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Vibrant SoundBridge combined with auricle reconstruction for bilateral congenital aural atresia
Danni Wang1, Shouqin Zhao1, Qingguo Zhang2
1Otolaryngology 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.
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.
