Frenzel Henning, Hanke Frauke, Beltrame Millo, Wollenberg Barbara
Department of Otorhinolaryngology and Plastic Operations, University Hospital Schleswig-Holstein, Lübeck, Germany.
Acta Otolaryngol. 2010 Aug;130(8):966-70. doi: 10.3109/00016480903559749.
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.
振动声桥为患有小耳畸形和外耳道闭锁的幼儿提供了出色的听力康复治疗。它能直接刺激耳蜗，并能直接适配特定的解剖结构。“后闭锁切口”保留了耳残端周围组织层的物理完整性，这对于美观的耳廓重建至关重要。
双侧外耳道闭锁的患者需要立即进行听觉刺激，以确保正常的语言发育。我们介绍一种手术技术，可在进行美观重建前安全恢复听力。
一名6岁男孩患有双侧小耳畸形和骨性闭锁。通过所有层进行发际线切口，随后进行骨膜下准备，直至闭锁平面。切除融合的锤骨-砧骨复合体，并在两侧将换能器压接至镫骨上部结构。
在安静和嘈杂环境下，语音表现几乎正常。该手术未影响对后期耳部重建重要的组织。
