{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,31]],"date-time":"2026-07-31T18:16:19Z","timestamp":1785521779661,"version":"3.56.0"},"reference-count":29,"publisher":"Springer Science and Business Media LLC","issue":"8","license":[{"start":{"date-parts":[[2026,4,23]],"date-time":"2026-04-23T00:00:00Z","timestamp":1776902400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"},{"start":{"date-parts":[[2026,4,23]],"date-time":"2026-04-23T00:00:00Z","timestamp":1776902400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Eur Arch Otorhinolaryngol"],"published-print":{"date-parts":[[2026,8]]},"DOI":"10.1007\/s00405-026-10213-z","type":"journal-article","created":{"date-parts":[[2026,4,23]],"date-time":"2026-04-23T21:26:04Z","timestamp":1776979564000},"page":"4895-4905","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Intraoperative ABR in Vibrant Soundbridge Surgery: Influence of Bone-Conduction Thresholds"],"prefix":"10.1007","volume":"283","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6603-1596","authenticated-orcid":false,"given":"Asma","family":"Alahmadi","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0003-3143-6966","authenticated-orcid":false,"given":"Anas","family":"Ibrahim","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nourah","family":"Shahadah","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2102-6704","authenticated-orcid":false,"given":"Medhat","family":"Yousef","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0564-7204","authenticated-orcid":false,"given":"Farid","family":"Alzhrani","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2026,4,23]]},"reference":[{"key":"10213_CR1","unstructured":"Porter B, Kuykendall S (2022) Deafness and Hearing Loss. In: Women\u2019s Health: Understanding Issues and Influences: Volume 1\u20132. https:\/\/www.who.int\/news-room\/fact-sheets\/detail\/deafness-and-hearing-loss. Accessed 28 Sep 2025"},{"key":"10213_CR2","doi-asserted-by":"publisher","first-page":"146","DOI":"10.1159\/000542158","volume":"30","author":"M Barbara","year":"2025","unstructured":"Barbara M, Filippi C, Tarentini S et al (2025) Esteem\u00ae Active Middle Ear Implant versus Conventional Hearing Aids: Long-Term Performance. Audiol Neurotology 30:146\u2013153. https:\/\/doi.org\/10.1159\/000542158","journal-title":"Audiol Neurotology"},{"key":"10213_CR3","doi-asserted-by":"publisher","first-page":"721","DOI":"10.3390\/audiolres14040061","volume":"14","author":"J Lorente-Piera","year":"2024","unstructured":"Lorente-Piera J, Manrique-Huarte R, Lima JP et al (2024) Middle Ear Active Implant Indications, Comparative Audiometric Results from Different Approaches, and Coupling with the Vibrant Soundbridge\u00ae: A Single Center Experience over More Than 20 Years. Audiol Res 14:721\u2013735. https:\/\/doi.org\/10.3390\/audiolres14040061","journal-title":"Audiol Res"},{"key":"10213_CR4","doi-asserted-by":"publisher","first-page":"915","DOI":"10.1016\/j.otc.2014.08.002","volume":"47","author":"JC L\u00fcers","year":"2014","unstructured":"L\u00fcers JC, H\u00fcttenbrink KB (2014) Vibrant soundbridge rehabilitation of conductive and mixed hearing loss. Otolaryngol Clin North Am 47:915\u2013926. https:\/\/doi.org\/10.1016\/j.otc.2014.08.002","journal-title":"Otolaryngol Clin North Am"},{"key":"10213_CR5","doi-asserted-by":"publisher","first-page":"952","DOI":"10.1097\/00129492-200111000-00041","volume":"22","author":"B Fraysse","year":"2001","unstructured":"Fraysse B, Lavieille JP, Schmerber S et al (2001) A multicenter study of the Vibrant Soundbridge middle ear implant: Early clinical results and experience. Otology Neurotology 22:952\u2013961. https:\/\/doi.org\/10.1097\/00129492-200111000-00041","journal-title":"Otology Neurotology"},{"key":"10213_CR6","doi-asserted-by":"publisher","first-page":"e70089","DOI":"10.1002\/lio2.70089","volume":"10","author":"H Alshehri","year":"2025","unstructured":"Alshehri