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[Active hearing implants in chronic otitis media].

S Lailach1, C Müller2, N Lasurashvili2

  • 1Klinik und Poliklinik für Hals‑, Nasen‑, Ohrenheilkunde, Kopf-Hals-Chirurgie, Universitätsklinikum Carl Gustav Carus an der Technischen Universität Dresden, Fetscherstr. 74, 01307, Dresden, Deutschland. Susen.Lailach@uniklinikum-dresden.de.

HNO
|November 13, 2019
PubMed
Summary
This summary is machine-generated.

Active hearing implants offer a solution for hearing loss when other treatments fail. These devices bypass damaged ear structures, improving outcomes for various hearing loss types in chronic otitis media patients.

Keywords:
Hearing loss, conductiveOssicular prothesisQuality of lifeTympanoplastyVibroplasty

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Area of Science:

  • Otolaryngology
  • Biomedical Engineering
  • Audiology

Background:

  • Tympanoplasty and conventional hearing aids are insufficient for some patients.
  • Active middle ear implants (AMEIs) offer an alternative treatment.
  • AMEIs function as a vibromechanical bypass for impaired hearing structures.

Purpose of the Study:

  • To review clinical results and indications for AMEIs.
  • To discuss AMEI use in chronic otitis media patients.
  • To highlight advancements in AMEI coupling mechanisms.

Main Methods:

  • Review of current clinical study results.
  • Analysis of patient selection criteria for AMEIs.
  • Evaluation of AMEI coupling to stapes or round window.

Main Results:

  • Variable coupling elements have expanded AMEI indications.
  • AMEIs are now suitable for sensorineural, mixed, and conductive hearing loss.
  • Successful application in multiply operated ears with complex anatomy.

Conclusions:

  • AMEIs are a viable option for hearing restoration in specific patient groups.
  • Indications for AMEIs have broadened due to technological advancements.
  • Recommendations for AMEI use in chronic otitis media are provided.