Related Experiment Video
Updated: May 29, 2025
Robotic Cochlear Implantation for Direct Cochlear Access
Published on: June 16, 2022
Application of an active middle ear implant in congenital middle ear malformations: A contemporary review
Vagner Antonio Rodrigues da Silva1, Henrique Furlan Pauna2, Guilherme Correa Guimarães1
1Faculdade de Ciências Médicas da Universidade Estadual de Campinas (UNICAMP), Departamento de Otorrinolaringologia e Cirurgia de Cabeça e Pescoço, Campinas, SP, Brazil.
Objective:
To evaluate hearing outcomes and postoperative complications among patients with middle and external ear malformations undergoing active middle ear implantation with Vibrant Soundbridge® (VSB).
Methods:
Review of the literature. Studies published in English, Portuguese, or Spanish at the following databases: PubMed, MEDLINE, Scopus, Web of Science, EMBASE, and Cochrane Library were searched. The search strategy yielded a total of 141 potentially relevant studies. Of these, ten were included in this analysis.
Results:
The mean preoperative air conduction threshold was 66.7 ± 6.2 dB. The mean air-bone gap was 46 ± 7.7 dB. VSB implantation resulted in mean hearing gain of 40.5 ± 7.1 dB in the air-conduction thresholds among the evaluated frequencies. The speech recognition index if the Floating Mass Transducer (FMT) was placed in the short process was 86.0% ± 9.6%, with significant difference when compared to long process coupling (p = 0.035) and the round window coupling (p = 0.048).
Conclusion:
Bone conduction thresholds did not worsen in any of the studies included in the present review. VSB implantation resulted in a mean hearing gain of 40 dB at air conduction thresholds.
