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Die Vibrant Soundbridge als aktives Implantat in der Mittelohrchirurgie

The Vibrant Soundbridge as an active implant in middle ear surgery

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Zusammenfassung

Implantierbare Hörgeräte werden bei der Versorgung unterschiedlich bedingter Schwerhörigkeiten immer bedeutsamer. Das am häufigsten implantierte Mittelohrhörsystem ist die Vibrant Soundbridge (VSB, Fa. MED-EL, Innsbruck, Österrreich). Es haben sich, nach Erweiterung der Indikation, verschiedene neue Ankopplungsmöglichkeiten ergeben. In der vorliegenden Arbeit wird das Anregungsverhalten der VSB anhand der Literatur, vorliegender Felsenbeinversuche und mittels Berechnungen im Finite-Elemente-Modell (FEM) eingehend beleuchtet. Darüber hinaus wird auf wichtige Begleitumstände der Ankopplung, Übertragung und Messung eingegangen.

Abstract

Implantable hearing aids are not only gaining importance for the treatment of sensorineural hearing loss, but also for treatment of mixed hearing loss. The most frequently used active middle ear implant is the Vibrant Soundbridge (VSB) system (Fa. MED-EL, Innsbruck, Österrreich). Following widening of the spectrum of indications for the VBS, various new coupling systems have been established. Based on the literature, available petrosal bone investigations and finite element model (FEM) calculations, this article summarizes the current knowledge concerning mechanical excitation by the VSB. Important concomitant aspects related to coupling, transmission and measurement are also discussed.

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Einhaltung ethischer Richtlinien

Interesssenkonflikt. T. Beleites, M. Bornitz, M. Neudert und T. Zahnert geben an, dass sie Forschungsarbeiten im Zusammenhang mit der Kopplerentwicklung und in Zusammenhang mit MED-EL durchführten. Dieser Beitrag beinhaltet keine Studien an Menschen oder Tieren.

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Authors and Affiliations

  1. Klinik und Poliklinik für Hals-, Nasen-, Ohrenheilkunde, Universitätsklinikum Carl Gustav Carus der TU Dresden, Fetscherstr. 74, 01307, Dresden, Deutschland

    T. Beleites, M. Bornitz, M. Neudert & T. Zahnert

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  1. T. Beleites
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  2. M. Bornitz
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  3. M. Neudert
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  4. T. Zahnert
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Correspondence to T. Beleites.

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Beleites, T., Bornitz, M., Neudert, M. et al. Die Vibrant Soundbridge als aktives Implantat in der Mittelohrchirurgie. HNO 62, 509–519 (2014). https://doi.org/10.1007/s00106-014-2884-7

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  • DOI: https://doi.org/10.1007/s00106-014-2884-7

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