King Abdullah Ear Specialist Center (KAESC), 191082College of Medicine, King Saud University, Riyadh, Saudi Arabia.
Prince Sultan Military Medical City (PSMMC), Riyadh, Saudi Arabia.
Ear Nose Throat J. 2021 Jun;100(3_suppl):207S-211S. doi: 10.1177/0145561320960542. Epub 2020 Sep 28.
We propose middle ear implants (MEI) as alternative hearing restoration option for patients with fibrous dysplasia of the temporal bone (FDTB). A 60-year-old man presented with unilateral right-sided conductive hearing loss (CHL) and FDTB. The Vibrant Soundbridge (VSB) MEI was implanted in the right ear. Preoperatively, the right side had a pure tone average (PTA) threshold of 67 dB, speech reception threshold (SRT) = 75 dB HL, and speech discrimination score (SDS) = 54% at 80 dB HL presentation level. Postoperative aided PTA threshold of the right ear was 28 db, aided SRT = 30 db, and SDS = 96% at 65dB HL. After excluding cholesteatoma, VSB provides an alternative hearing restoration technique for adults with FDTB and CHL due to stenosis of the external auditory canal and/or ossicular crowding.
我们提出中耳植入物 (MEI) 作为纤维骨瘤性颞骨病变 (FDTB) 患者听力恢复的替代选择。一名 60 岁男性因单侧右侧传导性听力损失 (CHL) 和 FDTB 就诊。右侧植入了 Vibrant Soundbridge (VSB) MEI。术前,右侧纯音平均 (PTA) 阈值为 67 dB,言语接受阈值 (SRT) = 75 dB HL,言语辨别率 (SDS) = 80 dB HL 时为 54%。术后右侧助听听阈为 28 dB,助听 SRT = 30 dB,65dB HL 时 SDS = 96%。在排除胆脂瘤后,VSB 为因外耳道狭窄和/或听小骨拥挤而导致 CHL 的 FDTB 成人提供了另一种听力恢复技术。