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European Archives of Oto-Rhino-Laryngology

Published in:

22-04-2024 | Review Article

Efficacy of vibrant sound bridge in congenital aural atresia: an updated systematic review

Authors: Afrah Alshalan, Farid Alzhrani

Published in: European Archives of Oto-Rhino-Laryngology | Issue 6/2024

Abstract

Purpose

The indications of Vibrant Soundbridge (VSB) have been expanded to include patients with conductive and mixed hearing loss due to congenital aural atresia (CAA). However, the current evidence supporting the auditory outcomes of VSB is based mainly on case reports and retrospective chart reviews. Therefore, the present systematic review aims to summarize and critically appraise the current evidence regarding the safety and effectiveness of VSB in children and adult patients with CAA.

Methods

A systematic literature search retrieved studies that evaluated the outcomes of unilateral or bilateral implantation of VSB in patients with CAA. The bibliographic search was conducted in PubMed, Scopus, EBSCO, and Cochrane Central Register of Controlled Trials (CENTRAL) databases from January 2000 to December 2022.

Results

Twenty-seven studies were included in the present systematic review. Overall, the speech perception after VSB was good, with a mean word recognition score (WRS) score ranging from 60 to 96.7%. The mean postoperative speech recognition threshold (SRT) after implantation ranged from 20.8 to 50 dB. The effective gain was reported in 15 studies, ranging from 31.3 to 45.5 dB. In terms of user satisfaction with VSB, the included studies showed significant improvements in the patient-reported outcomes, such as the Speech Spatial and Qualities of Hearing scale and Glasgow Hearing Aid Benefit Profile. The VSB implantation was generally safe with low incidence of postoperative complications.

Conclusion

VSB provides significant benefits to individuals with hearing loss owing to CAA, with very good subjective outcomes and a low risk of complications.

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El-Begermy MA, Mansour OI, El-Makhzangy AM, El-Gindy TS (2009) Congenital auditory meatal atresia: a numerical review. Eur Arch Otorhinolaryngol 266(4):501–506. https://doi.org/10.1007/s00405-008-0783-9CrossRefPubMed

Priwin C, Jönsson R, Magnusson L, Hultcrantz M, Granström G (2007) Audiological evaluation and self-assessed hearing problems in subjects with single-sided congenital external ear malformations and associated conductive hearing loss. Int J Audiol 46(4):162–171. https://doi.org/10.1080/14992020601077984CrossRefPubMed

Lieu JE, Karzon RK, Ead B, Tye-Murray N (2013) Do audiologic characteristics predict outcomes in children with unilateral hearing loss? Otol Neurotol 34(9):1703–1710. https://doi.org/10.1097/MAO.0000000000000190CrossRefPubMedPubMedCentral

Lieu JE, Tye-Murray N, Karzon RK, Piccirillo JF (2010) Unilateral hearing loss is associated with worse speech-language scores in children. Pediatrics 125(6):e1348–e1355. https://doi.org/10.1542/peds.2009-2448CrossRefPubMed

Siegert R (2010) Combined reconstruction of congenital auricular atresia and severe microtia. Adv Oto-Rhino-Laryngol 68:95–107. https://doi.org/10.1159/000314565CrossRef

Abdel-Aziz M (2013) Congenital aural atresia. J Craniofac Surg 24(4):e418–e422. https://doi.org/10.1097/SCS.0b013e3182942d11CrossRefPubMed

Lipan MJ, Eshraghi AA (2011) Otologic and audiology aspects of microtia repair. Semin Plast Surg 25(4):273–278. https://doi.org/10.1055/s-0031-1288919CrossRefPubMedPubMedCentral

Hol MK, Snik AF, Mylanus EA, Cremers CW (2005) Does the bone-anchored hearing aid have a complementary effect on audiological and subjective outcomes in patients with unilateral conductive hearing loss? Audiol Neurootol 10(3):159–168. https://doi.org/10.1159/000084026CrossRefPubMed

Ramkalawan TW, Davis AC (1992) The effects of hearing loss and age of intervention on some language metrics in young hearing-impaired children. Br J Audiol 26(2):97–107. https://doi.org/10.3109/03005369209077877CrossRefPubMed

10.

Luetje CM, Brackman D, Balkany TJ, Maw J, Baker RS, Kelsall D et al (2002) Phase III clinical trial results with the Vibrant Soundbridge implantable middle ear hearing device: a prospective controlled multicenter study. Otolaryngol Head Neck Surg 126(2):97–107. https://doi.org/10.1067/mhn.2002.122182CrossRefPubMed

11.

