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镫骨头部和底板处的振动机耦合器使用经验。

Experience with vibroplasty couplers at the stapes head and footplate.

机构信息

Klinik und Poliklinik für Hals-, Nasen-, Ohrenheilkunde des Universitätsklinikums Carl Gustav Carus der TU Dresden, Dresden, Germany.

出版信息

Otol Neurotol. 2011 Dec;32(9):1468-72. doi: 10.1097/MAO.0b013e3182380621.

DOI:10.1097/MAO.0b013e3182380621
PMID:22072259
Abstract

OBJECTIVE

To report on experiences with implanting the Vibrant Soundbridge (VSB) coupled to the stapes head using a new Clip-Coupler or to the stapes footplate using a new OW-Coupler (CliP- or OW-Coupler Vibroplasty).

STUDY DESIGN

Single subject, repeated measures.

SETTING

Two university hospital ENT departments.

PATIENTS

Fourteen German-speaking patients from 2 European study sites were implanted with either a CliP-Coupler or OW-Coupler attached to a VSB floating mass transducer (FMT). They were evaluated preoperatively and postoperatively for bone and air conduction thresholds with and without the implant, as well as speech perception tests.

MAIN OUTCOME MEASURES

Measuring the efficacy and safety of OW- and CliP-Coupler-Vibroplasty as a method to treat mixed hearing loss.

RESULTS

Bone conduction thresholds remained stable preoperatively and postoperatively. The patients' average speech perception performances at 65/80 dB (HL) increased from 0.8/13.8% to 63/82%. The pure tone audiograms showed an average improvement in air conduction thresholds after implantation with the VSB of 25 dB at 0.5 kHz to 50 dB at 4 kHz.

CONCLUSION

OW- or Clip-Coupler-Vibroplasty using couplers was found to be a straightforward procedure, which produced good results in this group of patients.

摘要

目的

报告使用新型 Clip-Coupler 连接镫骨头部或新型 OW-Coupler 连接镫骨足板(Clip- 或 OW-Coupler Vibroplasty)植入 Vibrant Soundbridge(VSB)的经验。

研究设计

单病例、重复测量。

设置

两家欧洲大学医院耳鼻喉科。

患者

来自欧洲两个研究点的 14 名德语患者,使用 CliP-Coupler 或 OW-Coupler 连接到 VSB 浮动质量换能器(FMT)进行植入。他们在术前和术后使用植入物和不使用植入物时进行骨导和气导阈值以及言语感知测试评估。

主要观察指标

评估 OW- 和 CliP-Coupler-Vibroplasty 作为治疗混合性听力损失的方法的有效性和安全性。

结果

骨导阈值术前和术后保持稳定。患者在 65/80 dB(HL)的平均言语感知表现从 0.8/13.8%提高到 63/82%。纯音听力图显示,植入 VSB 后,0.5 kHz 处的气导阈值平均提高了 25 dB,4 kHz 处提高了 50 dB。

结论

使用耦合器的 OW- 或 Clip-Coupler-Vibroplasty 是一种简单的程序,在这组患者中产生了良好的效果。

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