Simultaneous operations of vibrant soundbridge implantation and auricular reconstruction for patients with microtia and atresia
10.3760/cma.j.issn.1009-4598.2019.03.007
- VernacularTitle: 振动声桥置入与耳廓再造同期手术治疗先天性外中耳畸形
- Author:
Chunli ZHAO
1
;
Shouqin ZHAO
1
;
Qingguo ZHANG
2
;
Jie LI
1
;
Danni WANG
1
;
Ran REN
1
;
Peiwei CHEN
1
Author Information
1. Department of Otolaryngology Head and Neck Surgery, Beijing Tongren Hospital, Capital Medical University, Ministry of Education Key Laboratory of Otolaryngology Head and Neck Surgery, Capital Medical University, Beijing 100730, China
2. Department Four of Plastic Surgery, Chinese Academy of Medical Sciences, Beijing 100144, China
- Publication Type:Clinical Trail
- Keywords:
Hearing loss, conductive;
Middle ear implant;
Congenital microtia
- From:
Chinese Journal of Plastic Surgery
2019;35(3):248-253
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To discuss the safety and efficacy of simultaneous procedures of vibrant soundbridge implantation and auricular reconstruction with congenital external and middle ear malformation.
Methods:This is a retrospective study, including 6 patients, 5 boys and 1 girl, aged 7-12 years. All patients received simultaneous operations of vibrant soundbridge implantation and auricular reconstruction. The mean preoperative air conduction threshold was 64.8 dB HL at 0.5, 1, 2, and 4 kHz. The VSB was placed in the third stage of auricle reconstruction, if the soft tissue expansion was performed; otherwise, the VSB was implanted in the second stage. The satisfaction with reconstructed auricle, surgical complications, hearing improvement and speech discrimination scores were evaluated 6 months after surgery.
Results:All patients and their families reported satisfaction with their reconstructed auricle. There was no complications, including cartilage framework exposion, infection, hematoma, skin flap necrosis, facial paralysis, tinnitus, vertigo or others. Post-operatively, mean VSB-aided hearing threshold was 36.7 dB HL, which was reduced by 28.1 dB HL. The mean speech discrimination scores measured in a sound field with a presentation level of 65 dB SPL and 80 dB SPL were improved.
Conclusions:The simultaneous operations of auricle reconstruction and Vibrant Soundbridge implantation is an alternative method for patients with congenital microtia and atresia.
