Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Review
. 2021 Jun;69(6):447-463.
doi: 10.1007/s00106-019-00775-2.

[Active hearing implants in chronic otitis media]

[Article in German]
S Lailach  1 , C Müller  2 , N Lasurashvili  2 , H Seidler  2 , T Zahnert  2
Affiliations
Review

[Active hearing implants in chronic otitis media]

[Article in German]
S Lailach et al. HNO. 2021 Jun.

Abstract
in English, German

In patients with inadequate hearing improvement after tympanoplasty and failure of conventional hearing aid fitting, active hearing implants provide an alternative treatment option. Active middle ear implants function as a vibromechanical bypass of the stiffness and damping effect of a poorly oscillating tympanic membrane and the (reconstructed) ossicular chain. The selection of the hearing system depends on the maximum output levels of the hearing system and the anatomical conditions in mostly multiply operated ears. The development of variable coupling elements for active middle ear implants led to an extension of the indications to include not only purely sensorineural hearing loss but also mixed and conductive hearing loss in patients, as the transducer can now be coupled to the (mobile) stapes or the round window membrane. The article provides an overview of current clinical study results and recommendations on the indications for active hearing implants in patients with chronic otitis media.

Bei Patienten mit unzureichender Hörverbesserung nach Tympanoplastik können aktive Hörimplantate eine Hörrehabilitation bei frustraner Hörgeräteversorgung ermöglichen, in dem sie im Sinne eines vibromechanischen Bypasses die Steifigkeit und Dämpfung eines schlecht schwingenden Trommelfells bzw. einer (rekonstruierten) Gehörknöchelchenkette umgehen. Die Auswahl des Hörsystems ist dabei abhängig vom maximalen Ausgangspegel des Hörsystems sowie den anatomischen Voraussetzungen im meist mehrfach voroperierten Ohr. In den letzten Jahren führte die Entwicklung variabler Koppelelemente für aktive Mittelohrimplantate zu einer Indikationserweiterung von der reinen Schallempfindungsschwerhörigkeit zur Schallleitungs- und kombinierten Schwerhörigkeit, da sie nun am (beweglichen) Steigbügel oder der Rundfenstermembran angekoppelt werden können. Der Artikel gibt eine Übersicht über aktuelle Studienergebnisse und Indikationsempfehlungen für aktive Hörimplantate bei Patienten mit chronischer Otitis media.

Keywords: Hearing loss, conductive; Ossicular prothesis; Quality of life; Tympanoplasty; Vibroplasty.

PubMed Disclaimer

References

Literatur

    1. de Abajo J, Sanhueza I, Giron L, Manrique M (2013) Experience with the active middle ear implant in patients with moderate-to-severe mixed hearing loss: indications and results. Otol Neurotol 34:1373–1379. https://doi.org/10.1097/MAO.0b013e3182a0044e - DOI - PubMed
    1. Atas A, Tutar H, Gunduz B, Bayazıt YA (2014) Vibrant SoundBridge application to middle ear windows versus conventional hearing aids: a comparative study based on international outcome inventory for hearing aids. Eur Arch Otorhinolaryngol 271:35–40. https://doi.org/10.1007/s00405-013-2387-2 - DOI - PubMed
    1. Baumgartner W‑D, Böheim K, Hagen R et al (2010) The vibrant soundbridge for conductive and mixed hearing losses: European multicenter study results. Adv Otorhinolaryngol 69:38–50. https://doi.org/10.1159/000318521 - DOI - PubMed
    1. Beleites T, Neudert M, Bornitz M, Zahnert T (2014) Sound transfer of active middle ear implants. Otolaryngol Clin North Am 47:859–891. https://doi.org/10.1016/j.otc.2014.08.001 - DOI - PubMed
    1. Beutner D, Delb W, Frenzel H et al (2018) Guideline “Implantable hearing aids”-short version: German S2k guideline of the Working Group of German-speaking Audiologists, Neurootologists and Otologists (ADANO), of the German Society of Oto-Rhino-Laryngology, Head and Neck Surgery (DGHNO) in collaboration with the German Society of Audiology (DGA), the German Society of Phoniatrics and Pediatric Audiology (DGPP), and patient representatives. HNO 66:654–659. https://doi.org/10.1007/s00106-018-0531-4 - DOI - PubMed

MeSH terms

LinkOut - more resources