H, Yousef M, Ibrahim A et al (2025) A Novel Hybrid Solution for Hearing Impairments. Laryngoscope Investig Otolaryngol 10:e70089. https:\/\/doi.org\/10.1002\/lio2.70089","journal-title":"Laryngoscope Investig Otolaryngol"},{"key":"10213_CR7","doi-asserted-by":"publisher","first-page":"962","DOI":"10.1097\/00129492-200111000-00042","volume":"22","author":"U Fisch","year":"2001","unstructured":"Fisch U, Cremers WRJ, Lenarz T et al (2001) Clinical experience with the Vibrant Soundbridge implant device. Otology Neurotology 22:962\u2013972. https:\/\/doi.org\/10.1097\/00129492-200111000-00042","journal-title":"Otology Neurotology"},{"key":"10213_CR8","doi-asserted-by":"publisher","first-page":"2849","DOI":"10.1007\/s00405-024-08629-6","volume":"281","author":"A Alshalan","year":"2024","unstructured":"Alshalan A, Alzhrani F (2024) Efficacy of vibrant sound bridge in congenital aural atresia: an updated systematic review. Eur Arch Otorhinolaryngol 281:2849\u20132859. https:\/\/doi.org\/10.1007\/s00405-024-08629-6","journal-title":"Eur Arch Otorhinolaryngol"},{"key":"10213_CR9","doi-asserted-by":"publisher","unstructured":"Kn\u00f6lke N, Busch S, Lenarz T, Maier H (2025) Vibrant Soundbridge round window vibroplasty: safety, coupling efficiency, and speech outcome of the most common coupling modalities. Audiol Neurotol 30(5):392\u2013403. https:\/\/doi.org\/10.1159\/000545335","DOI":"10.1159\/000545335"},{"key":"10213_CR10","doi-asserted-by":"publisher","first-page":"600","DOI":"10.1080\/14992020600840903","volume":"45","author":"V Colletti","year":"2006","unstructured":"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 45:600\u2013608. https:\/\/doi.org\/10.1080\/14992020600840903","journal-title":"Int J Audiol"},{"key":"10213_CR11","doi-asserted-by":"publisher","first-page":"66","DOI":"10.1016\/j.anl.2017.02.007","volume":"45","author":"A Gr\u00e9goire","year":"2018","unstructured":"Gr\u00e9goire A, Van Damme JP, Gilain C et al (2018) Our auditory results using the Vibrant Soundbridge on the long process of the incus: 20 years of data. Auris Nasus Larynx 45:66\u201372. https:\/\/doi.org\/10.1016\/j.anl.2017.02.007","journal-title":"Auris Nasus Larynx"},{"key":"10213_CR12","doi-asserted-by":"publisher","unstructured":"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\u2013e1223. https:\/\/doi.org\/10.1097\/mao.0000000000002801","DOI":"10.1097\/mao.0000000000002801"},{"key":"10213_CR13","doi-asserted-by":"publisher","first-page":"553","DOI":"10.1044\/2019_AJA-18-0066","volume":"28","author":"U Geiger","year":"2019","unstructured":"Geiger U, Radeloff A, Hagen R, Cebulla M (2019) Intraoperative estimation of the coupling efficiency and clinical outcomes of the vibrant soundbridge active middle ear implant using auditory brainstem response measurements. Am J Audiol 28:553\u2013559. https:\/\/doi.org\/10.1044\/2019_AJA-18-0066","journal-title":"Am J Audiol"},{"key":"10213_CR14","doi-asserted-by":"publisher","first-page":"2333","DOI":"10.1007\/s00405-023-08354-6","volume":"281","author":"A Alahmadi","year":"2024","unstructured":"Alahmadi A, Yousef M, Ibrahim A et al (2024) A novel coupling quality index to estimate the coupling efficiency in Vibrant Soundbridge. Eur Arch Otorhinolaryngol 281:2333\u20132340. https:\/\/doi.org\/10.1007\/s00405-023-08354-6","journal-title":"Eur Arch Otorhinolaryngol"},{"key":"10213_CR15","doi-asserted-by":"publisher","first-page":"141","DOI":"10.1007\/s00405-023-08103-9","volume":"281","author":"D Dejaco","year":"2024","unstructured":"Dejaco D, Riedl D, Gottfried TM et al (2024) The influence of intraoperative auditory brainstem responses on vibroplasty coupling-quality and analysis of the impact of different fixation steps on the coupling. Eur Arch Otorhinolaryngol 281:141\u2013151. https:\/\/doi.org\/10.1007\/s00405-023-08103-9","journal-title":"Eur Arch