Application of the Vibrant Soundbridge in bilateral congenital atresia in toddlers

Acta Oto-laryngologica
Henning FrenzelBarbara Wollenberg

Abstract

The Vibrant Soundbridge offers an excellent audiologic rehabilitation for toddlers with microtia and atresia. It provides direct stimulation of the cochlea and straightforward adaption to the given anatomical structures. The 'posterior atresia incision' preserves the physical integrity of the tissue layers around the ear remnant, which is essential for an aesthetic auricular reconstruction. Patients with bilateral aural atresia require immediate auditory stimulation to ensure normal speech development. We present an operative technique that allows safe restoration of hearing before aesthetic reconstruction. A 6-year-old boy presented with bilateral microtia and osseous atresia. A hairline incision was performed through all layers and was followed by a subperiostal preparation towards the atresia plane. The fused malleus-incus-complex was removed and the transducer was crimped to the stapes suprastructure on both sides. Speech performance is nearly normal in both quiet and noise conditions. The surgery did not affect the tissues that are important for the later ear reconstruction.

References

Aug 1, 2008·International Journal of Pediatric Otorhinolaryngology·C V M VerhagenC W R J Cremers
Jan 2, 2009·The Laryngoscope·Henning FrenzelBarbara Wollenberg

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Citations

Sep 21, 2010·The Journal of Laryngology and Otology·Y RamakrishnanI J M Johnson
Feb 8, 2014·European Archives of Oto-rhino-laryngology : Official Journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : Affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery·Sona SargsyanStefan K Plontke
Mar 16, 2013·The Surgeon : Journal of the Royal Colleges of Surgeons of Edinburgh and Ireland·Priya Achar
Sep 19, 2012·International Journal of Pediatric Otorhinolaryngology·Stéphane RomanJean-Michel Triglia
Apr 8, 2011·International Journal of Pediatric Otorhinolaryngology·Tania KraaiKate Fisher
Jan 28, 2015·Acta Oto-laryngologica·Lennart Edfeldt, Karin Strömbäck
Jul 7, 2011·Expert Review of Medical Devices·Kevin Green
Aug 27, 2016·European Archives of Oto-rhino-laryngology : Official Journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : Affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery·M LeinungC Hey
Mar 15, 2019·Otology & Neurotology : Official Publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology·Ad SnikArjan Bosman
May 7, 2016·Otology & Neurotology : Official Publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology·Wolf-Dieter BaumgartnerGeorg Sprinzl
Aug 25, 2012·Otology & Neurotology : Official Publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology·Henning FrenzelBarbara Wollenberg
Jun 25, 2015·Otology & Neurotology : Official Publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology·Henning FrenzelJohn-Martin Hempel
Jun 23, 2020·Otology & Neurotology : Official Publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology·Josef SeebacherGeorg Sprinzl
Aug 19, 2020·Otology & Neurotology : Official Publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology·Farid AlzhraniMedhat Yousef

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