Colletti V, Soli SD, Carner M, Colletti L (2006) Treatment of mixed hearing losses via implantation of a vibratory transducer on the round window. Int J Audiol 45(10):600–608. https://doi.org/10.1080/14992020600840903CrossRefPubMed

12.

Frenzel H, Hanke F, Beltrame M, Steffen A, Schönweiler R, Wollenberg B (2009) Application of the Vibrant Soundbridge to unilateral osseous atresia cases. Laryngoscope 119(1):67–74. https://doi.org/10.1002/lary.20036CrossRefPubMed

13.

Leinung M, Zaretsky E, Lange BP, Hoffmann V, Stöver T, Hey C, Soundbridge V (2017) Vibrant Soundbridge® in preschool children with unilateral aural atresia: acceptance and benefit. Eur Arch Otorhinolaryngol 274(1):159–165. https://doi.org/10.1007/s00405-016-4265-1CrossRefPubMed

14.

Takahashi M, Iwasaki S, Furutate S, Oka S, Oyamada S, Yasumura K (2021) Active middle ear implant (vibrant soundbridge) in children with unilateral congenital aural atresia. Acta Oto-Laryngol 141(1):34–38. https://doi.org/10.1080/00016489.2020.1823471CrossRef

15.

Lourençone LFM, Matuella M, da Silveira Sassi TS, Dutka JCR, Brito R (2021) Long-term outcome with an active middle ear implant in patients to bilateral aural atresia. Otol Neurotol 42(10):1527–1533. https://doi.org/10.1097/MAO.0000000000003315CrossRefPubMed

16.

Cremers CW, O’Connor AF, Helms J, Roberson J, Clarós P, Frenzel H et al (2010) International consensus on Vibrant Soundbridge® implantation in children and adolescents. Int J Pediatr Otorhinolaryngol 74(11):1267–1269. https://doi.org/10.1016/j.ijporl.2010.07.028CrossRefPubMed

17.

Page MJ, McKenzie JE, Bossuyt PM, Boutron I, Hoffmann TC, Mulrow CD et al (2021) The PRISMA 2020 statement: an updated guideline for reporting systematic reviews. BMJ 372:n71. https://doi.org/10.1136/bmj.n71CrossRefPubMedPubMedCentral

18.

Jahrsdoerfer RA, Yeakley JW, Aguilar EA, Cole RR, Gray LC (1992) Grading system for the selection of patients with congenital aural atresia. Am J Otol 13(1):6–12. https://doi.org/10.1097/00129492-199201000-00004CrossRefPubMed

19.

NIH (2014) Study quality assessment tools. NHLBI, NIH. National Heart Lung and Blood Institute. https://www.nhlbi.nih.gov/health-topics/study-quality-assessment-tools. Accessed 18 Oct 2022

20.

Brito R, Pozzobom Ventura LM, Jorge JC, Oliveira EB, Manzoni Lourencone LF (2016) An implantable hearing system as rehabilitation for hearing loss due to bilateral aural atresia: surgical technique and audiological results. J Int Adv Otol 12(3):241–246. https://doi.org/10.5152/iao.2016.2532CrossRefPubMed

21.

Alzhrani F, Halawani R, Yousef M (2020) Feasibility and efficacy of vibrant soundbridge short process coupler in patients with aural atresia. Otol Neurotol 41(10):e1219–e1223. https://doi.org/10.1097/MAO.0000000000002801CrossRefPubMed

22.

Alzhrani F, Alhabib SF, Yousef M (2022) Speech performance and subjective satisfaction of middle ear implant in congenital aural atresia. Acta Otorhinolaryngol Ital 42(2):182–188. https://doi.org/10.14639/0392-100X-N1668CrossRefPubMedPubMedCentral

23.

Célérier C, Thierry B, Coudert C, Blanchard M, Loundon N, Garabédian EN, Denoyelle F (2017) Results of VSB implantation at the short process of the incus in children with ear atresia. Int J Pediatr Otorhinolaryngol 93:83–87. https://doi.org/10.1016/j.ijporl.2016.12.038CrossRefPubMed

24.

McKinnon BJ, Dumon T, Hagen R, Lesinskas E, Mlynski R, Profant M et al (2014) Vibrant soundbridge in aural atresia: does severity matter? Eur Arch Otorhinolaryngol 271(7):1917–1921. https://doi.org/10.1007/s00405-013-2680-0CrossRefPubMed

25.

Roman S, Denoyelle F, Farinetti A, Garabedian EN, Triglia JM (2012) Middle ear implant in conductive and mixed congenital hearing loss in children. Int J Pediatr Otorhinolaryngol 76(12):1775–1778. https://doi.org/10.1016/j.ijporl.2012.08.022CrossRefPubMed

26.

