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European Archives of Oto-Rhino-Laryngology

Erschienen in:

30.09.2019 | Otology

The vibrating ossicular prosthesis in children and adolescents: a retrospective study

verfasst von: Susen Lailach, Thomas Zahnert, Jan Maurer, John-Martin Hempel, Assen Koitschev, Daniela Hollfelder, Henning Frenzel, Barbara Wollenberg, Susan Arndt

Erschienen in: European Archives of Oto-Rhino-Laryngology | Ausgabe 1/2020

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Abstract

Purpose

The primary objective of the retrospective study was to collect speech intelligibility data on children and adolescents implanted with the vibrating ossicular prosthesis (VORP) 503.

Methods

This was a retrospective, multicentre study on 55 children and adolescents from 6 German clinics aged between 5 and 17 years suffering from mixed or conductive hearing loss implanted with a VORP 503. Pre- and postoperative bone-conduction pure tone thresholds were measured at 0.5, 1, 2 and 4 kHz, and word recognition scores in the unaided and VORP 503-aided conditions using monosyllabic speech intelligibility tests measured at 65-dB sound pressure level (SPL) were determined.

Results

Mean pre- and postoperative bone-conduction thresholds remained unchanged, showing the preservation of inner ear hearing. Speech intelligibility assessed in quiet at 65-dB SPL improved on average from 24.5% (SD ± 25.4) unaided to 86.4% (SD ± 13.4) aided. The average improvement of 61.9% (SD ± 25.3) was clinically and statistically significant. A total of three complications were found in the medical records of 55 subjects. The responsible investigators judged these events as procedure related.

Conclusion

The treatment of children suffering from conductive or mixed hearing loss with the VORP 503 implant demonstrates excellent aided benefit in terms of speech understanding and only minor complications.

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Titel: The vibrating ossicular prosthesis in children and adolescents: a retrospective study
verfasst von: Susen Lailach
Thomas Zahnert
Jan Maurer
John-Martin Hempel
Assen Koitschev
Daniela Hollfelder
Henning Frenzel
Barbara Wollenberg
Susan Arndt
Publikationsdatum: 30.09.2019
Verlag: Springer Berlin Heidelberg
Erschienen in: European Archives of Oto-Rhino-Laryngology / Ausgabe 1/2020
Print ISSN: 0937-4477
Elektronische ISSN: 1434-4726
DOI: https://doi.org/10.1007/s00405-019-05667-3

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The vibrating ossicular prosthesis in children and adolescents: a retrospective study