Otorhinolaryngol"},{"key":"10213_CR16","doi-asserted-by":"publisher","first-page":"314","DOI":"10.1080\/14670100.2017.1358913","volume":"18","author":"S Labassi","year":"2017","unstructured":"Labassi S, Beliaeff M, P\u00e9an V, Van de Heyning P (2017) The Vibrant Soundbridge\u00ae middle ear implant: A historical overview. Cochlear Implants Int 18:314\u2013323. https:\/\/doi.org\/10.1080\/14670100.2017.1358913","journal-title":"Cochlear Implants Int"},{"key":"10213_CR17","doi-asserted-by":"publisher","first-page":"4065","DOI":"10.1007\/s00405-025-09346-4","volume":"282","author":"MF Yousef","year":"2025","unstructured":"Yousef MF, Hajr E, Alradhi A et al (2025) Early activation of active middle ear implants: a prospective study. Eur Arch Otorhinolaryngol 282:4065\u20134073. https:\/\/doi.org\/10.1007\/s00405-025-09346-4","journal-title":"Eur Arch Otorhinolaryngol"},{"key":"10213_CR18","doi-asserted-by":"publisher","first-page":"135","DOI":"10.1097\/AUD.0000000000001258","volume":"44","author":"C M\u00fcller","year":"2023","unstructured":"M\u00fcller C, Lailach S, Bornitz M et al (2023) Influence of the Coupling on the Hearing Outcome after Implantation of an Active Middle Ear Implant: Comparison of the Transmission Behavior in Temporal Bone Experiments with Clinical Data. Ear Hear 44:135\u2013145. https:\/\/doi.org\/10.1097\/AUD.0000000000001258","journal-title":"Ear Hear"},{"key":"10213_CR19","doi-asserted-by":"publisher","first-page":"607","DOI":"10.1080\/14992027.2017.1314558","volume":"56","author":"M Cebulla","year":"2017","unstructured":"Cebulla M, Geiger U, Hagen R, Radeloff A (2017) Device optimised chirp stimulus for ABR measurements with an active middle ear implant. Int J Audiol 56:607\u2013611. https:\/\/doi.org\/10.1080\/14992027.2017.1314558","journal-title":"Int J Audiol"},{"key":"10213_CR20","doi-asserted-by":"publisher","first-page":"313","DOI":"10.1016\/j.bjorl.2016.04.018","volume":"83","author":"M Cargnelutti","year":"2017","unstructured":"Cargnelutti M, C\u00f3ser PL, Biaggio EPV (2017) LS CE-Chirp \u00ae vs. Click in the neuroaudiological diagnosis by ABR. Braz J Otorhinolaryngol 83:313\u2013317. https:\/\/doi.org\/10.1016\/j.bjorl.2016.04.018","journal-title":"Braz J Otorhinolaryngol"},{"key":"10213_CR21","doi-asserted-by":"publisher","unstructured":"Spahn B, Rak K, Herrmann DP, Cebulla M, Engert J, Kurz A, Voelker J, Hackenberg S, M\u00fcller-Graff FT (2025) Intraoperative auditory brainstem response (ABR) measurement during vibroplasty in congenital aural malformation. Otol Neurotol 46(7):821\u2013828. https:\/\/doi.org\/10.1097\/mao.0000000000004529","DOI":"10.1097\/mao.0000000000004529"},{"key":"10213_CR22","doi-asserted-by":"publisher","first-page":"739906","DOI":"10.3389\/fneur.2021.739906","volume":"12","author":"L Fr\u00f6hlich","year":"2022","unstructured":"Fr\u00f6hlich L, M\u00fcller A, Kropp MH, Mir-Salim P, Dziemba O, Oberhoffner T, Plontke SK, Rahne T (2022) Active middle ear implant evoked auditory brainstem response intensity-latency characteristics. Front Neurol 12:739906. https:\/\/doi.org\/10.3389\/fneur.2021.739906","journal-title":"Front Neurol"},{"key":"10213_CR23","doi-asserted-by":"publisher","first-page":"1113","DOI":"10.1002\/lio2.839","volume":"7","author":"GM Sprinzl","year":"2022","unstructured":"Sprinzl GM, Sch\u00f6rg P, Edlinger S, Ploder M, Magele A (2022) Clinical feasibility of a novel test setup for objective measurements using the Vibrant Soundbridge. Laryngoscope Investig Otolaryngol 7(4):1113\u20131119. https:\/\/doi.org\/10.1002\/lio2.839","journal-title":"Laryngoscope Investig Otolaryngol"},{"key":"10213_CR24","doi-asserted-by":"publisher","first-page":"3055","DOI":"10.1002\/sim.1545","volume":"22","author":"VMR Muggeo","year":"2003","unstructured":"Muggeo VMR (2003) Estimating regression models with unknown break-points. Stat Med 22:3055\u20133071. https:\/\/doi.org\/10.1002\/sim.1545","journal-title":"Stat