Round Window Stimulation with an Implantable Hearing Aid (Soundbridge®) Combined with Autogenous Reconstruction of the Auricle – A New Approach
Background: Congenital malformations of the auricle are often combined with atresia of the outer ear canal and malformations of the ossicles, representing aesthetic as well as functional deficits. Optimal treatment should therefore address both aspects equally. This report describes a new approach,...
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| Veröffentlicht in: | O.R.L. Journal for oto-rhino-laryngology and its related specialties 2006-01, Vol.68 (6), p.378-385 |
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| creator | Kiefer, Jan Arnold, Wolfgang Staudenmaier, Rainer |
| description | Background: Congenital malformations of the auricle are often combined with atresia of the outer ear canal and malformations of the ossicles, representing aesthetic as well as functional deficits. Optimal treatment should therefore address both aspects equally. This report describes a new approach, combining the reconstruction of the auricle with implantation of an active middle ear hearing aid, stimulating the round window membrane. Method: A 33-year-old male patient, with bilateral ear microtia, fibrous atresia of the external ear canals and malformation of the ossicles due to Treacher Collins-Franceschetti syndrome was included in the study. In stage one, the cartilage framework of the new auricle, made of autogenous rib cartilage, was fabricated and implanted. During stage two, the auricle was elevated, a retro-auricular sulcus was formed and a Vibrant MED-EL Soundbridge® device was implanted. The transducer was coupled to the round window membrane. Results: Both functional and aesthetical results were favourable. Aided thresholds were between 15 and 30 dB in the frequency range of 0.75–6 kHz, monosyllabic word understanding at 65 dB SPL increased from 0 to 80%. Discussion: Combining aesthetic and functional rehabilitation, autogenous reconstruction of a new auricle together with the implantation of an active middle ear hearing aid, coupled to the round window membrane, is a promising new approach. |
| doi_str_mv | 10.1159/000095282 |
| format | Article |
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Optimal treatment should therefore address both aspects equally. This report describes a new approach, combining the reconstruction of the auricle with implantation of an active middle ear hearing aid, stimulating the round window membrane. Method: A 33-year-old male patient, with bilateral ear microtia, fibrous atresia of the external ear canals and malformation of the ossicles due to Treacher Collins-Franceschetti syndrome was included in the study. In stage one, the cartilage framework of the new auricle, made of autogenous rib cartilage, was fabricated and implanted. During stage two, the auricle was elevated, a retro-auricular sulcus was formed and a Vibrant MED-EL Soundbridge® device was implanted. The transducer was coupled to the round window membrane. Results: Both functional and aesthetical results were favourable. Aided thresholds were between 15 and 30 dB in the frequency range of 0.75–6 kHz, monosyllabic word understanding at 65 dB SPL increased from 0 to 80%. Discussion: Combining aesthetic and functional rehabilitation, autogenous reconstruction of a new auricle together with the implantation of an active middle ear hearing aid, coupled to the round window membrane, is a promising new approach.</description><identifier>ISSN: 0301-1569</identifier><identifier>ISBN: 9783805582049</identifier><identifier>ISBN: 3805582048</identifier><identifier>EISSN: 1423-0275</identifier><identifier>EISBN: 3318014206</identifier><identifier>EISBN: 9783318014204</identifier><identifier>DOI: 10.1159/000095282</identifier><identifier>PMID: 17065833</identifier><identifier>CODEN: ORLJAH</identifier><language>eng</language><publisher>Basel, Switzerland: Karger</publisher><subject>Adult ; Audiology ; Biological and medical sciences ; Cartilage - transplantation ; Cochlear Mechanics and Otoacoustic Emissions ; Diseases of the ear ; Ear Canal - abnormalities ; Ear Canal - surgery ; Ear Ossicles - abnormalities ; Ear Ossicles - surgery ; Ear, auditive nerve, cochleovestibular tract, facial nerve: diseases, semeiology ; Ear, External - abnormalities ; Ear, External - surgery ; Ears & hearing ; Ent and stomatology ; Esthetics ; Hearing Aids ; Humans ; Male ; Mandibulofacial Dysostosis - surgery ; Medical sciences ; Non tumoral diseases ; Otorhinolaryngology. Stomatology ; Plastic surgery ; Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. Diet therapy and various other treatments (general aspects) ; Reconstructive Surgical Procedures - methods ; Round Window, Ear - physiology ; Transplants & implants</subject><ispartof>O.R.L. Journal for oto-rhino-laryngology and its related specialties, 2006-01, Vol.68 (6), p.378-385</ispartof><rights>2006 S. Karger AG, Basel</rights><rights>2006 INIST-CNRS</rights><rights>Copyright (c) 2006 S. Karger AG, Basel</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c391t-ec71865c7501c7641a7f99b447fdc4b9fe0683f92b0d775a86c850768bf060213</citedby><cites>FETCH-LOGICAL-c391t-ec71865c7501c7641a7f99b447fdc4b9fe0683f92b0d775a86c850768bf060213</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,2423,27901,27902</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=18229867$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/17065833$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Kiefer, Jan</creatorcontrib><creatorcontrib>Arnold, Wolfgang</creatorcontrib><creatorcontrib>Staudenmaier, Rainer</creatorcontrib><title>Round Window Stimulation with an Implantable Hearing Aid (Soundbridge®) Combined with Autogenous Reconstruction of the Auricle – A New Approach</title><title>O.R.L. Journal for oto-rhino-laryngology and its related specialties</title><addtitle>ORL</addtitle><description>Background: Congenital malformations of the auricle are often combined with atresia of the outer ear canal and malformations of the ossicles, representing aesthetic as well as functional deficits. Optimal treatment should therefore address both aspects equally. This report describes a new approach, combining the reconstruction of the auricle with implantation of an active middle ear hearing aid, stimulating the round window membrane. Method: A 33-year-old male patient, with bilateral ear microtia, fibrous atresia of the external ear canals and malformation of the ossicles due to Treacher Collins-Franceschetti syndrome was included in the study. In stage one, the cartilage framework of the new auricle, made of autogenous rib cartilage, was fabricated and implanted. During stage two, the auricle was elevated, a retro-auricular sulcus was formed and a Vibrant MED-EL Soundbridge® device was implanted. The transducer was coupled to the round window membrane. Results: Both functional and aesthetical results were favourable. Aided thresholds were between 15 and 30 dB in the frequency range of 0.75–6 kHz, monosyllabic word understanding at 65 dB SPL increased from 0 to 80%. Discussion: Combining aesthetic and functional rehabilitation, autogenous reconstruction of a new auricle together with the implantation of an active middle ear hearing aid, coupled to the round window membrane, is a promising new approach.</description><subject>Adult</subject><subject>Audiology</subject><subject>Biological and medical sciences</subject><subject>Cartilage - transplantation</subject><subject>Cochlear Mechanics and Otoacoustic Emissions</subject><subject>Diseases of the ear</subject><subject>Ear Canal - abnormalities</subject><subject>Ear Canal - surgery</subject><subject>Ear Ossicles - abnormalities</subject><subject>Ear Ossicles - surgery</subject><subject>Ear, auditive nerve, cochleovestibular tract, facial nerve: diseases, semeiology</subject><subject>Ear, External - abnormalities</subject><subject>Ear, External - surgery</subject><subject>Ears & hearing</subject><subject>Ent and stomatology</subject><subject>Esthetics</subject><subject>Hearing Aids</subject><subject>Humans</subject><subject>Male</subject><subject>Mandibulofacial Dysostosis - surgery</subject><subject>Medical sciences</subject><subject>Non tumoral diseases</subject><subject>Otorhinolaryngology. Stomatology</subject><subject>Plastic surgery</subject><subject>Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. 