Thomas JP, Voelter C, Neumann K, Dazert S (2017) Vibroplasty in severe congenital or acquired meatal stenosis by coupling an active middle ear implant to the short process of the incus. Otol Neurotol 38(7):996–1004. https://doi.org/10.1097/MAO.0000000000001459CrossRefPubMed

27.

Verhaert N, Fuchsmann C, Tringali S, Lina-Granade G, Truy E (2011) Strategies of active middle ear implants for hearing rehabilitation in congenital aural atresia. Otol Neurotol 32(4):639–645. https://doi.org/10.1097/MAO.0b013e318212023cCrossRefPubMed

28.

Vyskocil E, Riss D, Honeder C, Arnoldner C, Hamzavi JS, Baumgartner WD et al (2014) Vibroplasty in mixed and conductive hearing loss: comparison of different coupling methods. Laryngoscope 124(6):1436–1443. https://doi.org/10.1002/lary.24474CrossRefPubMed

29.

Zernotti ME, Arauz SL, Di Gregorio MF, Arauz SA, Tabernero P, Romero MC (2013) Vibrant Soundbridge in congenital osseous atresia: multicenter study of 12 patients with osseous atresia. Acta Oto-Laryngol 133(6):569–573. https://doi.org/10.3109/00016489.2012.762117CrossRef

30.

Zhao C, Liu Y, Yang J, Chen P, Gao M, Zhao S (2021) Sound-localisation performance in patients with congenital unilateral microtia and atresia fitted with an active middle ear implant. Eur Arch Otorhinolaryngol 278(1):31–39. https://doi.org/10.1007/s00405-020-06049-wCrossRefPubMed

31.

Zhao C, Yang J, Liu Y, Gao M, Chen P, Zhao S (2020) Long-term outcomes of clip coupler implantation in patients with unilateral congenital aural atresia. Ann Otol Rhinol Laryngol 129(12):1221–1228. https://doi.org/10.1177/0003489420924058CrossRefPubMed

32.

Zhao S, Gong S, Han D, Zhang H, Ma X, Li Y et al (2016) Round window application of an active middle ear implant (AMEI) system in congenital oval window atresia. Acta Oto-Laryngol 136(1):23–33. https://doi.org/10.3109/00016489.2014.1003091CrossRef

33.

Cadre B, Simon F, Célérier C, Coudert C, Flament J, Loundon N et al (2023) Long-term outcomes of retrospective case series of middle ear implantation with Vibrant Soundbridge in children with congenital aural atresia. Eur Arch Otorhinolaryngol 280(4):1629–1637. https://doi.org/10.1007/s00405-022-07633-yCrossRefPubMed

34.

Lesinskas E, Stankeviciute V, Petrulionis M (2012) Application of the Vibrant Soundbridge middle-ear implant for aural atresia in patients with Treacher Collins syndrome. J Laryngol Otol 126(12):1216–1223. https://doi.org/10.1017/S0022215112002344CrossRefPubMed

35.

Mandalà M, Colletti L, Colletti V (2011) Treatment of the atretic ear with round window vibrant soundbridge implantation in infants and children: electrocochleography and audiologic outcomes. Otol Neurotol 32(8):1250–1255. https://doi.org/10.1097/MAO.0b013e31822e9513CrossRefPubMed

36.

Ikeda R, Hidaka H, Murata T, Miyazaki H, Katori Y, Kobayashi T (2019) Vibrant Soundbridge implantation via a retrofacial approach in a patient with congenital aural atresia. Auris Nasus Larynx 46(2):204–209. https://doi.org/10.1016/j.anl.2018.08.012CrossRefPubMed

37.

Polanski JF, Soares AD, Dos Santos ZM, Mendonça Cruz OL (2016) Active middle-ear implant fixation in an unusual place: clinical and audiological outcomes. J Laryngol Otol 130(4):404–407. https://doi.org/10.1017/S0022215116000712CrossRefPubMed

38.

Wang D, Zhao S, Zhang Q, Li Y, Ma X, Ren R (2016) Vibrant SoundBridge combined with auricle reconstruction for bilateral congenital aural atresia. Int J Pediatr Otorhinolaryngol 86:240–245. https://doi.org/10.1016/j.ijporl.2016.05.006CrossRefPubMed

39.

Yang SM, Zou YH, Li JN, Jiao QS, Yi HJ, Han DY (2014) Vibrant Soundbridge implantation via the third window in two Chinese patients with severe bilateral congenital aural atresia. Acta Oto-Laryngol 134(1):1–6. https://doi.org/10.3109/00016489.2013.840922CrossRef

40.

Svrakic M, Vambutas A (2019) Medical and audiological indications for implantable auditory devices. Otolaryngol Clin North Am 52(2):195–210. https://doi.org/10.1016/j.otc.2018.11.001CrossRefPubMed

41.

