{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,4]],"date-time":"2026-08-04T20:29:48Z","timestamp":1785875388909,"version":"3.56.0"},"reference-count":21,"publisher":"Cambridge University Press (CUP)","issue":"8","license":[{"start":{"date-parts":[[2022,9,28]],"date-time":"2022-09-28T00:00:00Z","timestamp":1664323200000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J. Laryngol. Otol."],"published-print":{"date-parts":[[2023,8]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec id=\"S0022215122002183_sec_a1\"><jats:title>Objective<\/jats:title><jats:p>To assess hearing rehabilitation in patients with congenital aural atresia using an active middle-ear implant (Vibrant Soundbridge).<\/jats:p><\/jats:sec><jats:sec id=\"S0022215122002183_sec_a2\" sec-type=\"methods\"><jats:title>Methods<\/jats:title><jats:p>Of a cohort of 70 microtia and atresia patients, 10 underwent Vibrant Soundbridge implantation between 2008 and 2021. Two of the 10 patients had binaural implantation, resulting in 12 ears for analysis. Pre- and post-operative audiometry data were analysed, and patient satisfaction was evaluated. Surgical issues regarding coupling sites and outcomes were analysed.<\/jats:p><\/jats:sec><jats:sec id=\"S0022215122002183_sec_a3\" sec-type=\"results\"><jats:title>Results<\/jats:title><jats:p>Pure tone average (0.5, 1, 2 and 4 kHz) improved from a pre-operative mean (standard deviation) of 65.3 (8.7) dB HL to a post-operative mean of 26.8 (4.9) dB HL. This resulted in a mean pure tone average gain of 38.5 dB HL. The results indicate no obvious difference between stapes (<jats:italic>n<\/jats:italic> = 8) and incus (<jats:italic>n<\/jats:italic> = 4) coupling. The mean effective gain for 0.5, 1, 2 and 4 kHz was \u221217.8 dB HL (standard deviation = 4.3). Concerning effective gain, Vibrant Soundbridge performed best at 2 kHz. Patients reported high overall satisfaction, good sound quality and strongly improved directional hearing.<\/jats:p><\/jats:sec><jats:sec id=\"S0022215122002183_sec_a4\" sec-type=\"conclusions\"><jats:title>Conclusion<\/jats:title><jats:p>An active middle-ear implant (Vibrant Soundbridge) allows hearing rehabilitation in selected atretic ears, and provides long-term hearing stability in children and adults.<\/jats:p><\/jats:sec>","DOI":"10.1017\/s0022215122002183","type":"journal-article","created":{"date-parts":[[2022,9,28]],"date-time":"2022-09-28T09:35:55Z","timestamp":1664357755000},"page":"851-865","source":"Crossref","is-referenced-by-count":6,"title":["Congenital aural atresia: hearing rehabilitation using active middle-ear implants"],"prefix":"10.1017","volume":"137","author":[{"given":"S","family":"Thurnheer","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6002-7836","authenticated-orcid":false,"given":"T","family":"M\u00fcller","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"T","family":"Linder","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"D","family":"Simmen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M","family":"Harder","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"56","published-online":{"date-parts":[[2022,9,28]]},"reference":[{"key":"S0022215122002183_ref12","doi-asserted-by":"publisher","DOI":"10.3109\/00016480903559749"},{"key":"S0022215122002183_ref9","doi-asserted-by":"publisher","DOI":"10.1001\/archotol.134.8.873"},{"key":"S0022215122002183_ref5","doi-asserted-by":"publisher","DOI":"10.1556\/650.2021.32216"},{"key":"S0022215122002183_ref16","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijporl.2012.08.022"},{"key":"S0022215122002183_ref19","doi-asserted-by":"publisher","DOI":"10.1007\/s00405-016-4361-2"},{"key":"S0022215122002183_ref4","first-page":"32","article-title":"Hearing rehabilitation in congenital middle ear malformation","volume":"81","author":"Frenzel","year":"2018","journal-title":"Adv Otorhinolaryngol"},{"key":"S0022215122002183_ref8","doi-asserted-by":"publisher","DOI":"10.1097\/MAO.0000000000002183"},{"key":"S0022215122002183_ref3","doi-asserted-by":"publisher","DOI":"10.1007\/s00106-018-0533-2"},{"key":"S0022215122002183_ref15","doi-asserted-by":"publisher","DOI":"10.1097\/MAO.0000000000000796"},{"key":"S0022215122002183_ref18","doi-asserted-by":"publisher","DOI":"10.1002\/lary.25670"},{"key":"S0022215122002183_ref13","doi-asserted-by":"publisher","DOI":"10.1080\/00016489.2020.1823471"},{"key":"S0022215122002183_ref10","first-page":"95","article-title":"Combined reconstruction of congenital auricular atresia and severe microtia","volume":"68","author":"Siegert","year":"2010","journal-title":"Adv Otorhinolaryngol"},{"key":"S0022215122002183_ref6","doi-asserted-by":"publisher","DOI":"10.5152\/iao.2019.7383"},{"key":"S0022215122002183_ref17","doi-asserted-by":"publisher","DOI":"10.1177\/0003489420924058"},{"key":"S0022215122002183_ref2","first-page":"81","article-title":"Combined aesthetic and functional reconstruction of ear malformations","volume":"68","author":"Kiefer","year":"2010","journal-title":"Adv Otorhinolaryngol"},{"key":"S0022215122002183_ref7","doi-asserted-by":"crossref","first-page":"513","DOI":"10.1097\/MAO.0000000000003491","article-title":"Consensus statement on bone conduction devices and active middle ear implants in conductive and mixed hearing loss","volume":"43","author":"Maier","year":"2022","journal-title":"Otol Neurotol"},{"key":"S0022215122002183_ref21","doi-asserted-by":"publisher","DOI":"10.1002\/lary.26244"},{"key":"S0022215122002183_ref14","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijporl.2016.05.006"},{"key":"S0022215122002183_ref20","doi-asserted-by":"publisher","DOI":"10.1159\/000516144"},{"key":"S0022215122002183_ref1","doi-asserted-by":"publisher","DOI":"10.1002\/ajmg.a.34352"},{"key":"S0022215122002183_ref11","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijporl.2016.12.038"}],"container-title":["The Journal of Laryngology &amp; 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