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Einsatz implantierbarer Hörgeräte am Beispiel der Vibrant Soundbridge

The application of implantable hearing aids using the Vibrant Soundbridge as an example

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Zusammenfassung

Im letzten Jahrzehnt hat sich neben den konventionellen Hörgeräten, Knochenleitungshörgeräten und Cochleaimplantaten mit den implantierbaren Mittelohrhörgeräten eine weitere technische Versorgungsmöglichkeit für hörgeschädigte Patienten in der klinischen Routine etabliert. Durch die Erfahrungen der letzten Jahre mit implantierbaren Hörgeräten und durch konsequente Evaluation der funktionellen Ergebnisse konnte das ursprüngliche Indikationsspektrum schrittweise erweitert werden. Heutzutage stehen implantierbare Hörgeräte für die Hör(re)habilitation einer Vielzahl von Mittelohrpathologien sowie sensorischer Schwerhörigkeiten in den jeweiligen audiologischen Grenzen zur Verfügung. Durch die CE-Kennzeichnung für Kinder ist mittlerweile auch eine Versorgung von jungen Patienten mit einem implantierbaren Hörgerät möglich. Am Beispiel der Vibrant Soundbridge werden die Funktion der implantierbaren Hörgeräte, Indikationen, Kontraindikationen, das operative Vorgehen sowie die Nachsorge beschrieben.

Abstract

Over the last decade, bone conducting hearing aids, cochlear implants and implantable hearing aids have come to represent additional treatment options in clinical routine—alongside conventional hearing aids—for hearing impaired patients. Thanks to experience gained in recent years with implantable hearing aids and the consistent evaluation of functional results, the original spectrum of indications has been progressively extended. Today, implantable hearing aids are available for the hearing (re)habilitation of various forms of middle ear pathology as well as sensorineural hearing loss within the audiological criteria. With CE certification for children, the treatment of younger patients with implantable hearing aids has also become possible. Using the Vibrant Soundbridge as an example, the function, indications and contraindications of implantable hearing aids are described and the surgical procedure and post-operative care discussed.

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Literatur

  1. Arnold A, Stieger C, Candreia C et al (2010) Factors improving the vibration transfer of the floating mass transducer at the round window. Otol Neurotol 31:122–128

    Article  PubMed  Google Scholar 

  2. Bruschini L, Forli F, Giannarelli M et al (2009) Exclusive transcanal surgical approach for Vibrant Soundbridge implantation: surgical and functional results. Otol Neurotol 30:950–955

    Article  PubMed  Google Scholar 

  3. Colletti V, Soli SD, Carner M et al (2006) Treatment of mixed hearing losses via implantation of a vibratory transducer on the round window. Int J Audiol 45:600–608

    Article  PubMed  Google Scholar 

  4. Deutsche Gesellschaft für Hals-Nasen-Ohrenheilkunde, Kopf- und Halschirurgie e. V. (2010) Aktive, implantierbare Hörsysteme bei Hörstörungen. AWMF online. http://www.awmf.org/leitlinien/detail/II/017–073.html

  5. Dumon T (2007) Vibrant soundbridge middle ear implant in otosclerosis: technique – indication. Adv Otorhinolaryngol 65:320–322

    PubMed  Google Scholar 

  6. Fisch U, Cremers CW, Lenarz T et al (2001) Clinical experience with the Vibrant Soundbridge implant device. Otol Neurotol 22:962–972

    Article  PubMed  CAS  Google Scholar 

  7. Huber AM, Ball GR, Veraguth D et al (2006) A new implantable middle ear hearing device for mixed hearing loss: A feasibility study in human temporal bones. Otol Neurotol 27:1104–1109

    Article  PubMed  Google Scholar 

  8. Hüttenbrink KB, Zahnert T, Bornitz M et al (2008) TORP-vibroplasty: a new alternative for the chronically disabled middle ear. Otol Neurotol 29:965–971

    Article  PubMed  Google Scholar 

  9. Jesacher MO, Kiefer J, Zierhofer C et al (2010) Torque measurements of the ossicular chain: implication on the MRI safety of the hearing implant Vibrant Soundbridge. Otol Neurotol 31:676–680

