Abstract
In patients with conductive hearing loss caused by middle ear disorders or atresia of the ear canal, a Bonebridge implantation can improve hearing by providing vibratory input to the temporal bone. The expected results are improved puretone thresholds and speech recognition. In the European Union, approval of the Bonebridge implantation was recently extended to children. We evaluated the functional outcome of a Bonebridge implantation for eight adults and three children. We found significant improvement in the puretone thresholds, with improvement in the air-bone gap. Speech recognition after surgery was significantly higher than in the best-aided situation before surgery. The Bonebridge significantly improved speech recognition in noisy environments and sound localization. In situations relevant to daily life, hearing deficits were nearly completely restored with the Bonebridge implantation in both adults and children.
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References
Cremers CW, O’Connor AF, Helms J, Roberson J, Clarós P, Frenzel H et al (2010) International consensus on Vibrant Soundbridge® implantation in children and adolescents. Int J Pediatr Otorhinolaryngol 74(11):1267
Magnan J, Manrique M, Dillier N, Snik A, Häusler R (2005) International consensus on middle ear implants. Acta Otolaryngol 125(9):920
Needham AJ, Jiang D, Bibas A, Jeronimidis G, O’Connor AF (2005) The effects of mass loading the ossicles with a floating mass transducer on middle ear transfer function. Otol Neurotol 26(2):218
Tjellström A, Luetje CM, Hough JV, Arthur B, Hertzmann P, Katz B et al (1997) Acute human trial of the floating mass transducer. Ear Nose Throat J 76(4):204–206 (209–10)
Lenarz T, Weber BP, Mack KF, Battmer RD, Gnadeberg D (1998) Vibrant Soundbridge System: ein neuartiges Hörimplantat für Innenohrschwerhörige. Teil 1: Funktionsweise und erste klinische Erfahrungen. Laryngorhinootologie 77(5):247
Snik AF, Mylanus EA, Cremers CW, Dillier N, Fisch U, Gnadeberg D et al (2001) Multicenter audiometric results with the Vibrant Soundbridge, a semi-implantable hearing device for sensorineural hearing impairment. Otolaryngol Clin North Am 34(2):373
Colletti V, Soli SD, Carner M, Colletti L (2006) Treatment of mixed hearing losses via implantation of a vibratory transducer on the round window. Int J Audiol 45(10):600
Huber AM, Ball GR, Veraguth D, Dillier N, Bodmer D, Sequeira D (2006) A new implantable middle ear hearing device for mixed hearing loss: a feasibility study in human temporal bones. Otol Neurotol 27(8):1104
Barbara M, Perotti M, Gioia B, Volpini L, Monini S (2013) Transcutaneous bone-conduction hearing device: audiological and surgical aspects in a first series of patients with mixed hearing loss. Acta Otolaryngol 133(10):1058
Huber AM, Sim JH, Xie YZ, Chatzimichalis M, Ullrich O, Roeoesli C (2013) The Bonebridge: preclinical evaluation of a new transcutaneously-activated bone anchored hearing device. Hearing Res 301:93
Manrique M, Sanhueza I, Manrique R, de Abajo J (2014) A new bone conduction implant: surgical technique and results. Otol Neurotol 35(2):216
Plontke SK, Radetzki F, Seiwerth I, Herzog M, Delank KS, Rahne T (2014) Individual computer assisted 3D planning for surgical placement of a new bone conduction hearing device. Otol Neurotol 35(7):1251–1257. doi:10.1097/MAO.0000000000000405
ISO 8253-1. Acoustics-Audiometric test methods-Part 1: puretone air and bone conduction audiometry: International Organization for Standardization; 2010
Sprinzl G, Lenarz T, Ernst A, Hagen R, Wolf-Magele A, Mojallal H et al (2013) First european multicenter results with a new transcutaneous bone conduction hearing implant system: short-term safety and efficacy. Otol Neurotol 34(6):1076
Ihler F, Volbers L, Blum J, Matthias C, Canis M (2014) Preliminary functional results and quality of life after implantation of a new bone conduction hearing device in patients with conductive and mixed hearing loss. Otol Neurotol 35(2):211
Hassepass F, Bulla S, Aschendorff A, Maier W, Traser L, Steinmetz C, et al. (2014) The bonebridge as a transcutaneous bone conduction hearing system: preliminary surgical and audiological results in children and adolescents. Eur Arch Otorhinolaryngol. doi:10.1007/s00405-014-3137-9
Pfiffner F, Caversaccio M, Kompis M (2011) Audiological results with Baha in conductive and mixed hearing loss. Adv Otorhinolaryngol 71:73
Gunduz B, Atas A, Bayazıt YA, Goksu N, Gokdogan C, Tutar H (2012) Functional outcomes of Vibrant Soundbridge applied on the middle ear windows in comparison with conventional hearing aids. Acta Otolaryngol 132(12):1306
Wagner JH, Ernst A, Todt I (2011) Magnet resonance imaging safety of the Vibrant Soundbridge system: a review. Otol Neurotol 32(7):1040
Schwab B, Salcher RB, Maier H, Kontorinis G (2012) Oval window membrane vibroplasty for direct acoustic cochlear stimulation: treating severe mixed hearing loss in challenging middle ears. Otol Neurotol 33(5):804
Acknowledgements
We thank Prof. S. Kösling (D/o diagnostic and interventional radiology) for radiology reports of CT scans and Dr. Dietrich Stoevesandt (D/o radiology) for transfer of data sets.
Conflict of interest
This work was not sponsored by any third party outside the University. T. Rahne is member of the MED-EL Audiological Advisory Board and has received travel funding by MED-EL.
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Rahne, T., Seiwerth, I., Götze, G. et al. Functional results after Bonebridge implantation in adults and children with conductive and mixed hearing loss. Eur Arch Otorhinolaryngol 272, 3263–3269 (2015). https://doi.org/10.1007/s00405-014-3403-x
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DOI: https://doi.org/10.1007/s00405-014-3403-x