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Round window stimulation for conductive and mixed hearing loss.

Identifieur interne : 001670 ( PubMed/Curation ); précédent : 001669; suivant : 001671

Round window stimulation for conductive and mixed hearing loss.

Auteurs : Margaret T. Dillon [États-Unis] ; Rhonda S. Tubbs ; Marcia C. Adunka ; English R. King ; Todd A. Hillman ; Oliver F. Adunka ; Douglas A. Chen ; Craig A. Buchman

Source :

RBID : pubmed:25111522

Descripteurs français

English descriptors

Abstract

Assess surgical complications, postoperative residual hearing, and speech perception outcomes of placement of a middle ear implant on the round window in conductive and mixed hearing loss cases.

DOI: 10.1097/MAO.0000000000000525
PubMed: 25111522

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pubmed:25111522

Le document en format XML

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<title xml:lang="en">Round window stimulation for conductive and mixed hearing loss.</title>
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<name sortKey="Dillon, Margaret T" sort="Dillon, Margaret T" uniqKey="Dillon M" first="Margaret T" last="Dillon">Margaret T. Dillon</name>
<affiliation wicri:level="1">
<nlm:affiliation>*Department of Otolaryngology/Head and Neck Surgery, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, U.S.A.; †Pittsburgh Ear Associates, Pittsburgh, Pennsylvania, U.S.A.; and ‡Department of Audiology, UNC Health Care, Chapel Hill, North Carolina, U.S.A.</nlm:affiliation>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>*Department of Otolaryngology/Head and Neck Surgery, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, U.S.A.; †Pittsburgh Ear Associates, Pittsburgh, Pennsylvania, U.S.A.; and ‡Department of Audiology, UNC Health Care, Chapel Hill, North Carolina</wicri:regionArea>
</affiliation>
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<author>
<name sortKey="Tubbs, Rhonda S" sort="Tubbs, Rhonda S" uniqKey="Tubbs R" first="Rhonda S" last="Tubbs">Rhonda S. Tubbs</name>
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<author>
<name sortKey="Adunka, Marcia C" sort="Adunka, Marcia C" uniqKey="Adunka M" first="Marcia C" last="Adunka">Marcia C. Adunka</name>
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<name sortKey="King, English R" sort="King, English R" uniqKey="King E" first="English R" last="King">English R. King</name>
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<name sortKey="Hillman, Todd A" sort="Hillman, Todd A" uniqKey="Hillman T" first="Todd A" last="Hillman">Todd A. Hillman</name>
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<name sortKey="Adunka, Oliver F" sort="Adunka, Oliver F" uniqKey="Adunka O" first="Oliver F" last="Adunka">Oliver F. Adunka</name>
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<name sortKey="Chen, Douglas A" sort="Chen, Douglas A" uniqKey="Chen D" first="Douglas A" last="Chen">Douglas A. Chen</name>
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<name sortKey="Buchman, Craig A" sort="Buchman, Craig A" uniqKey="Buchman C" first="Craig A" last="Buchman">Craig A. Buchman</name>
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<name sortKey="Dillon, Margaret T" sort="Dillon, Margaret T" uniqKey="Dillon M" first="Margaret T" last="Dillon">Margaret T. Dillon</name>
<affiliation wicri:level="1">
<nlm:affiliation>*Department of Otolaryngology/Head and Neck Surgery, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, U.S.A.; †Pittsburgh Ear Associates, Pittsburgh, Pennsylvania, U.S.A.; and ‡Department of Audiology, UNC Health Care, Chapel Hill, North Carolina, U.S.A.</nlm:affiliation>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>*Department of Otolaryngology/Head and Neck Surgery, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, U.S.A.; †Pittsburgh Ear Associates, Pittsburgh, Pennsylvania, U.S.A.; and ‡Department of Audiology, UNC Health Care, Chapel Hill, North Carolina</wicri:regionArea>
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<name sortKey="Tubbs, Rhonda S" sort="Tubbs, Rhonda S" uniqKey="Tubbs R" first="Rhonda S" last="Tubbs">Rhonda S. Tubbs</name>
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<name sortKey="Adunka, Marcia C" sort="Adunka, Marcia C" uniqKey="Adunka M" first="Marcia C" last="Adunka">Marcia C. Adunka</name>
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<name sortKey="King, English R" sort="King, English R" uniqKey="King E" first="English R" last="King">English R. King</name>