Kajihara K, Ganaha A, Matsuda K, Nakamura T, Tono T (2022) Active middle ear implant in a patient with neurofibromatosis Type 1 and multiple calvarial defects: a case report. J Int Adv Otol 18(2):183–187. https://doi.org/10.5152/iao.2022.21279CrossRefPubMedPubMedCentral

42.

Lo JF, Tsang WS, Yu JY, Ho OY, Ku PK, Tong MC (2014) Contemporary hearing rehabilitation options in patients with aural atresia. BioMed Res Int 2014:761579. https://doi.org/10.1155/2014/761579CrossRefPubMedPubMedCentral

43.

Frenzel H, Sprinzl G, Streitberger C, Stark T, Wollenberg B, Wolf-Magele A et al (2015) The vibrant soundbridge in children and adolescents: preliminary European multicenter results. Otol Neurotol 36(7):1216–1222. https://doi.org/10.1097/MAO.0000000000000796CrossRefPubMed

44.

Siegert R, Mattheis S, Kasic J (2007) Fully implantable hearing aids in patients with congenital auricular atresia. Laryngoscope 117(2):336–340. https://doi.org/10.1097/MLG.0b013e31802b6561CrossRefPubMed

45.

Yu JK, Tsang WS, Wong TK, Tong MC (2012) Outcome of vibrant soundbridge middle ear implant in Cantonese-speaking mixed hearing loss adults. Clin Exp Otorhinolaryngol 5(Suppl 1):S82–S88. https://doi.org/10.3342/ceo.2012.5.S1.S82CrossRefPubMedPubMedCentral

46.

Alanazi Y, Halawani R, Alzhrani F (2020) Vibrant Soundbridge implant in a patient with Fanconi anemia. Acta Oto Laryngol Case Rep 5(1):42–46. https://doi.org/10.1080/23772484.2020.1756295CrossRef

47.

Al-Shawi Y, Alsughayer L, Alradhi A, Alzhrani F (2021) Middle ear implant in a patient with fibrous dysplasia: an alternative for hearing restoration. Ear Nose Throat J 100(3_suppl):207S–11S. https://doi.org/10.1177/0145561320960542CrossRefPubMed

48.

Frenzel H, Fau SR, Hanke F, HankeF Fau, Steffen A, Steffen AF et al (2012) The Lübeck flowchart for functional and aesthetic rehabilitation of aural atresia and microtia. Electronic. https://doi.org/10.1097/MAO.0b013e3182659adfCrossRef

49.

Skarżyński H, Plichta Ł, Król B, Cywka KB, Skarżyński PH (2021) Implantation of the vibrant soundbridge in a case of bilateral malformation of the middle and external ear. Electronic 22:e929933. https://doi.org/10.12659/AJCR.929933CrossRef

50.

Jesacher MO, Kiefer J, Zierhofer C, Fauser C (2010) Torque measurements of the ossicular chain: implication on the MRI safety of the hearing implant Vibrant Soundbridge. Otol Neurotol 31(4):676–680. https://doi.org/10.1097/MAO.0b013e3181d2d3f3. (PMID: 20142797)CrossRefPubMed

51.

Renninger D, Ernst A, Todt I (2016) MRI scanning in patients implanted with a round window or stapes coupled floating mass transducer of the Vibrant Soundbridge. Acta Oto-Laryngol 136(3):241–244. https://doi.org/10.3109/00016489.2015.1115552. (Epub 2015 Dec 1 PMID: 26624271)CrossRef

52.

Fruehwald-Pallamar J, Fruehwald F, Holzer-Fruehwald L, Nolz R, Stoiber C, Sprinzl GM (2023) Magnetic resonance imaging with active implantable hearing devices: reports from the daily radiological routine in an outpatient MR center. J Pers Med 13(8):1220. https://doi.org/10.3390/jpm13081220. (PMID: 37623470, PMCID: PMC10455226)CrossRefPubMedPubMedCentral

Title: Efficacy of vibrant sound bridge in congenital aural atresia: an updated systematic review
Authors: Afrah Alshalan
Farid Alzhrani
Publication date: 22-04-2024
Publisher: Springer Berlin Heidelberg
Published in: European Archives of Oto-Rhino-Laryngology / Issue 6/2024
Print ISSN: 0937-4477
Electronic ISSN: 1434-4726
DOI: https://doi.org/10.1007/s00405-024-08629-6

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Efficacy of vibrant sound bridge in congenital aural atresia: an updated systematic review

Abstract

Purpose

Methods

Results

Conclusion

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Purpose

Methods

Results

Conclusion

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