{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,2]],"date-time":"2026-09-02T21:55:40Z","timestamp":1788386140794,"version":"build-2803163510"},"reference-count":13,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2020,11,19]],"date-time":"2020-11-19T00:00:00Z","timestamp":1605744000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["The Laryngoscope"],"published-print":{"date-parts":[[2021,5]]},"abstract":"<jats:sec><jats:title>Objective<\/jats:title><jats:p>The objective of the study was to demonstrate the long\u2010term outcomes of patients implanted with the active middle ear implant (AMEI) Vibrant Soundbridge (VSB) through coupling the floating mass transducer (FMT) to the round window (RW).<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>This retrospective study evaluated the short\u2010 and long\u2010term clinical performance (audiological outcomes) and safety (revisions\/explantations) of the VSB coupled to the RW between 2013 and 2019 at the St. P\u00f6lten University Hospital, Austria. For the outcome analysis, the sample was divided into a short\u2010term examination group followed up for less than 12\u2009months (&lt;12\u2009months) and a long\u2010term examination group followed up for more than 12\u2009months (&gt;12\u2009months). Cumulative survival outcomes were separately analyzed for subjects with and without cholesteatoma.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>46 patients with an average long\u2010term follow\u2010up period of 31.43\u2009months (13\u201375\u2009months) were investigated. Complications requiring revision surgery were reported in total in seven patients with cholesteatoma (15.2%) and none in subjects without cholesteatoma (0%). Residual hearing was not affected by VSB surgery. Word understanding on the Freiburger monosyllabic speech test improved significantly at 65\u2009dB (<jats:italic>P<\/jats:italic> &lt;\u2009.0001) and 80\u2009dB (<jats:italic>P<\/jats:italic> &lt;\u2009.0001), and these outcomes were stable for long\u2010term follow up.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The VSB coupled to the RW is a safe implantation method for patients with conductive or mixed hearing loss. Hearing improvement was stable for the long\u2010term follow\u2010up up to 74\u2009months. The revision rates are directly related to the underlying pathology of cholesteatoma (with radical cavity); thus, this special cohort requires additional counseling on potential complications.<\/jats:p><\/jats:sec><jats:sec><jats:title>Level of Evidence<\/jats:title><jats:p>4 (Case\u2010series) <jats:italic>Laryngoscope<\/jats:italic>, 131:E1434\u2013E1442, 2021<\/jats:p><\/jats:sec>","DOI":"10.1002\/lary.29269","type":"journal-article","created":{"date-parts":[[2020,11,19]],"date-time":"2020-11-19T21:29:53Z","timestamp":1605821393000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":18,"title":["Long\u2010Term Stability and Safety of the Soundbridge Coupled to the Round Window"],"prefix":"10.1002","volume":"131","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4936-1424","authenticated-orcid":false,"given":"Georg Mathias","family":"Sprinzl","sequence":"first","affiliation":[{"name":"Department of Otorhinolaryngology, Head &amp; Neck Surgery University Clinic St. Poelten  St. Poelten Austria"},{"name":"Karl Landsteiner Institute of Implantable Hearing Devices  St. Poelten Austria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Philipp","family":"Schoerg","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology, Head &amp; Neck Surgery University Clinic St. Poelten  St. Poelten Austria"},{"name":"Karl Landsteiner Institute of Implantable Hearing Devices  St. Poelten Austria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stefanie","family":"Muck","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology, Head &amp; Neck Surgery University Clinic St. Poelten  St. Poelten Austria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Max","family":"Jesenko","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology, Head &amp; Neck Surgery University Clinic St. Poelten  St. Poelten Austria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sophie","family":"Speiser","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology, Head &amp; Neck Surgery University Clinic St. Poelten  St. Poelten Austria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marlene","family":"Ploder","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology, Head &amp; Neck Surgery University Clinic St. Poelten  St. Poelten Austria"},{"name":"Karl Landsteiner Institute of Implantable Hearing Devices  St. Poelten Austria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stefan Herwig","family":"Edlinger","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology, Head &amp; Neck Surgery University Clinic St. Poelten  St. Poelten Austria"},{"name":"Karl Landsteiner Institute of Implantable Hearing Devices  St. Poelten Austria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Astrid","family":"Magele","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology, Head &amp; Neck Surgery University Clinic St. Poelten  St. Poelten Austria"},{"name":"Karl Landsteiner Institute of Implantable Hearing Devices  St. Poelten Austria"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2020,11,19]]},"reference":[{"key":"e_1_2_5_2_1","first-page":"43","article-title":"Hearing rehabilitation with active middle ear implants","volume":"81","author":"Donnelly NP","year":"2018","journal-title":"Adv Otorhinolaryngol"},{"key":"e_1_2_5_3_1","first-page":"38","article-title":"The vibrant soundbridge for conductive and mixed hearing losses: European multicenter study results","volume":"69","author":"Baumgartner WD","year":"2010","journal-title":"Adv Otorhinolaryngol"},{"key":"e_1_2_5_4_1","first-page":"560","article-title":"The active middle ear implant for the rehabilitation of sensorineural, mixed and conductive hearing losses","volume":"90","author":"Sprinzl GM","year":"2011","journal-title":"Laryngo Rhino Otologie"},{"key":"e_1_2_5_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.heares.2017.06.006"},{"key":"e_1_2_5_6_1","doi-asserted-by":"publisher","DOI":"10.1515\/jbcpp-2014-0042"},{"key":"e_1_2_5_7_1","doi-asserted-by":"publisher","DOI":"10.1097\/MAO.0000000000000943"},{"key":"e_1_2_5_8_1","doi-asserted-by":"publisher","DOI":"10.1097\/MAO.0b013e31828f47c2"},{"key":"e_1_2_5_9_1","doi-asserted-by":"publisher","DOI":"10.1097\/MAO.0000000000001015"},{"key":"e_1_2_5_10_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.mao.0000199754.51815.70"},{"key":"e_1_2_5_11_1","doi-asserted-by":"publisher","DOI":"10.1002\/lary.27513"},{"key":"e_1_2_5_12_1","doi-asserted-by":"publisher","DOI":"10.1177\/0194599813486255"},{"key":"e_1_2_5_13_1","doi-asserted-by":"publisher","DOI":"10.1002\/lary.25670"},{"key":"e_1_2_5_14_1","doi-asserted-by":"publisher","DOI":"10.1177\/0003489414534013"}],"container-title":["The Laryngoscope"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/lary.29269","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/lary.29269","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/lary.29269","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,2]],"date-time":"2023-09-02T01:26:49Z","timestamp":1693618009000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/lary.29269"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,11,19]]},"references-count":13,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2021,5]]}},"alternative-id":["10.1002\/lary.29269"],"URL":"https:\/\/doi.org\/10.1002\/lary.29269","archive":["Portico"],"relation":{},"ISSN":["0023-852X","1531-4995"],"issn-type":[{"value":"0023-852X","type":"print"},{"value":"1531-4995","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,11,19]]},"assertion":[{"value":"2020-09-01","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2020-11-03","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2020-11-19","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}