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<name sortKey="Hillman, Todd A" sort="Hillman, Todd A" uniqKey="Hillman T" first="Todd A" last="Hillman">Todd A. Hillman</name>
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<name sortKey="Adunka, Oliver F" sort="Adunka, Oliver F" uniqKey="Adunka O" first="Oliver F" last="Adunka">Oliver F. Adunka</name>
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<name sortKey="Chen, Douglas A" sort="Chen, Douglas A" uniqKey="Chen D" first="Douglas A" last="Chen">Douglas A. Chen</name>
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<name sortKey="Buchman, Craig A" sort="Buchman, Craig A" uniqKey="Buchman C" first="Craig A" last="Buchman">Craig A. Buchman</name>
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<title level="j">Otology & neurotology : official publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology</title>
<idno type="eISSN">1537-4505</idno>
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<date when="2014" type="published">2014</date>
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<term>Adult</term>
<term>Aged</term>
<term>Female</term>
<term>Hearing</term>
<term>Hearing Loss, Mixed Conductive-Sensorineural (surgery)</term>
<term>Hearing Tests</term>
<term>Humans</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Ossicular Prosthesis (adverse effects)</term>
<term>Otologic Surgical Procedures (adverse effects)</term>
<term>Otologic Surgical Procedures (methods)</term>
<term>Postoperative Complications (epidemiology)</term>
<term>Round Window, Ear (surgery)</term>
<term>Speech Perception</term>
<term>Treatment Outcome</term>
</keywords>
<keywords scheme="KwdFr" xml:lang="fr">
<term>Adulte</term>
<term>Adulte d'âge moyen</term>
<term>Complications postopératoires (épidémiologie)</term>
<term>Femelle</term>
<term>Fenêtre ronde de la cochlée ()</term>
<term>Humains</term>
<term>Mâle</term>
<term>Ouïe</term>
<term>Perception de la parole</term>
<term>Procédures de chirurgie otologique ()</term>
<term>Procédures de chirurgie otologique (effets indésirables)</term>
<term>Prothèse ossiculaire (effets indésirables)</term>
<term>Résultat thérapeutique</term>
<term>Sujet âgé</term>
<term>Surdité mixte de transmission et neurosensorielle ()</term>
<term>Tests auditifs</term>
</keywords>
<keywords scheme="MESH" qualifier="adverse effects" xml:lang="en">
<term>Ossicular Prosthesis</term>
<term>Otologic Surgical Procedures</term>
</keywords>
<keywords scheme="MESH" qualifier="effets indésirables" xml:lang="fr">
<term>Procédures de chirurgie otologique</term>
<term>Prothèse ossiculaire</term>
</keywords>
<keywords scheme="MESH" qualifier="epidemiology" xml:lang="en">
<term>Postoperative Complications</term>
</keywords>
<keywords scheme="MESH" qualifier="methods" xml:lang="en">
<term>Otologic Surgical Procedures</term>
</keywords>
<keywords scheme="MESH" qualifier="surgery" xml:lang="en">
<term>Hearing Loss, Mixed Conductive-Sensorineural</term>
<term>Round Window, Ear</term>
</keywords>
<keywords scheme="MESH" qualifier="épidémiologie" xml:lang="fr">
<term>Complications postopératoires</term>
</keywords>
<keywords scheme="MESH" xml:lang="en">
<term>Adult</term>
<term>Aged</term>
<term>Female</term>
<term>Hearing</term>
<term>Hearing Tests</term>
<term>Humans</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Speech Perception</term>
<term>Treatment Outcome</term>
</keywords>
<keywords scheme="MESH" xml:lang="fr">
<term>Adulte</term>
<term>Adulte d'âge moyen</term>
<term>Femelle</term>
<term>Fenêtre ronde de la cochlée</term>
<term>Humains</term>
<term>Mâle</term>
<term>Ouïe</term>
<term>Perception de la parole</term>
<term>Procédures de chirurgie otologique</term>
<term>Résultat thérapeutique</term>
<term>Sujet âgé</term>
<term>Surdité mixte de transmission et neurosensorielle</term>
<term>Tests auditifs</term>
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<front>
<div type="abstract" xml:lang="en">Assess surgical complications, postoperative residual hearing, and speech perception outcomes of placement of a middle ear implant on the round window in conductive and mixed hearing loss cases.</div>
</front>
</TEI>
<pubmed>
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<PMID Version="1">25111522</PMID>
<DateCreated>
<Year>2014</Year>
<Month>09</Month>
<Day>16</Day>
</DateCreated>
<DateCompleted>
<Year>2015</Year>
<Month>09</Month>
<Day>16</Day>
</DateCompleted>
<DateRevised>
<Year>2014</Year>
<Month>09</Month>
<Day>16</Day>
</DateRevised>
<Article PubModel="Print">
<Journal>
