Results of Active Middle Ear Implantation in Patients With Mixed Hearing Loss After Middle Ear Surgery: A Prospective Multicenter Study (the ROMEO Study)

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...

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Main Authors: Chan Il Song, Hyong-Ho Cho, Byung Yoon Choi, Jae Young Choi, Jin Woong Choi, Yun-Hoon Choung, Jong Woo Chung, Won-Ho Chung, Sung Hwa Hong, Yehree Kim, Byung Don Lee, Il-Woo Lee, Jong Dae Lee, Jun Ho Lee, Kyu-Yup Lee, Il Joon Moon, In Seok Moon, Seung-Ha Oh, Hong Ju Park, Shi Nae Park, Ji Won Seo
Format: Article
Language:English
Published: Korean Society of Otorhinolaryngology-Head and Neck Surgery 2022-02-01
Series:Clinical and Experimental Otorhinolaryngology
Subjects:
Online Access:http://www.e-ceo.org/upload/pdf/ceo-2020-01851.pdf
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author Chan Il Song
Hyong-Ho Cho
Byung Yoon Choi
Jae Young Choi
Jin Woong Choi
Yun-Hoon Choung
Jong Woo Chung
Won-Ho Chung
Sung Hwa Hong
Yehree Kim
Byung Don Lee
Il-Woo Lee
Jong Dae Lee
Jun Ho Lee
Kyu-Yup Lee
Il Joon Moon
In Seok Moon
Seung-Ha Oh
Hong Ju Park
Shi Nae Park
Ji Won Seo
author_facet Chan Il Song
Hyong-Ho Cho
Byung Yoon Choi
Jae Young Choi
Jin Woong Choi
Yun-Hoon Choung
Jong Woo Chung
Won-Ho Chung
Sung Hwa Hong
Yehree Kim
Byung Don Lee
Il-Woo Lee
Jong Dae Lee
Jun Ho Lee
Kyu-Yup Lee
Il Joon Moon
In Seok Moon
Seung-Ha Oh
Hong Ju Park
Shi Nae Park
Ji Won Seo
author_sort Chan Il Song
collection DOAJ
description 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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spelling doaj.art-0a333b4e285741bb9a450912428cd5362022-12-21T20:04:28ZengKorean Society of Otorhinolaryngology-Head and Neck SurgeryClinical and Experimental Otorhinolaryngology1976-87102005-07202022-02-01151697610.21053/ceo.2020.01851788Results of Active Middle Ear Implantation in Patients With Mixed Hearing Loss After Middle Ear Surgery: A Prospective Multicenter Study (the ROMEO Study)Chan Il Song0Hyong-Ho Cho1Byung Yoon Choi2Jae Young Choi3Jin Woong Choi4Yun-Hoon Choung5Jong Woo Chung6Won-Ho Chung7Sung Hwa Hong8Yehree Kim9Byung Don Lee10Il-Woo Lee11Jong Dae Lee12Jun Ho Lee13Kyu-Yup Lee14Il Joon Moon15In Seok Moon16Seung-Ha Oh17Hong Ju Park18Shi Nae Park19Ji Won Seo20 Department of Otorhinolaryngology, Yonsei University College of Medicine, Seoul, Korea Department of Otolaryngology-Head and Neck Surgery, Chonnam National University Hospital, Chonnam National University Medical School, Gwangju, Korea Department of Otorhinolaryngology, Seoul National University Bundang Hospital, Seoul National University College of Medicine, Seongnam, Korea Department of Otorhinolaryngology, Yonsei University College of Medicine, Seoul, Korea Department of Otorhinolaryngology-Head and Neck Surgery, Chungnam National University School of Medicine, Daejeon, Korea Department of Otolaryngology, Ajou University School of Medicine, Suwon, Korea Department of Otorhinolaryngology-Head and Neck Surgery, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea Department of Otorhinolaryngology-Head and Neck Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea Department of Otorhinolaryngology-Head and Neck Surgery, Samsung Changwon Hospital, Sungkyunkwan University School of Medicine, Changwon, Korea Department of Otorhinolaryngology-Head and Neck Surgery, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea Department of