关键词: Audiometry Audiometría Bone conduction Conductive hearing loss Hipoacusia conductiva Transmisión ósea

Mesh : Adult Aged Audiometry, Pure-Tone Auditory Threshold Bone Conduction Bone-Anchored Prosthesis Female Hearing Loss, Bilateral / rehabilitation Hearing Loss, Mixed Conductive-Sensorineural / rehabilitation Humans Male Middle Aged Prosthesis Design Prosthesis Implantation / methods Retrospective Studies Speech Discrimination Tests Treatment Outcome Young Adult

来  源:   DOI:10.1016/j.otorri.2018.02.006   PDF(Sci-hub)

Abstract:
OBJECTIVE: The active transcutaneous bone conduction implant Bonebridge®, is indicated for patients affected by bilateral conductive/mixed hearing loss or unilateral sensorineural hearing loss, showing hearing outcomes similar to other percutaneous bone conduction implants, but with a lower rate of complications. The aim of this study was to analyze the hearing outcomes in a series of 26 patients affected by conductive or mixed hearing loss and treated with Bonebridge®.
METHODS: 26 of 30 patients implanted with Bonebridge® between October 2012 and May 2017, were included in the study. We compared the air conduction thresholds at the frequencies 500, 1000, 2000, 3000, 4000Hz, the SRT50% and the percentage of correct answers at an intensity of 50dB with and without the implant.
RESULTS: \"Pure tone average\" with the implant was 34.91dB showing an average gain of 33.46dB. Average SRT 50% with the implant was 34.33dB, whereas before the surgery no patient achieved 50% of correct answers at a sound intensity of 50dB. The percentage of correct answers at 50dB changed from 11% without the implant to 85% with it. We only observed one complication consisting of an extrusion of the implant in a patient with a history of 2 previous rhytidectomies.
CONCLUSIONS: The hearing outcomes obtained in our study are similar to those published in the literature. Bonebridge® represents an excellent alternative in the treatment of conductive or mixed hearing loss, and with a lower rate of complications.
摘要:
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