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Long-term Results and Revision Surgery of the Vibrant Soundbridge

Presenting Author: Robert Mlynski

Published online by Cambridge University Press:  03 June 2016

Robert Mlynski ,
Nora Weiss ,
Wilma Grossmann ,
Ruediger Dahl ,
Rudolf Hagen  and
Sebastian Schraven
Robert Mlynski
Affiliation:
University Medical Center Rostock
Nora Weiss
Affiliation:
Department of Oto-Rhino-Laryngology, Head and Neck Surgery “Otto Koerner”, University Medical Center Rostock, Rostock, Germany
Wilma Grossmann
Affiliation:
Department of Oto-Rhino-Laryngology, Plastic, Aesthetic and Reconstructive Head and Neck Surgery, Comprehensive Hearing Center, University of Wuerzburg, Wuerzburg, Germany
Ruediger Dahl
Affiliation:
Department of Oto-Rhino-Laryngology, Head and Neck Surgery “Otto Koerner”, University Medical Center Rostock, Rostock, Germany
Rudolf Hagen
Affiliation:
Department of Oto-Rhino-Laryngology, Plastic, Aesthetic and Reconstructive Head and Neck Surgery, Comprehensive Hearing Center, University of Wuerzburg, Wuerzburg, Germany
Sebastian Schraven
Affiliation:
Department of Oto-Rhino-Laryngology, Plastic, Aesthetic and Reconstructive Head and Neck Surgery, Comprehensive Hearing Center, University of Wuerzburg, Wuerzburg, Germany
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Abstract

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Type
Abstracts
Information
The Journal of Laryngology & Otology , Volume 130 , Supplement S3: Abstracts for the 10th International Conference on Cholesteatoma , May 2016 , pp. S96
Copyright
Copyright © JLO (1984) Limited 2016 

Learning Objectives:

The number of patients treated with the Vibrant Soundbridge (VSB) has increased since its approval for conductive and mixed hearing loss. Patients with history of chronic otitis and cholesteatoma have subsequently been rehabilitated with the VSB. The revision rate in chronic otitis media and cholesteatoma patients is around 10% to 30% depending on the surgical technique used. Aim of this presentation is to analyze the long-term results of the VSB with focus on revision surgery. 238 VSB were implanted in two centers and revision cases reviewed. In 48 (20%) of the cases, a revision surgery was necessary to improve functional performance of the VSB or treat recurrent COM or cholesteatoma. A revision to a cochlea implant was necessary in 5 (2%) cases due to insufficient rehabilitation with a VSB. Two (1%) patients were reimplanted with a Bonebridge. Seven (3%) patients had recurrent disease without functional impairment of the implant. The highest revision rate was found with FMT coupling to the round window not using couplers. A peak number of revision surgeries were observed 3 years after the initial surgery.

The rate of revision surgery is comparable to conventional tympanoplasty techniques. Fibrosis, insufficient aeration or recurrent perforations can be observed similarly. Revision surgery can be performed safely in patients with a VSB and recurrent middle ear disease.