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Stomatology</topic><topic>Plastic surgery</topic><topic>Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. Diet therapy and various other treatments (general aspects)</topic><topic>Reconstructive Surgical Procedures - methods</topic><topic>Round Window, Ear - physiology</topic><topic>Transplants & implants</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Kiefer, Jan</creatorcontrib><creatorcontrib>Arnold, Wolfgang</creatorcontrib><creatorcontrib>Staudenmaier, Rainer</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Research Library (Alumni Edition)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Research Library Prep</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Research Library</collection><collection>Research Library (Corporate)</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest Central Basic</collection><collection>Biotechnology Research Abstracts</collection><collection>Technology Research Database</collection><collection>Engineering Research Database</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>MEDLINE - Academic</collection><jtitle>O.R.L. Journal for oto-rhino-laryngology and its related specialties</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Kiefer, Jan</au><au>Arnold, Wolfgang</au><au>Staudenmaier, Rainer</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Round Window Stimulation with an Implantable Hearing Aid (Soundbridge®) Combined with Autogenous Reconstruction of the Auricle – A New Approach</atitle><jtitle>O.R.L. Journal for oto-rhino-laryngology and its related specialties</jtitle><addtitle>ORL</addtitle><date>2006-01-01</date><risdate>2006</risdate><volume>68</volume><issue>6</issue><spage>378</spage><epage>385</epage><pages>378-385</pages><issn>0301-1569</issn><eissn>1423-0275</eissn><isbn>9783805582049</isbn><isbn>3805582048</isbn><eisbn>3318014206</eisbn><eisbn>9783318014204</eisbn><coden>ORLJAH</coden><abstract>Background: Congenital malformations of the auricle are often combined with atresia of the outer ear canal and malformations of the ossicles, representing aesthetic as well as functional deficits. Optimal treatment should therefore address both aspects equally. This report describes a new approach, combining the reconstruction of the auricle with implantation of an active middle ear hearing aid, stimulating the round window membrane. Method: A 33-year-old male patient, with bilateral ear microtia, fibrous atresia of the external ear canals and malformation of the ossicles due to Treacher Collins-Franceschetti syndrome was included in the study. In stage one, the cartilage framework of the new auricle, made of autogenous rib cartilage, was fabricated and implanted. During stage two, the auricle was elevated, a retro-auricular sulcus was formed and a Vibrant MED-EL Soundbridge® device was implanted. The transducer was coupled to the round window membrane. Results: Both functional and aesthetical results were favourable. Aided thresholds were between 15 and 30 dB in the frequency range of 0.75–6 kHz, monosyllabic word understanding at 65 dB SPL increased from 0 to 80%. Discussion: Combining aesthetic and functional rehabilitation, autogenous reconstruction of a new auricle together with the implantation of an active middle ear hearing aid, coupled to the round window membrane, is a promising new approach.</abstract><cop>Basel, Switzerland</cop><pub>Karger</pub><pmid>17065833</pmid><doi>10.1159/000095282</doi><tpages>8</tpages></addata></record> |
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| ispartof | O.R.L. Journal for oto-rhino-laryngology and its related specialties, 2006-01, Vol.68 (6), p.378-385 |
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| source | Karger Journals; MEDLINE; Alma/SFX Local Collection; Karger:Jisc Collections:ORL, Ophthalmology, Dental Medicine, Obstetrics, Gynecology and Psychology, Psychiatry Archive Collection (2012-2112) |
| subjects | Adult Audiology Biological and medical sciences Cartilage - transplantation Cochlear Mechanics and Otoacoustic Emissions Diseases of the ear Ear Canal - abnormalities Ear Canal - surgery Ear Ossicles - abnormalities Ear Ossicles - surgery Ear, auditive nerve, cochleovestibular tract, facial nerve: diseases, semeiology Ear, External - abnormalities Ear, External - surgery Ears & hearing Ent and stomatology Esthetics Hearing Aids Humans Male Mandibulofacial Dysostosis - surgery Medical sciences Non tumoral diseases Otorhinolaryngology. Stomatology Plastic surgery Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. Diet therapy and various other treatments (general aspects) Reconstructive Surgical Procedures - methods Round Window, Ear - physiology Transplants & implants |
| title | Round Window Stimulation with an Implantable Hearing Aid (Soundbridge®) Combined with Autogenous Reconstruction of the Auricle – A New Approach |
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