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Results of Active Middle Ear Implantation in Patients With Mixed Hearing Loss After Middle Ear Surgery: A Prospective Multicenter Study (the ROMEO Study)

Authors :
Chan Il Song
Hyong-Ho Cho
Byung Yoon Choi
Jae Young Choi
Jin Woong Choi
Yun-Hoon Choung
Jong Woo Chung
Won-Ho Chung
Sung Hwa Hong
Yehree Kim
Byung Don Lee
Il-Woo Lee
Jong Dae Lee
Jun Ho Lee
Kyu-Yup Lee
Il Joon Moon
In Seok Moon
Seung-Ha Oh
Hong Ju Park
Shi Nae Park
Ji Won Seo
Source :
Clinical and Experimental Otorhinolaryngology, Vol 15, Iss 1, Pp 69-76 (2022)
Publication Year :
2022
Publisher :
Korean Society of Otorhinolaryngology-Head and Neck Surgery, 2022.

Abstract

Objectives This study was conducted to evaluate the user satisfaction, efficacy, and safety of round window (RW) vibroplasty using the Vibrant Soundbridge (VSB) in patients with persistent mixed hearing loss after mastoidectomy. Methods The study included 27 patients (mean age, 58.7 years; age range, 28–76 years; 11 men and 16 women) with mixed hearing loss after mastoidectomy from 15 tertiary referral centers in Korea. The VSB was implanted at the RW. The Korean translation of the Abbreviated Profile of Hearing Aid Benefit (APHAB) questionnaire and the Korean version of the International Outcome Inventory for Hearing Aids (K-IOI-HA) questionnaire were used to evaluate user satisfaction as the primary outcome. The secondary outcome measures were audiological test results and complication rates. Results The mean scores for ease of communication (61.3% to 29.7% to 30.2%), reverberation (62.1% to 43.1% to 37.4%), and background noise (63.3% to 37.7% to 34.3%) subscales of the APHAB questionnaire significantly decreased after VSB surgery. The mean K-IOI-HA scores at 3 and 6 months after surgery were significantly higher than the mean preoperative score (18.6 to 27.2 to 28.1). The postoperative VSB-aided thresholds were significantly lower than the preoperative unaided and hearing aid (HA)-aided thresholds. There was no significant difference between preoperative unaided, preoperative HA-aided, and postoperative VSB-aided maximum phonetically balanced word-recognition scores. None of the 27 patients experienced a change in postoperative bone conduction pure tone average. One patient developed temporary facial palsy and two developed surgical wound infections. Conclusion RW vibroplasty resulted in improved satisfaction and audiological test results in patients with mixed hearing loss after mastoidectomy, and the complication rate was tolerable.

Details

Language :
English
ISSN :
19768710, 20050720, and 45091242
Volume :
15
Issue :
1
Database :
Directory of Open Access Journals
Journal :
Clinical and Experimental Otorhinolaryngology
Publication Type :
Academic Journal
Accession number :
edsdoj.0a333b4e285741bb9a450912428cd536
Document Type :
article
Full Text :
https://doi.org/10.21053/ceo.2020.01851