    PubMed  Google Scholar 

  10. Kiefer J, Arnold W, Staudenmaier R (2006) Round window stimulation with an implantable hearing aid (Soundbridge) combined with autogenous reconstruction of the auricle – a new approach. ORL J Otorhinolaryngol Relat Spec 68:378–385

    Article  PubMed  Google Scholar 

  11. Maurer J, Savvas E (2010) The Esteem System: a totally implantable hearing device. Adv Otorhinolaryngol 69:59–71

    PubMed  CAS  Google Scholar 

  12. Nakajima HH, Dong W, Olson ES et al (2010) Evaluation of round window stimulation using the floating mass transducer by intracochlear sound pressure measurements in human temporal bones. Otol Neurotol 31:506–511

    Article  PubMed  Google Scholar 

  13. Pau HW, Just T (2010) Third window vibroplasty: an alternative in surgical treatment of tympanosclerotic obliteration of the oval and round window niche. Otol Neurotol 31:225–227

    Article  PubMed  Google Scholar 

  14. Snik AF, Cremers CW (1999) First audiometric results with the Vibrant soundbridge, a semi-implantable hearing device for sensorineural hearing loss. Audiology 38:335–338

    Article  PubMed  CAS  Google Scholar 

  15. Stark T, Staudenmaier R, Kiefer J (2011) Hearing rehabilitation and aesthetic correction in ear malformations. Int J Pediatr Otorhinolaryngol 75:71–71

    Article  Google Scholar 

  16. Suzuki J, Kodera K, Yanagihara N (1985) Middle ear implant for humans. Acta Otolaryngol 99:313–317

    Article  PubMed  CAS  Google Scholar 

  17. Todt I, Rademacher G, Wagner F et al (2010) Magnetic resonance imaging safety of the floating mass transducer. Otol Neurotol 31:1435–1440

    PubMed  Google Scholar 

  18. Todt I, Seidl RO, Mutze S et al (2004) MRI scanning and incus fixation in vibrant soundbridge implantation. Otol Neurotol 25:969–972

    Article  PubMed  Google Scholar 

  19. Truy E, Eshraghi AA, Balkany TJ et al (2006) Vibrant soundbridge surgery: evaluation of transcanal surgical approaches. Otol Neurotol 27:887–895

    Article  PubMed  Google Scholar 

  20. Wilska A (1935) Eine Methode zur Bestimmung der Hörschwellenamplituden des Trommelfells bei verschiedenen Frequenzen. Skand Arch Physiol 72:161–165

    Google Scholar 

  21. Wollenberg B, Beltrame M, Schonweiler R et al (2007) Integration des aktiven Mittelohrimplantates in die plastische Ohrmuschelrekonstruktion. HNO 55:349–356

    Article  PubMed  CAS  Google Scholar 

  22. Yanagihara N, Aritomo H, Yamanaka E et al (1987) Implantable hearing aid. Report of the first human applications. Arch Otolaryngol Head Neck Surg 113:869–872

    Article  PubMed  CAS  Google Scholar 

  23. Zehlicke T, Dahl R, Just T et al (2010) Vibroplasty involving direct coupling of the floating mass transducer to the oval window niche. J Laryngol Otol 124:716–719

    Article  PubMed  CAS  Google Scholar 

  24. Zenner HP, Leysieffer H (2001) Total implantation of the Implex TICA hearing amplifier implant for high frequency sensorineural hearing loss: the Tubingen University experience. Otolaryngol Clin North Am 34:417–446

    Article  PubMed  CAS  Google Scholar 

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  1. Hals-Nasen-Ohren-Klinik und Poliklinik, Klinikum rechts der Isar der Technischen Universität, Ismaninger Str. 22, 81675, München, Deutschland

    T. Strenger & T. Stark

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  1. T. Strenger
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  2. T. Stark
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Correspondence to T. Strenger.

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Strenger, T., Stark, T. Einsatz implantierbarer Hörgeräte am Beispiel der Vibrant Soundbridge. HNO 60, 169–178 (2012). https://doi.org/10.1007/s00106-011-2451-4

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  • DOI: https://doi.org/10.1007/s00106-011-2451-4

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