{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,31]],"date-time":"2025-08-31T23:33:38Z","timestamp":1756683218443,"version":"3.41.2"},"reference-count":18,"publisher":"Oxford University Press (OUP)","issue":"1109","license":[{"start":{"date-parts":[[2020,1,28]],"date-time":"2020-01-28T00:00:00Z","timestamp":1580169600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/journals\/pages\/open_access\/funder_policies\/chorus\/standard_publication_model"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2020,5,1]]},"abstract":"<jats:p>Active middle ear implants augment sound waves and directly stimulate the middle ear structures. The most frequently utilised active middle ear implant is the Vibrant Soundbridge TM (VSB).<\/jats:p>\n               <jats:p>CT plays a vital role in appropriate patient selection and surgical planning of active middle ear implant surgery. The VSB TM offers a number of options for implant placement. The ideal location is influenced by the patient\u2019s middle ear and mastoid anatomy as well as the type and severity of the hearing loss. CT provides important information on the surgical access to the middle ear and helps determine the most appropriate implant site by assessing the adjacent middle ear anatomy and the continuity of the ossicular chain. Post-operative active middle ear implant imaging may be indicated in the setting of poor auditory outcomes and when revision surgery is being considered so as to assess for suboptimal implant placement or migration.<\/jats:p>\n               <jats:p>This pictorial review will describe the VSB TM middle ear device and explain the role of imaging in both the pre-operative and post-operative settings.<\/jats:p>","DOI":"10.1259\/bjr.20190741","type":"journal-article","created":{"date-parts":[[2020,1,16]],"date-time":"2020-01-16T19:27:33Z","timestamp":1579202853000},"source":"Crossref","is-referenced-by-count":4,"title":["Active middle ear implantation: imaging in the pre-operative planning and post-operative assessment of the Vibrant SoundbridgeTM"],"prefix":"10.1093","volume":"93","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3744-4900","authenticated-orcid":false,"given":"Christian","family":"Burd","sequence":"first","affiliation":[{"name":"Department of Radiology, Guy\u2019s and St Thomas\u2019 NHS Foundation Trust , London , United Kingdom"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Irumee","family":"Pai","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology, Guy\u2019s and St. Thomas\u2019 Hospital NHS Foundation Trust , London , United Kingdom"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Steve EJ","family":"Connor","sequence":"additional","affiliation":[{"name":"Department of Radiology, Guy\u2019s and St Thomas\u2019 NHS Foundation Trust , London , United Kingdom"},{"name":"Department of Neuroradiology, King\u2019s College Hospital NHS Foundation Trust , London , United Kingdom"},{"name":"School of Biomedical Engineering & Imaging Sciences Clinical Academic Group, King\u2019s College London, King\u2019s Health Partners, Guy\u2019s Hospital , London , United Kingdom"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2020,1,28]]},"reference":[{"key":"2024050215203400200_b1","doi-asserted-by":"crossref","first-page":"973","DOI":"10.1016\/j.mcna.2010.05.003","article-title":"Hearing loss","volume":"94","author":"Isaacson","year":"2010","journal-title":"Med Clin North Am"},{"key":"2024050215203400200_b2","unstructured":"Archibold \u00a0S\n\u00a0Lamb \u00a0B\n\u00a0O\u2019Neill \u00a0C\n.\nThe real cost of hearing loss: reducing its impact by increasing access to the latest hearing technologies\n.\n2015\n. Available from:\nhttp:\/\/www.earfoundation.org.uk\/research\n[\nAccessed June 17, 2019\n]."