Vibrant soundbridge in aural atresia: does severity matter?
Identifieur interne : 001F72 ( Main/Exploration ); précédent : 001F71; suivant : 001F73Vibrant soundbridge in aural atresia: does severity matter?
Auteurs : B J Mckinnon [États-Unis] ; T. Dumon ; R. Hagen ; E. Lesinskas ; R. Mlynski ; M. Profant ; J. Spindel ; J. Van Beek-King ; M. ZernottiSource :
- European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery [ 1434-4726 ] ; 2014.
Descripteurs français
- KwdFr :
- Adolescent (MeSH), Adulte (MeSH), Adulte d'âge moyen (MeSH), Aides auditives (MeSH), Enfant (MeSH), Femelle (MeSH), Humains (MeSH), Indice de gravité de la maladie (MeSH), Jeune adulte (MeSH), Malformations (thérapie), Mâle (MeSH), Oreille (malformations), Perception de la parole (MeSH), Prothèse ossiculaire (MeSH), Résultat thérapeutique (MeSH), Seuil auditif (MeSH), Sujet âgé (MeSH), Études rétrospectives (MeSH).
- MESH :
- malformations : Oreille.
- thérapie : Malformations.
- Adolescent, Adulte, Adulte d'âge moyen, Aides auditives, Enfant, Femelle, Humains, Indice de gravité de la maladie, Jeune adulte, Mâle, Perception de la parole, Prothèse ossiculaire, Résultat thérapeutique, Seuil auditif, Sujet âgé, Études rétrospectives.
English descriptors
- KwdEn :
- Adolescent (MeSH), Adult (MeSH), Aged (MeSH), Auditory Threshold (MeSH), Child (MeSH), Congenital Abnormalities (therapy), Ear (abnormalities), Female (MeSH), Hearing Aids (MeSH), Humans (MeSH), Male (MeSH), Middle Aged (MeSH), Ossicular Prosthesis (MeSH), Retrospective Studies (MeSH), Severity of Illness Index (MeSH), Speech Perception (MeSH), Treatment Outcome (MeSH), Young Adult (MeSH).
- MESH :
- abnormalities : Ear.
- therapy : Congenital Abnormalities.
- Adolescent, Adult, Aged, Auditory Threshold, Child, Female, Hearing Aids, Humans, Male, Middle Aged, Ossicular Prosthesis, Retrospective Studies, Severity of Illness Index, Speech Perception, Treatment Outcome, Young Adult.
Abstract
Congenital aural atresia (CAA) poses significant challenges to surgical remediation. Both bone anchored hearing aids (BAHA) and the Vibrant Soundbridge (VSB) have been considered as alternatives or adjuncts to conventional atresiaplasty. A consensus statement on VSB implantation in children and adolescents recommended against implantation when the Jahrsdoerfer score was less than 8. More recent publications suggest that patients with Jahrsdoerfer scores between three and seven may benefit from VSB implantation. The purpose of this study was to further investigate the outcomes of VSB implantation in CAA. The study was a multi-center, retrospective review. A retrospective review of data (patient's demographic, clinical, implant and audiological information) from four collaborating centers that have performed VSB implantation in CAA was performed. Outcomes based on severity of the atresia using the Jahrsdoerfer and Yellon-Branstetter scoring systems were also evaluated. Data from 28 patients from the four centers revealed no iatrogenic facial nerve injuries or change in bone thresholds. Post-operative speech threshold and speech recognition was, respectively, 39 dB and 94%. Jahrsdoerfer and Yellon scores ranged from 4 to 9 and 4 to 12, respectively. The scores did not correlate to or predict outcomes. Three individual elements of the scores did correlate to initial, but not long-term outcomes. Atresiaplasty and BAHA in the management of CAA are not complete solutions. VSB may offer an alternative in these surgically complex patients for achieving amplification, though better metrics for patient selection need to be developed. LEVEL OF EVIDENCE : IV.