Med"},{"key":"10213_CR25","doi-asserted-by":"publisher","first-page":"187","DOI":"10.3109\/01050398409043059","volume":"13","author":"C Elberling","year":"1984","unstructured":"Elberling C, Don M (1984) Quality estimation of averaged auditory brainstem responses. Scand Audiol 13(3):187\u2013197. https:\/\/doi.org\/10.3109\/01050398409043059","journal-title":"Scand Audiol"},{"key":"10213_CR26","doi-asserted-by":"publisher","first-page":"1231403","DOI":"10.3389\/fneur.2023.1231403","volume":"14","author":"T Gawliczek","year":"2023","unstructured":"Gawliczek T, Mantokoudis G, Anschuetz L, Caversaccio MD, Weder S (2023) Comparison of auditory brainstem response and electrocochleography to assess the coupling efficiency of active middle ear implants. Front Neurol 14:1231403. https:\/\/doi.org\/10.3389\/fneur.2023.1231403","journal-title":"Front Neurol"},{"key":"10213_CR27","doi-asserted-by":"publisher","unstructured":"Cebulla M, K\u00f6stler C, Herrmann DP et al (2025) Intraoperative ABR measurements via the active middle ear implant vibrant soundbridge using different types of couplers. Eur Arch Otorhinolaryngol 282:3507\u20133512. https:\/\/doi.org\/10.1007\/s00405-025-09248-5","DOI":"10.1007\/s00405-025-09248-5"},{"key":"10213_CR28","doi-asserted-by":"publisher","first-page":"2277","DOI":"10.1007\/s00405-020-06313-z","volume":"278","author":"L Fr\u00f6hlich","year":"2021","unstructured":"Fr\u00f6hlich L, Rahne T, Plontke SK et al (2021) Intraoperative quantification of floating mass transducer coupling quality in active middle ear implants: a multicenter study. Eur Arch Otorhinolaryngol 278:2277\u20132288. https:\/\/doi.org\/10.1007\/s00405-020-06313-z","journal-title":"Eur Arch Otorhinolaryngol"},{"key":"10213_CR29","doi-asserted-by":"publisher","unstructured":"Salamah M, Alradhi A, Alzhrani F, Yousef M (2024) Outcomes of active middle ear implants: speech perception and quality of life. J Pers Med 14(8):883. https:\/\/doi.org\/10.3390\/jpm14080883","DOI":"10.3390\/jpm14080883"}],"container-title":["European Archives of Oto-Rhino-Laryngology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00405-026-10213-z.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s00405-026-10213-z","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00405-026-10213-z.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,7,31]],"date-time":"2026-07-31T17:06:28Z","timestamp":1785517588000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s00405-026-10213-z"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,4,23]]},"references-count":29,"journal-issue":{"issue":"8","published-print":{"date-parts":[[2026,8]]}},"alternative-id":["10213"],"URL":"https:\/\/doi.org\/10.1007\/s00405-026-10213-z","relation":{},"ISSN":["0937-4477","1434-4726"],"issn-type":[{"value":"0937-4477","type":"print"},{"value":"1434-4726","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,4,23]]},"assertion":[{"value":"20 October 2025","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"25 March 2026","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"23 April 2026","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"The study was conducted in accordance with the Declaration of Helsinki and approved by the local institutional review board (No. E-22-7331).","order":1,"name":"Ethics","label":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"Formal informed consent was waived due to the retrospective nature of the study.","order":2,"name":"Ethics","label":"Informed consent","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"The authors declare no competing interests.","order":3,"name":"Ethics","label":"Competing interests","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"The authors have no conflicts of interest, and the work was not supported or funded by any organization.","order":4,"name":"Ethics","label":"Disclosures","group":{"name":"EthicsHeading","label":"Declarations"}}]}}