patients Presenting with Mixed Hearing Loss

2018 ◽  
Vol 23 (2) ◽  
pp. 82-88 ◽  
Author(s):  
Caroline Salmon ◽  
Sébastien Barriat ◽  
Philippe P. Lefebvre
Keyword(s):  
Quality Of Life ◽  
Hearing Loss ◽  
Word Recognition ◽  
Bone Conduction ◽  
Stapes Surgery ◽  
Auditory Function ◽  
Mixed Hearing Loss ◽  
Before And After ◽  
Air Conduction

Objectives: To evaluate the efficacy of stapes surgery in patients presenting with a preoperative mixed hearing loss (bone conduction thresholds ≥40 dB; 40 < air conduction thresholds (AC) < 85 dB). Patients and Methods: A total of 30 patients (32 ears) with mixed hearing loss who underwent primary stapedotomy were evaluated. Audiometric parameters were assessed before and after surgery. Contralateral thresholds were also reported. The need for a hearing aid (HA) after surgery and its impact on quality of life were also measured. Results: AC and word recognition at 40, 55 and 70 dB were significantly improved after stapes surgery. Only 16.6% of the patients needed an HA after surgery and reported being satisfied with the aid. Conclusion: Stapes surgery improved auditory function in patients with mixed hearing loss, allowing most patients to delay the need for an HA without worsening their quality of life.

scholarly journals Stapes Surgery for 121 Patients With Mixed Hearing Loss

2019 ◽  
pp. 014556131988572
Author(s):  
Jacob J. Rapier ◽  
Georgia E. Theodoraki ◽  
Joseph G. Manjaly ◽  
Robert Nash ◽  
Jeremy A. Lavy
Keyword(s):  
Quality Of Life ◽  
Hearing Loss ◽  
Bone Conduction ◽  
Stapes Surgery ◽  
Average Score ◽  
Mixed Hearing Loss ◽  
Hearing Aid Use ◽  
Glasgow Benefit Inventory

This study aims to determine the benefit of stapes surgery for otosclerosis in 121 patients with a mixed hearing loss and a preoperative bone conduction (BC) threshold >30 dB. Average postoperative air conduction (AC) improved from 61.5 dB to 34.3 dB. Average air–bone gap closed from 27.1 dB to 6.1 dB. Bone conduction improved from 34.3 dB to 28.2 dB, with 38% of patients achieving a postoperative AC of <30 dB. Glasgow Benefit Inventory scores showed significantly increased quality of life postoperatively in the 88 patients who responded to follow-up, with an average score of 56. There was a mean reduction in daily hearing aid use postsurgery of 5.48 hours, with 56% of patients who responded to follow-up questionnaire no longer needing to use one. When assessing suitability for stapes surgery, surgeons should consider that preoperative BC thresholds may be a poor indicator of the true cochlear reserve and therefore the potential for improvement in AC thresholds and quality of life.

Piezoelectric bone conduction hearing implant Osia® - audiological and quality of life benefits

2021 ◽  
Vol 75 (4) ◽  
pp. 1-5
Author(s):  
Joanna Marszał ◽  
Renata Gibasiewicz ◽  
Magdalena Błaszczyk ◽  
Maria Gawlowska ◽  
Wojciech Gawęcki
Keyword(s):  
Quality Of Life ◽  
Hearing Loss ◽  
Hearing Aids ◽  
Bone Conduction ◽  
Speech Understanding ◽  
Mixed Hearing Loss ◽  
Wide Range ◽  
The Mean ◽  
Bone Conduction Hearing

Introduction: Nowadays, there are many options to treat hearing-impaired patients: tympanoplastic surgery, hearing aids and a wide range of implantable devices. Objective: The aim of this study is to present the mid-term audiological and quality of life benefits after the implantation of the Osia®, a new active piezoelectric bone conduction hearing implant. Material and methods: The state of the tissues in implanted area, as well as audiological and quality of life results were analyzed six, nine and twelve months after implantation in a group of four adult patients with bilateral mixed hearing loss. Results: In all the cases, no postoperative complications were found. One year after surgery the mean audiological gain in FF PTA4 (pure tone average for 0.5, 1, 2, and 4 kHz) was 52.2±3.5 dB in comparison to the unaided situation, the mean speech understanding with Osia® in quiet was 90±8.2% for 50dB SPL, 98.8±2.5% for 65dB SPL and 100±0% for 80dB SPL, and mean speech understanding with Osia® in noise was 37.5%±23.6 for 50dB SPL, 93.8±4.8% for 65dB SPL and 98.8±2.5% for 80dB SPL. There was also an evident improvement in the quality of hearing as well as in the quality of life, measured by the APHAB (Abbreviated Profile of Hearing Aid Benefit) and the SSQ (Speech, Spatial and Qualities of Hearing Scale). Conclusions: The Osia® is an effective treatment option for patients with bilateral mixed hearing loss. The mid-term audiological and quality of life results are excellent, but further observations including bigger groups of patients and a longer follow-up are required.

Sensorineural Impairment in Unilateral Otosclerosis

1975 ◽  
Vol 84 (1) ◽  
pp. 11-15 ◽  
Author(s):  
Fred H. Linthicum ◽  
A. S. Lalani
Keyword(s):  
Hearing Loss ◽  
Bone Conduction ◽  
Significant Elevation ◽  
Bone Conduction Threshold ◽  
Mixed Hearing Loss ◽  
Temporal Bones

Audiometric findings were evaluated in a group of patients with clinical unilateral otosclerosis. A comparison was made between bone conduction threshold in the better hearing ear and the ear with the mixed hearing loss. Over 50% of the patients had a significant elevation in the bone conduction thresholds in the ear with clinical otosclerosis as compared to the uninvolved ear. A pair of temporal bones from a patient with unilateral otosclerosis and unilateral mixed hearing loss is presented.

Comparison of Sound Processing Strategies for Osseointegrated Bone Conduction Implants in Mixed Hearing Loss

2013 ◽  
Vol 34 (4) ◽  
pp. 598-603 ◽  
Author(s):  
Jolien B. J. Desmet ◽  
Arjan J. Bosman ◽  
Ad F. M. Snik ◽  
Peggy Lambrechts ◽  
Myrthe K. S. Hol ◽  
...  
Keyword(s):  
Hearing Loss ◽  
Bone Conduction ◽  
Sound Processing ◽  
Mixed Hearing Loss ◽  
Processing Strategies
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