DOI: 10.1007/s00405-013-2680-0
PubMed: 24030853
Affiliations:
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Dumon</name></author><author><name sortKey="Hagen, R" sort="Hagen, R" uniqKey="Hagen R" first="R" last="Hagen">R. Hagen</name></author><author><name sortKey="Lesinskas, E" sort="Lesinskas, E" uniqKey="Lesinskas E" first="E" last="Lesinskas">E. Lesinskas</name></author><author><name sortKey="Mlynski, R" sort="Mlynski, R" uniqKey="Mlynski R" first="R" last="Mlynski">R. Mlynski</name></author><author><name sortKey="Profant, M" sort="Profant, M" uniqKey="Profant M" first="M" last="Profant">M. Profant</name></author><author><name sortKey="Spindel, J" sort="Spindel, J" uniqKey="Spindel J" first="J" last="Spindel">J. Spindel</name></author><author><name sortKey="Van Beek King, J" sort="Van Beek King, J" uniqKey="Van Beek King J" first="J" last="Van Beek-King">J. Van Beek-King</name></author><author><name sortKey="Zernotti, M" sort="Zernotti, M" uniqKey="Zernotti M" first="M" last="Zernotti">M. Zernotti</name></author></analytic><series><title level="j">European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery</title><idno type="eISSN">1434-4726</idno><imprint><date when="2014" type="published">2014</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adolescent (MeSH)</term><term>Adult (MeSH)</term><term>Aged (MeSH)</term><term>Auditory Threshold (MeSH)</term><term>Child (MeSH)</term><term>Congenital Abnormalities (therapy)</term><term>Ear (abnormalities)</term><term>Female (MeSH)</term><term>Hearing Aids (MeSH)</term><term>Humans (MeSH)</term><term>Male (MeSH)</term><term>Middle Aged (MeSH)</term><term>Ossicular Prosthesis (MeSH)</term><term>Retrospective Studies (MeSH)</term><term>Severity of Illness Index (MeSH)</term><term>Speech Perception (MeSH)</term><term>Treatment Outcome (MeSH)</term><term>Young Adult (MeSH)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adolescent (MeSH)</term><term>Adulte (MeSH)</term><term>Adulte d'âge moyen (MeSH)</term><term>Aides auditives (MeSH)</term><term>Enfant (MeSH)</term><term>Femelle (MeSH)</term><term>Humains (MeSH)</term><term>Indice de gravité de la maladie (MeSH)</term><term>Jeune adulte (MeSH)</term><term>Malformations (thérapie)</term><term>Mâle (MeSH)</term><term>Oreille (malformations)</term><term>Perception de la parole (MeSH)</term><term>Prothèse ossiculaire (MeSH)</term><term>Résultat thérapeutique (MeSH)</term><term>Seuil auditif (MeSH)</term><term>Sujet âgé (MeSH)</term><term>Études rétrospectives (MeSH)</term></keywords><keywords scheme="MESH" qualifier="abnormalities" xml:lang="en"><term>Ear</term></keywords><keywords scheme="MESH" qualifier="malformations" xml:lang="fr"><term>Oreille</term></keywords><keywords scheme="MESH" qualifier="therapy" xml:lang="en"><term>Congenital Abnormalities</term></keywords><keywords scheme="MESH" qualifier="thérapie" xml:lang="fr"><term>Malformations</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adolescent</term><term>Adult</term><term>Aged</term><term>Auditory Threshold</term><term>Child</term><term>Female</term><term>Hearing Aids</term><term>Humans</term><term>Male</term><term>Middle Aged</term><term>Ossicular Prosthesis</term><term>Retrospective Studies</term><term>Severity of Illness Index</term><term>Speech Perception</term><term>Treatment Outcome</term><term>Young Adult</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adolescent</term><term>Adulte</term><term>Adulte d'âge moyen</term><term>Aides auditives</term><term>Enfant</term><term>Femelle</term><term>Humains</term><term>Indice de gravité de la maladie</term><term>Jeune adulte</term><term>Mâle</term><term>Perception de la parole</term><term>Prothèse ossiculaire</term><term>Résultat thérapeutique</term><term>Seuil auditif</term><term>Sujet âgé</term><term>Études rétrospectives</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Congenital aural atresia (CAA) poses significant challenges to surgical remediation. Both bone anchored hearing aids (BAHA) and the Vibrant Soundbridge (VSB) have been considered as alternatives or adjuncts to conventional atresiaplasty. A consensus statement on VSB implantation in children and adolescents recommended against implantation when the Jahrsdoerfer score was less than 8. More recent publications suggest that patients with Jahrsdoerfer scores between three and seven may