<ISSN IssnType="Electronic">1537-4505</ISSN>
<JournalIssue CitedMedium="Internet">
<Volume>35</Volume>
<Issue>9</Issue>
<PubDate>
<Year>2014</Year>
<Month>Oct</Month>
</PubDate>
</JournalIssue>
<Title>Otology & neurotology : official publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology</Title>
<ISOAbbreviation>Otol. Neurotol.</ISOAbbreviation>
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<ArticleTitle>Round window stimulation for conductive and mixed hearing loss.</ArticleTitle>
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<MedlinePgn>1601-8</MedlinePgn>
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<ELocationID EIdType="doi" ValidYN="Y">10.1097/MAO.0000000000000525</ELocationID>
<Abstract>
<AbstractText Label="OBJECTIVE" NlmCategory="OBJECTIVE">Assess surgical complications, postoperative residual hearing, and speech perception outcomes of placement of a middle ear implant on the round window in conductive and mixed hearing loss cases.</AbstractText>
<AbstractText Label="STUDY DESIGN" NlmCategory="METHODS">Single-subject, repeated-measures design where each subject served as his or her own control.</AbstractText>
<AbstractText Label="SETTING" NlmCategory="METHODS">Tertiary referral medical systems.</AbstractText>
<AbstractText Label="SUBJECTS" NlmCategory="METHODS">Eighteen subjects with either conductive or mixed hearing loss who could not benefit from conventional amplification were enrolled in a clinical trial investigating vibratory stimulation of the round window.</AbstractText>
<AbstractText Label="INTERVENTION" NlmCategory="METHODS">The floating mass transducer (FMT) was positioned in the round window niche.</AbstractText>
<AbstractText Label="MAIN OUTCOME MEASURES" NlmCategory="METHODS">Unaided residual hearing, and aided sound field thresholds and speech perception abilities were evaluated preoperatively, and at 1, 3, 6, and 10 months post-activation of the external speech processor.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">Six subjects experienced complications that either required further medical management or resolved on their own. There was no difference in residual bone conduction thresholds or unaided word discrimination over time. All subjects experienced a significant improvement in aided speech perception abilities as compared to preoperative performance.</AbstractText>
<AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">Subjects with conductive and mixed hearing loss with placement of the FMT in the round window niche experienced improved sound field thresholds and speech perception, without compromising residual hearing thresholds. Vibratory stimulation of the round window via a middle ear implant may be an appropriate treatment option for patients with conductive and mixed hearing loss. Additional research is needed on the preferred placement of the FMT, improvement of functional gain, and methods to limit postoperative complications and need for revision surgery.</AbstractText>
</Abstract>
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<LastName>Dillon</LastName>
<ForeName>Margaret T</ForeName>
<Initials>MT</Initials>
<AffiliationInfo>
<Affiliation>*Department of Otolaryngology/Head and Neck Surgery, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, U.S.A.; †Pittsburgh Ear Associates, Pittsburgh, Pennsylvania, U.S.A.; and ‡Department of Audiology, UNC Health Care, Chapel Hill, North Carolina, U.S.A.</Affiliation>
</AffiliationInfo>
</Author>
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<Initials>CA</Initials>
</Author>
</AuthorList>
<Language>eng</Language>
<PublicationTypeList>
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<MedlineTA>Otol Neurotol</MedlineTA>
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<DescriptorName UI="D046089" MajorTopicYN="N">Hearing Loss, Mixed Conductive-Sensorineural</DescriptorName>
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</MeshHeading>
<MeshHeading>
<DescriptorName UI="D011183" MajorTopicYN="N">Postoperative Complications</DescriptorName>
<QualifierName UI="Q000453" MajorTopicYN="N">epidemiology</QualifierName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D012405" MajorTopicYN="N">Round Window, Ear</DescriptorName>
<QualifierName UI="Q000601" MajorTopicYN="Y">surgery</QualifierName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D013067" MajorTopicYN="N">Speech Perception</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D016896" MajorTopicYN="N">Treatment Outcome</DescriptorName>
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