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80th Annual Meeting of the German Society of Oto-Rhino-Laryngology, Head and Neck Surgery

German Society of Oto-Rhino-Laryngology, Head and Neck Surgery

20.05. - 24.05.2009, Rostock

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Mixed hearing loss after explosion trauma – rehabilitation of hearing with Vibrant Soundbridge by coupling the FMT to the oval window via cartilage-perichondrium flap

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  • author Franziska Marsian - Bundeswehrkrankenhaus Hamburg, Hamburg, Germany
  • Susann Fräßdorf - Bundeswehrkrankenhaus Hamburg, Hamburg, Germany
  • corresponding author Thorsten Zehlicke - Bundeswehrkrankenhaus Hamburg, Hamburg, Germany
  • Hans-Wilhelm Pau - Universitätsklinik Rostock, Rostock, Germany

German Society of Oto-Rhino-Laryngology, Head and Neck Surgery. 80th Annual Meeting of the German Society of Oto-Rhino-Laryngology, Head and Neck Surgery. Rostock, 20.-24.05.2009. Düsseldorf: German Medical Science GMS Publishing House; 2009. Doc09hno049

doi: 10.3205/09hno049, urn:nbn:de:0183-09hno0498

Published: July 22, 2009

© 2009 Marsian et al.
This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by-nc-nd/3.0/deed.en). You are free: to Share – to copy, distribute and transmit the work, provided the original author and source are credited.

Outline

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Introduction: explosion trauma combined with subsequent hearing loss constitutes a major problem of rehabilitation of hearing. Lately the supply with the Vibrant Soundbridge (VS) and its direct stimulation of the inner ear is a possibility of hearing improvement for such patients.

Methods: We report on a 53 year old soldier with state past explosion trauma several years ago. Despite repeated attempts to improve hearing with miscellaneous middle ear prostheses no satisfactory result was attained, the supply of conventional hearing aids provided no improvement in receptive language in the Freiburg speech test.

The patient was then supplied with the Vibrant Soundbridge, whith the FMT coupled to the oval window via a cartilage-perichondrium flap.

Results: The postoperative results showed a subjective satisfaction of the patient. The free-field audiometry after implantation, showed in the Freiburg speech test a receptive language score of 0% at 60 dB hearing in noise without VS, connected with VS of 85%.

Conclusion: A mixed hearing loss can be treated with Vibrant Soundbridge, thereby it seems that the implantation of the FMT to the oval window is an efficient form of coupling.