scholarly journals Original Solution for Middle Ear Implant and Anesthetic/Surgical Management in a Child with Severe Craniofacial Dysmorphism

2015 ◽  
Vol 2015 ◽  
pp. 1-4 ◽  
Author(s):  
Giovanni Bianchin ◽  
Lorenzo Tribi ◽  
Aronne Reverzani ◽  
Patrizia Formigoni ◽  
Valeria Polizzi
Keyword(s):  
Middle Ear ◽  
Bone Conduction ◽  
The Novel ◽  
Original Solution ◽  
Aural Atresia ◽  
Middle Ear Implant ◽  
Craniofacial Dysmorphism ◽  
Surgical Application ◽  
Congenital Aural Atresia ◽  
Bone Conduction Device

We describe the novel solution adopted in positioning middle ear implant in a child with bilateral congenital aural atresia and craniofacial dysmorphism that have posed a significant challenge for the safe and correct management of deafness. A five-year-old child, affected by a rare congenital disease (Van Maldergem Syndrome), suffered from conductive hearing loss. Conventional skin-drive bone-conduction device, attached with a steel spring headband, has been applied but auditory restoration was not optimal. The decision made was to position Vibrant Soundbridge, a middle ear implant, with an original surgical application due to hypoplasia of the tympanic cavity. Intubation procedure was complicated due to child craniofacial deformities. Postoperative hearing rehabilitation involved a multidisciplinary team, showing improved social skills and language development.

Active middle ear implant (vibrant soundbridge) in children with unilateral congenital aural atresia

2020 ◽  
Vol 141 (1) ◽  
pp. 34-38
Author(s):  
Masahiro Takahashi ◽  
Satoshi Iwasaki ◽  
Sakiko Furutate ◽  
Shinichiro Oka ◽  
Shogo Oyamada ◽  
...  
Keyword(s):  
Middle Ear ◽  
Vibrant Soundbridge ◽  
Aural Atresia ◽  
Active Middle Ear Implant ◽  
Middle Ear Implant ◽  
Congenital Aural Atresia

scholarly journals Audiological results and subjective benefit of an active transcutaneous bone-conduction device in patients with congenital aural atresia

2021 ◽  
Author(s):  
Veronika Volgger ◽  
Inge Teresa Schießler ◽  
Joachim Müller ◽  
Florian Schrötzlmair ◽  
Marlene Pollotzek ◽  
...  
Keyword(s):  
Hearing Loss ◽  
Signal To Noise Ratio ◽  
Bone Conduction ◽  
Monosyllabic Word ◽  
Subjective Impression ◽  
Aural Atresia ◽  
Mixed Hearing Loss ◽  
Functional Benefit ◽  
Congenital Aural Atresia ◽  
Bone Conduction Device

Abstract Purpose To review functional and subjective benefit after implantation of an active transcutaneous bone conduction device (BCD) in patients with congenital microtia with atresia or stenosis of the external auditory canal. Methods Retrospective chart analysis and questionnaire on the subjective impression of hearing ( Speech, Spatial and Qualities of Hearing Scale (SSQ-B) of patients treated between 2012 and 2015. ResultsResults 18 patients (24 ears) with conductive or mixed hearing loss in unilateral (n = 10) or bilateral (n = 8) atresia were implanted with a BCD. No major complications occurred after implantation. Preoperative unaided air conduction pure tone average at 0.5, 1, 2 and 4 kHz (PTA 4 ) was 69.2 ± 11.7 dB, while postoperative aided PTA 4 was 33.4 ± 6.3 dB, resulting in a mean functional hearing gain of 35.9 +/- 15.6 dB. Preoperatively, the mean monosyllabic word recognition score was 22.9 % ± 22.3 %, which increased to 87.1 % +/- 15.1 % in the aided condition. The Oldenburger Sentence Test at S0N0 revealed a decrease in signal-to-noise-ratio from − 0.58 ± 4.40 dB in the unaided to − 5.67 ± 3.21 dB in the postoperative aided condition for all patients investigated. 15 of 18 patients had a subjective benefit showing a positive SSQ-B score (mean 1.7). Conclusion The implantation of an active bone conduction device brings along subjective and functional benefit for patients with conductive or combined hearing loss.

scholarly journals Unexplained Variation in Benefit of Treatment of Congenital Unilateral Aural Atresia: A Review of the Literature

2021 ◽  
pp. 1-8
Author(s):  
Katharina Vogt ◽  
Jolien Desmet ◽  
Arno M. Janssen ◽  
Martijn J.H. Agterberg ◽  
Ad F.M. Snik
Keyword(s):  
Meta Analysis ◽  
Treatment Options ◽  
Bone Conduction ◽  
Binaural Hearing ◽  
Published Data ◽  
Aural Atresia ◽  
Middle Ear Implant ◽  
Study Selection ◽  
Bone Conduction Device ◽  
Conductive Hearing

<b><i>Objective:</i></b> A review of published data regarding binaural hearing after treatment of congenital unilateral conductive hearing loss (UCHL) due to aural atresia. Treatment options concern atresia surgery (reconstructive surgery), application of a bone conduction device (BCD), or application of a middle ear implant (MEI). <b><i>Data Sources:</i></b> Database PubMed was searched for articles published in English and German between January 1, 1994, and January 1, 2019. <b><i>Study Selection:</i></b> The initial search identified 52 studies, of which 9 met the inclusion criteria. <b><i>Data Synthesis:</i></b> Comparison of studies was based on a structured review. Meta-analysis was not feasible because of the heterogeneity of outcome measures, the limited number of relevant papers (9), and diverse types of treatment (5). <b><i>Conclusions:</i></b> Treatment of UCHL results in bilateral hearing instead of binaural hearing. The large intersubject variability in benefit of treatment is unexplained with a clear improvement in the minority of listeners and a limited improvement or binaural interference in most listeners after atresia repair or amplification with a BCD or MEI.

Extent of Middle Ear Aeration in Congenital Aural Atresia

2009 ◽  
Vol 119 (S3) ◽  
pp. S293-S293
Author(s):  
Alexander J. Osborn ◽  
John S. Oghalai ◽  
Jeffrey T. Vrabec
Keyword(s):  
Middle Ear ◽  
Aural Atresia ◽  
Congenital Aural Atresia
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