},{"key":"2024050215203400200_b3","doi-asserted-by":"crossref","first-page":"10","DOI":"10.1016\/S1672-2930(11)50017-0","article-title":"Middle ear implants: historical and futuristic perspective","volume":"6","author":"Channer","year":"2011","journal-title":"J Otol"},{"key":"2024050215203400200_b4","doi-asserted-by":"crossref","first-page":"195","DOI":"10.1016\/j.otc.2018.11.001","article-title":"Medical and audiological indications for implantable auditory devices","volume":"52","author":"Svrakic","year":"2019","journal-title":"Otolaryngol Clin North Am"},{"key":"2024050215203400200_b5","doi-asserted-by":"crossref","first-page":"19","DOI":"10.1016\/j.crad.2017.03.002","article-title":"Contemporary imaging of auditory implants","volume":"73","author":"Connor","year":"2018","journal-title":"Clin Radiol"},{"key":"2024050215203400200_b6","doi-asserted-by":"crossref","first-page":"e323","DOI":"10.1016\/j.crad.2014.02.004","article-title":"The role of radiology in active middle ear implantation","volume":"69","author":"Loney","year":"2014","journal-title":"Clin Radiol"},{"key":"2024050215203400200_b7","doi-asserted-by":"crossref","first-page":"895","DOI":"10.1007\/s00234-013-1177-2","article-title":"Grading system for the selection of patients with congenital aural atresia for active middle ear implants","volume":"55","author":"Frenzel","year":"2013","journal-title":"Neuroradiology"},{"key":"2024050215203400200_b8","doi-asserted-by":"crossref","first-page":"108","DOI":"10.1097\/MAO.0b013e3181ff752a","article-title":"The floating mass transducer for external auditory canal and middle ear malformations","volume":"32","author":"Colletti","year":"2011","journal-title":"Otol Neurotol"},{"key":"2024050215203400200_b9","doi-asserted-by":"crossref","first-page":"1005","DOI":"10.1097\/MAO.0b013e3182990d2b","article-title":"Vibroplasty for mixed and conductive hearing loss","volume":"34","author":"Luers","year":"2013","journal-title":"Otol Neurotol"},{"key":"2024050215203400200_b10","doi-asserted-by":"crossref","first-page":"1436","DOI":"10.1002\/lary.24474","article-title":"Vibroplasty in mixed and conductive hearing loss: comparison of different coupling methods","volume":"124","author":"Vyskocil","year":"2014","journal-title":"Laryngoscope"},{"key":"2024050215203400200_b11","doi-asserted-by":"crossref","first-page":"299","DOI":"10.1097\/MAO.0b013e31819679f9","article-title":"Cone beam computed tomography, a low-dose imaging technique in the postoperative assessment of cochlear implantation","volume":"30","author":"Ruivo","year":"2009","journal-title":"Otol Neurotol"},{"key":"2024050215203400200_b12","doi-asserted-by":"crossref","first-page":"1308","DOI":"10.1007\/s11547-009-0462-y","article-title":"Radiation dose saving through the use of cone-beam CT in hearing-impaired patients","volume":"114","author":"Faccioli","year":"2009","journal-title":"Radiol Med"},{"key":"2024050215203400200_b13","doi-asserted-by":"crossref","first-page":"376","DOI":"10.1016\/j.oooo.2013.12.398","article-title":"Classification and volumetric analysis of temporal bone pneumatization using cone beam computed tomography","volume":"117","author":"Jadhav","year":"2014","journal-title":"Oral Surg Oral Med Oral Pathol Oral Radiol"},{"key":"2024050215203400200_b14","unstructured":"MED-EL\n          \n.\nMiddle ear implants\n.\n2019\n. Available from:\nhttp:\/\/www.medel.com\/en-gb\/hearing-solutions\/vibrant-soundbridge\n[\nAccessed June 17, 2019\n]."},{"key":"2024050215203400200_b15","doi-asserted-by":"crossref","first-page":"147","DOI":"10.1097\/01.mlg.0000150692.23506.b7","article-title":"Experimental and clinical studies of malleus fixation","volume":"115","author":"Nakajima","year":"2005","journal-title":"Laryngoscope"},{"key":"2024050215203400200_b16","doi-asserted-by":"crossref","first-page":"17","DOI":"10.1148\/radiol.13120733","article-title":"Imaging review of the temporal bone: Part I. anatomy and inflammatory and neoplastic processes","volume":"269","author":"Juliano","year":"2013","journal-title":"Radiology"},{"key":"2024050215203400200_b17","doi-asserted-by":"crossref","first-page":"655","DOI":"10.1148\/radiol.2015140800","article-title":"Imaging review of the temporal bone: Part II. 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