benefit from VSB implantation. The purpose of this study was to further investigate the outcomes of VSB implantation in CAA. The study was a multi-center, retrospective review. A retrospective review of data (patient's demographic, clinical, implant and audiological information) from four collaborating centers that have performed VSB implantation in CAA was performed. Outcomes based on severity of the atresia using the Jahrsdoerfer and Yellon-Branstetter scoring systems were also evaluated. Data from 28 patients from the four centers revealed no iatrogenic facial nerve injuries or change in bone thresholds. Post-operative speech threshold and speech recognition was, respectively, 39 dB and 94%. Jahrsdoerfer and Yellon scores ranged from 4 to 9 and 4 to 12, respectively. The scores did not correlate to or predict outcomes. Three individual elements of the scores did correlate to initial, but not long-term outcomes. Atresiaplasty and BAHA in the management of CAA are not complete solutions. VSB may offer an alternative in these surgically complex patients for achieving amplification, though better metrics for patient selection need to be developed. LEVEL OF EVIDENCE : IV.</div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">24030853</PMID><DateCompleted><Year>2015</Year><Month>01</Month><Day>26</Day></DateCompleted><DateRevised><Year>2018</Year><Month>11</Month><Day>13</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1434-4726</ISSN><JournalIssue CitedMedium="Internet"><Volume>271</Volume><Issue>7</Issue><PubDate><Year>2014</Year><Month>Jul</Month></PubDate></JournalIssue><Title>European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery</Title><ISOAbbreviation>Eur Arch Otorhinolaryngol</ISOAbbreviation></Journal><ArticleTitle>Vibrant soundbridge in aural atresia: does severity matter?</ArticleTitle><Pagination><MedlinePgn>1917-21</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1007/s00405-013-2680-0</ELocationID><Abstract><AbstractText>Congenital aural atresia (CAA) poses significant challenges to surgical remediation. Both bone anchored hearing aids (BAHA) and the Vibrant Soundbridge (VSB) have been considered as alternatives or adjuncts to conventional atresiaplasty. A consensus statement on VSB implantation in children and adolescents recommended against implantation when the Jahrsdoerfer score was less than 8. More recent publications suggest that patients with Jahrsdoerfer scores between three and seven may benefit from VSB implantation. The purpose of this study was to further investigate the outcomes of VSB implantation in CAA. The study was a multi-center, retrospective review. A retrospective review of data (patient's demographic, clinical, implant and audiological information) from four collaborating centers that have performed VSB implantation in CAA was performed. Outcomes based on severity of the atresia using the Jahrsdoerfer and Yellon-Branstetter scoring systems were also evaluated. Data from 28 patients from the four centers revealed no iatrogenic facial nerve injuries or change in bone thresholds. Post-operative speech threshold and speech recognition was, respectively, 39 dB and 94%. Jahrsdoerfer and Yellon scores ranged from 4 to 9 and 4 to 12, respectively. The scores did not correlate to or predict outcomes. Three individual elements of the scores did correlate to initial, but not long-term outcomes. Atresiaplasty and BAHA in the management of CAA are not complete solutions. VSB may offer an alternative in these surgically complex patients for achieving amplification, though better metrics for patient selection need to be developed. LEVEL OF EVIDENCE : IV.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>McKinnon</LastName><ForeName>B J</ForeName><Initials>BJ</Initials><AffiliationInfo><Affiliation>Otology/Neurotology, Shea Ear Clinic, 6133 Poplar Pike, Memphis, TN, 38119, USA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Dumon</LastName><ForeName>T</ForeName><Initials>T</Initials></Author><Author ValidYN="Y"><LastName>Hagen</LastName><ForeName>R</ForeName><Initials>R</Initials></Author><Author ValidYN="Y"><LastName>Lesinskas</LastName><ForeName>E</ForeName><Initials>E</Initials></Author><Author ValidYN="Y"><LastName>Mlynski</LastName><ForeName>R</ForeName><Initials>R</Initials></Author><Author