CC BY-NC-ND 4.0 · Laryngorhinootologie 2019; 98(S 02): S307
DOI: 10.1055/s-0039-1686342
Poster
Otology

Coupling the Vibrant Soundbridge with the Round-Window-Soft-Coupler – experiments on transmission quality

A Bendas
1   Universitätsklinikum Dresden, Klinik und Poliklinik für HNO, Dresden
,
N Lasurashvili
1   Universitätsklinikum Dresden, Klinik und Poliklinik für HNO, Dresden
,
M Neudert
1   Universitätsklinikum Dresden, Klinik und Poliklinik für HNO, Dresden
,
T Zahnert
1   Universitätsklinikum Dresden, Klinik und Poliklinik für HNO, Dresden
,
M Bornitz
1   Universitätsklinikum Dresden, Klinik und Poliklinik für HNO, Dresden
› Author Affiliations
› Further Information
Also available at
 

Introduction:

Coupling the Vibrant Soundbridge (VSB, Med-EL, Innsbruck, Austria) to the round window has extended the indication to combined hearing loss due to middle ear malformation or previous surgery. Finding the optimal transmission of energy within a limited space stays challenging. The current Round-Window-Soft-Coupler (RW-Soft-Coupler) was compared to its previous version (Round-Window-Coupler [RW-Coupler]) in terms of handling and transmission Quality.

Methods:

We performed measurements in 10 human temporal bones. The floating mass transducer (FMT) was stimulated with a multisine signal up to 6 kHz and 20 to 50 mV of voltage, respectively. The FMT was coupled with the RW-Coupler and with the RW-Soft-Coupler afterwards. The displacement of the stapes footplate was objectified via Laser Doppler vibrometer (LDV) and was seen as measure of transmission function.

Results:

The RW-Soft-Coupler offers advantages over its previous version in terms of handling and surgical effort due to the compact dimensions. Moreover, our measurements show a better transmission function within the entire frequency range.

Conclusion:

Coupling the Vibrant Soundbridge to the round window provides an important alternative in surgical hearing rehabilitation under certain anatomic conditions. The RW-Soft-Coupler clearly shows advantages compared to its previous version.



Publication History

Publication Date:
23 April 2019 (online)

© 2019. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/).

Georg Thieme Verlag KG
Stuttgart · New York