Otorhinolaryngology-Head and Neck Surgery, Soonchunhyang University College of Medicine, Seoul, Korea Department of Otorhinolaryngology-Head and Neck Surgery, Pusan National University Yangsan Hospital, Pusan National University School of Medicine, Yangsan, Korea Department of Otorhinolaryngology-Head and Neck Surgery, Soonchunhyang University Bucheon Hospital, Soonchunhyang University College of Medicine, Bucheon, Korea Department of Otorhinolaryngology-Head and Neck Surgery, Seoul National University Hospital, Seoul National University College of Medicine, Seoul, Korea Department of Otorhinolaryngology-Head and Neck Surgery, Kyungpook National University Hospital, School of Medicine, Kyungpook National University, Daegu, Korea Department of Otorhinolaryngology-Head and Neck Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea Department of Otorhinolaryngology, Yonsei University College of Medicine, Seoul, Korea Department of Otorhinolaryngology-Head and Neck Surgery, Seoul National University Hospital, Seoul National University College of Medicine, Seoul, Korea Department of Otorhinolaryngology-Head and Neck Surgery, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea Department of Otorhinolaryngology-Head and Neck Surgery, College of Medicine, The Catholic University of Korea, Seoul, Korea Department of Otorhinolaryngology-Head and Neck Surgery, Samsung Changwon Hospital, Sungkyunkwan University School of Medicine, Changwon, KoreaObjectives 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.http://www.e-ceo.org/upload/pdf/ceo-2020-01851.pdfactive middle ear implantmixed hearing lossround windowvibroplastyvibrant soundbridge
spellingShingle Chan Il Song
Hyong-Ho Cho
Byung Yoon Choi
Jae Young Choi
Jin Woong Choi
Yun-Hoon Choung
Jong Woo Chung
Won-Ho Chung
Sung Hwa Hong
Yehree Kim
Byung Don Lee
Il-Woo Lee
Jong Dae Lee
Jun Ho Lee
Kyu-Yup Lee
Il Joon Moon
In Seok Moon
Seung-Ha Oh
Hong Ju Park
Shi Nae Park
Ji Won Seo
Results of Active Middle Ear Implantation in Patients With Mixed Hearing Loss After Middle Ear Surgery: A Prospective Multicenter Study (the ROMEO Study)
Clinical and Experimental Otorhinolaryngology
active middle ear implant
mixed hearing loss
round window
vibroplasty
vibrant soundbridge
title Results of Active Middle Ear Implantation in Patients With Mixed Hearing Loss After Middle Ear Surgery: A Prospective Multicenter Study (the ROMEO Study)
title_full Results of Active Middle Ear Implantation in Patients With Mixed Hearing Loss After Middle Ear Surgery: A Prospective Multicenter Study (the ROMEO Study)
title_fullStr Results of Active Middle Ear Implantation in Patients With Mixed Hearing Loss After Middle Ear Surgery: A Prospective Multicenter Study (the ROMEO Study)
title_full_unstemmed Results of Active Middle Ear Implantation in Patients With Mixed Hearing Loss After Middle Ear Surgery: A Prospective Multicenter Study (the ROMEO Study)
title_short Results of Active Middle Ear Implantation in Patients With Mixed Hearing Loss After Middle Ear Surgery: A Prospective Multicenter Study (the ROMEO Study)
title_sort results of active middle ear implantation in patients with mixed hearing loss after middle ear surgery a prospective multicenter study the romeo study
topic active middle ear implant
mixed hearing loss
round window
vibroplasty
vibrant soundbridge
url http://www.e-ceo.org/upload/pdf/ceo-2020-01851.pdf
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