Results of Active Middle Ear Implantation in Patients With Mixed Hearing Loss After Middle Ear Surgery: A Prospective Multicenter Study (the ROMEO Study)open accessResults of Active Middle Ear Implantation in Patients With Mixed Hearing Loss After Middle Ear Surgery: A Prospective Multicenter Study (the ROMEO Study)
- Other Titles
- Results of Active Middle Ear Implantation in Patients With Mixed Hearing Loss After Middle Ear Surgery: A Prospective Multicenter Study (the ROMEO Study)
- Authors
- 송찬일; 조형호; 최병윤; 최재영; 최진웅; 정연훈; 정종우; 정원호; 홍성화; 김예리; 이병돈; 이일우; 이종대; 이준호; 이규엽; 문일준; 문인석; 오승하; 박홍주; 박시내; 서지원
- Issue Date
- 1-Feb-2022
- Publisher
- 대한이비인후과학회
- Keywords
- Active Middle Ear Implant; Mixed Hearing Loss; Round Window; Vibroplasty; Vibrant Soundbridge
- Citation
- Clinical and Experimental Otorhinolaryngology, v.15, no.1, pp 69 - 76
- Pages
- 8
- Journal Title
- Clinical and Experimental Otorhinolaryngology
- Volume
- 15
- Number
- 1
- Start Page
- 69
- End Page
- 76
- URI
- https://scholarworks.bwise.kr/sch/handle/2021.sw.sch/20481
- DOI
- 10.21053/ceo.2020.01851
- ISSN
- 1976-8710
2005-0720
- Abstract
- Objectives. This study was conducted to evaluate the user satisfaction, efficacy, and safety of round window (RW) vibroplasty using the Vibrant Soundbridge (VSB) in patients with persistent mixed hearing loss after mastoidectomy.
Methods. The study included 27 patients (mean age, 58.7 years; age range, 28–76 years; 11 men and 16 women) with mixed hearing loss after mastoidectomy from 15 tertiary referral centers in Korea. The VSB was implanted at the RW. The Korean translation of the Abbreviated Profile of Hearing Aid Benefit (APHAB) questionnaire and the Korean version of the International Outcome Inventory for Hearing Aids (K-IOI-HA) questionnaire were used to evaluate user satisfaction as the primary outcome. The secondary outcome measures were audiological test results and complication rates.
Results. The mean scores for ease of communication (61.3% to 29.7% to 30.2%), reverberation (62.1% to 43.1% to 37.4%), and background noise (63.3% to 37.7% to 34.3%) subscales of the APHAB questionnaire significantly decreased after VSB surgery. The mean K-IOI-HA scores at 3 and 6 months after surgery were significantly higher than the mean preoperative score (18.6 to 27.2 to 28.1). The postoperative VSB-aided thresholds were significantly lower than the preoperative unaided and hearing aid (HA)-aided thresholds. There was no significant difference between preoperative unaided, preoperative HA-aided, and postoperative VSB-aided maximum phonetically balanced word-recognition scores. None of the 27 patients experienced a change in postoperative bone conduction pure tone average. One patient developed temporary facial palsy and two developed surgical wound infections.
Conclusion. RW vibroplasty resulted in improved satisfaction and audiological test results in patients with mixed hearing loss after mastoidectomy, and the complication rate was tolerable.
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