Danni Wang1, Shouqin Zhao2, Qingguo Zhang3, Yi Li1, Xiaobo Ma1, Ran Ren1. 1. Otolaryngology Head and Neck Surgery Department, Beijing Tongren Hospital, Capital Medical University, Key Laboratory of Otolaryngology Head and Neck Surgery (Capital Medical University), Ministry of Education, Beijing, China. 2. Otolaryngology Head and Neck Surgery Department, Beijing Tongren Hospital, Capital Medical University, Key Laboratory of Otolaryngology Head and Neck Surgery (Capital Medical University), Ministry of Education, Beijing, China. Electronic address: shouqinzhao@163.com. 3. Department of Ear Reconstruction, Plastic Surgery Hospital (Institute), Chinese Academy of Medical Science, Peking Union Medical College, Beijing, China.
Abstract
OBJECTIVES: To report an integrating surgical method of Vibrant SoundBridge (VSB) implant and auricle reconstruction. METHODS: 4 cases of congenital bilateral external/middle ear malformation were enrolled. All of them were diagnosed as bilateral bony atresia and grade III microtia. Stapes vibroplasty was performed for all subjects in one operation with auricle reconstruction stage 3. The clinical information and hearing outcomes were analyzed. RESULTS: Satisfied aesthetic outcomes were confirmed by sculptured outline and symmetric shape on both sides. Mean improvement in hearing threshold with VSB activation was 25.9 dB HL, while mean scores of speech recognition test were 21.8-46.3%. CONCLUSION: Combined surgical method of VSB implant and aesthetic reconstruction is safe and efficient for congenital external/middle ear malformation case.
OBJECTIVES: To report an integrating surgical method of Vibrant SoundBridge (VSB) implant and auricle reconstruction. METHODS: 4 cases of congenital bilateral external/middle ear malformation were enrolled. All of them were diagnosed as bilateral bony atresia and grade III microtia. Stapes vibroplasty was performed for all subjects in one operation with auricle reconstruction stage 3. The clinical information and hearing outcomes were analyzed. RESULTS: Satisfied aesthetic outcomes were confirmed by sculptured outline and symmetric shape on both sides. Mean improvement in hearing threshold with VSB activation was 25.9 dB HL, while mean scores of speech recognition test were 21.8-46.3%. CONCLUSION: Combined surgical method of VSB implant and aesthetic reconstruction is safe and efficient for congenital external/middle ear malformation case.
Authors: Laura Fröhlich; Torsten Rahne; Stefan K Plontke; Tobias Oberhoffner; Rüdiger Dahl; Robert Mlynski; Oliver Dziemba; Aristotelis Aristeidou; Maria Gadyuchko; Sven Koscielny; Sebastian Hoth; Miriam H Kropp; Parwis Mir-Salim; Alexander Müller Journal: Eur Arch Otorhinolaryngol Date: 2020-09-03 Impact factor: 2.503