Complications after round window vibroplasty.
Publication/Presentation Date
6-1-2019
Abstract
PURPOSE: To evaluate the complication rate in adult subjects with open cavities that were implanted with the Vibrant Soundbridge implant, using the round window (RW) vibroplasty procedure.
METHODS: From 2009 to 2014, 21 adult subjects with mixed hearing loss, all with sequel from open tympanoplasty surgery, underwent RW vibroplasty (RW-VPL). Surgical complications were recorded and a standard minimal approach was used as a basis for all the cases that needed revision.
RESULTS: The mean follow-up was 42 months (range 12-76). Complications occurred in nearly half of the cases and included: cable extrusion (23.8%), hardware failure (14.3%), profound hearing loss (9.5%), and inadequate RW coupling (9.5%). A minimal endaural approach (MEA) was used in the majority of the cases (86.7%), while the extended endaural approach was adopted for those patients requiring explantation with or without replacement (14.3%).
CONCLUSIONS: RW-VPL can be considered a possible option for the rehabilitation of auditory impairment derived from an open tympanoplasty procedure due to cholesteatoma. The procedure may lead to minor/major complications that may require a surgical revision. By adopting an MEA, it has been possible to manage all the situations in which functionality of the device is worth being preserved.
Volume
276
Issue
6
First Page
1601
Last Page
1605
ISSN
1434-4726
Published In/Presented At
Barbara, M., Volpini, L., Covelli, E., Romeo, M., Filippi, C., & Monini, S. (2019). Complications after round window vibroplasty. European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery, 276(6), 1601–1605. https://doi.org/10.1007/s00405-019-05402-y
Disciplines
Medicine and Health Sciences
PubMedID
30915542
Department(s)
Department of Surgery
Document Type
Article