Vibrant Soundbridge and Bone Conduction Hearing Aid in Patients with Bilateral Malformation of External Ear
26 June 2015
14 July 2015
28 October 2015 (online)
Introduction Hearing loss is the most common clinical finding in patients with malformation of the external ear canal. Among the possibilities of treatment, there is the adaptation of hearing aids by bone conduction and the adaptation of implantable hearing aids.
Objective To assess speech perception with the use of Vibrant Soundbridge (VBS - MED-EL, Innsbruck, Austria) associated with additional amplification in patients with bilateral craniofacial malformation.
Method We evaluated 11 patients with bilateral malformation over 12 years with mixed hearing loss or bilateral conductive. They were using the Softband (Oticon Medical, Sweden) and bone conduction hearing aid in the ear opposite the one with the VSB. We performed the evaluation of speech perception using the Hearing in Noise Test.
Results Participants were eight men and three women with a mean of 19.5 years. The signal / noise ratio presented significant results in patients fitted with VSB and bone conduction hearing aid.
Conclusion The results of speech perception were significantly better with use of VBS combined with bone conduction hearing aids.
- 1 Mendonça OLC, Costa SS. Otologia clínica e cirúrgica. Rio de Janeiro: Revinter; 2000
- 2 Castiquini EAT, Silveira TS, Shayeb DR, Meyer ASA. Avaliação Audiológica de Indivíduos Portadores de Malformação de Orelha. Int Acrh Otorhinolaryngol 2006; 10: 98-103
- 3 Wazen JJ, Caruso M, Tjellstrom A. Long-term results with the titanium bone-anchored hearing aid: the U.S. experience. Am J Otol 1998; 19 (6) 737-741
- 4 Habal M, Frans N, Zelski R, Scheuerle J. Percutaneous bone-anchored hearing aid. J Craniofac Surg 2003; 14 (5) 637-642
- 5 Lenarz T, Weber BP, Issing PR , et al. The Vibrant Soundbridge®: a new kind of hearing aid for sensorineural hearing loss, part 2: audiological results. Laryngorhinootologie 2001; 80: 370-380
- 6 Dillon H. Binaural and bilateral considerations in hearing aids and fitting. In: Dillon H, editor. Hearing Aids. Turramurra: Boomerang Press; 2001: 370-403
- 7 Wieselberg MB, Iorio MCM. Adaptação de prótese auditiva e a privação da audição unilateral: avaliação comportamental e eletrofisiológica. Braz J Otorhinolaryngol 2012; 78: 69-76
- 8 Bevilacqua MC, Banhara MR, Da Costa EA, Vignoly AB, Alvarenga KF. The Brazilian Portuguese hearing in noise test. Int J Audiol 2008; 47 (6) 364-365
- 9 Holmes AE. Bilateral amplification for the elderly: are two aids better than one?. Int J Audiol 2003; 42 (Suppl. 02) S63-S67
- 10 Saliba I, Calmels MN, Wanna G , et al. Binaurality in middle ear implant recipients using contralateral digital hearing AIDS. Otol Neurotol 2005; 26 (4) 680-685
- 11 Gunduz B, Atas A, Bayazıt YA, Goksu N, Gokdogan C, Tutar H. Functional outcomes of Vibrant Soundbridge applied on the middle ear windows in comparison with conventional hearing aids. Acta Otolaryngol 2012; 132 (12) 1306-1310
- 12 Sziklai I, Szilvássy J. Functional gain and speech understanding obtained by Vibrant Soundbridge or by open-fit hearing aid. Acta Otolaryngol 2011; 131 (4) 428-433
- 13 Brookhurst AW, Plomp R. The effect of head-induced time and level differences on speech intelligibility in noise. J Acoust Soc Am 1988; 83: 1508-1516
- 14 Ross M. Binaural versus monoaural hearing aid amplification for hearing impaired individuals. In: Libby ER, (Ed.), Bin Hea. Arnolif li. Chicago: Zenetron; 1980: 1-21
- 15 Byrne D. Binaural hearing aid fitting: research findings and clinical applications. In: Lybby ER, (Ed.), Bin Hear Amplif II. Chicago: Zenetron; 1980: 23-73
- 16 Byrne D. Clinical issues and options in binaural hearing aid fitting. Ear Hear 1981; 2 (5) 187-193
- 17 Bess FH, Tharpe AM, Gibler AM. Auditory performance of children with unilateral sensorineural hearing loss. Ear Hear 1986; 7 (1) 20-26
- 18 Feuerstein JF. Monaural versus binaural hearing: ease of listening, word recognition, and attentional effort. Ear Hear 1992; 13 (2) 80-86
- 19 Offeciers E, Morera C, Müller J, Huarte A, Shallop J, Cavallé L. International consensus on bilateral cochlear implants and bimodal stimulation. Acta Otolaryngol 2005; 125 (9) 918-919
- 20 Ching TYC, Psarros C, Hill M, Dillon H, Incerti P. Should children who use cochlear implants wear hearing aids in the opposite ear?. Ear Hear 2001; 22 (5) 365-380
- 21 Frenzel H, Hanke F, Beltrame M, Wollenberg B. Application of the Vibrant Soundbridge in bilateral congenital atresia in toddlers. Acta Otolaryngol 2010; 130 (8) 966-970
- 22 Zernotti ME, Arauz SL, Di Gregorio MF, Arauz SA, Tabernero P, Romero MC. Vibrant Soundbridge in congenital osseous atresia: multicenter study of 12 patients with osseous atresia. Acta Otolaryngol 2013; 133 (6) 569-573
- 23 Lesinskas E, Stankeviciute V, Petrulionis M. Application of the Vibrant Soundbridge middle-ear implant for aural atresia in patients with Treacher Collins syndrome. J Laryngol Otol 2012; 126 (12) 1216-1223
- 24 Garin P, Schmerber S, Magnan J , et al. Bilateral vibrant soundbridge implantation: audiologic and subjective benefits in quiet and noisy environments. Acta Otolaryngol 2010; 130 (12) 1370-1378
- 25 Paccola EC, Fernandes JC, Mondelli MF. Amplification by bone conduction in congenital malformations: patient benefits and satisfaction. Braz J Otorhinolaryngol 2013; 79 (3) 359-365