ValidYN="Y"><LastName>Profant</LastName><ForeName>M</ForeName><Initials>M</Initials></Author><Author ValidYN="Y"><LastName>Spindel</LastName><ForeName>J</ForeName><Initials>J</Initials></Author><Author ValidYN="Y"><LastName>Van Beek-King</LastName><ForeName>J</ForeName><Initials>J</Initials></Author><Author ValidYN="Y"><LastName>Zernotti</LastName><ForeName>M</ForeName><Initials>M</Initials></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType><PublicationType UI="D016448">Multicenter Study</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2013</Year><Month>09</Month><Day>13</Day></ArticleDate></Article><MedlineJournalInfo><Country>Germany</Country><MedlineTA>Eur Arch Otorhinolaryngol</MedlineTA><NlmUniqueID>9002937</NlmUniqueID><ISSNLinking>0937-4477</ISSNLinking></MedlineJournalInfo><SupplMeshList><SupplMeshName Type="Disease" UI="C564321">Aural Atresia, Congenital</SupplMeshName></SupplMeshList><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D000293" MajorTopicYN="N">Adolescent</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000328" MajorTopicYN="N">Adult</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000368" MajorTopicYN="N">Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D001309" MajorTopicYN="N">Auditory Threshold</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D002648" MajorTopicYN="N">Child</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000013" MajorTopicYN="N">Congenital Abnormalities</DescriptorName><QualifierName UI="Q000628" MajorTopicYN="Y">therapy</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D004423" MajorTopicYN="N">Ear</DescriptorName><QualifierName UI="Q000002" MajorTopicYN="Y">abnormalities</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006310" MajorTopicYN="Y">Hearing Aids</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D009998" MajorTopicYN="Y">Ossicular Prosthesis</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D012189" MajorTopicYN="N">Retrospective Studies</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D012720" MajorTopicYN="N">Severity of Illness Index</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D013067" MajorTopicYN="N">Speech Perception</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D016896" MajorTopicYN="N">Treatment Outcome</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D055815" MajorTopicYN="N">Young Adult</DescriptorName></MeshHeading></MeshHeadingList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="received"><Year>2013</Year><Month>07</Month><Day>26</Day></PubMedPubDate><PubMedPubDate PubStatus="accepted"><Year>2013</Year><Month>08</Month><Day>20</Day></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2013</Year><Month>9</Month><Day>14</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2013</Year><Month>9</Month><Day>14</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2015</Year><Month>1</Month><Day>27</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">24030853</ArticleId><ArticleId IdType="doi">10.1007/s00405-013-2680-0</ArticleId></ArticleIdList><ReferenceList><Reference><Citation>Otol Neurotol. 2011 Jan;32(1):108-15</Citation><ArticleIdList><ArticleId IdType="pubmed">21131892</ArticleId></ArticleIdList></Reference><Reference><Citation>Laryngoscope. 2011 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Dumon</name><name sortKey="Hagen, R" sort="Hagen, R" uniqKey="Hagen R" first="R" last="Hagen">R. Hagen</name><name sortKey="Lesinskas, E" sort="Lesinskas, E" uniqKey="Lesinskas E" first="E" last="Lesinskas">E. Lesinskas</name><name sortKey="Mlynski, R" sort="Mlynski, R" uniqKey="Mlynski R" first="R" last="Mlynski">R. Mlynski</name><name sortKey="Profant, M" sort="Profant, M" uniqKey="Profant M" first="M" last="Profant">M. Profant</name><name sortKey="Spindel, J" sort="Spindel, J" uniqKey="Spindel J" first="J" last="Spindel">J. Spindel</name><name sortKey="Van Beek King, J" sort="Van Beek King, J" uniqKey="Van Beek King J" first="J" last="Van Beek-King">J. Van Beek-King</name><name sortKey="Zernotti, M" sort="Zernotti, M" uniqKey="Zernotti M" first="M" last="Zernotti">M. Zernotti</name></noCountry><country name="États-Unis"><noRegion><name sortKey="Mckinnon, B J" sort="Mckinnon, B J" uniqKey="Mckinnon B" first="B J" last="Mckinnon">B J Mckinnon</name></noRegion></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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