Journal of Audiology & Otology

The Korean Audiology Society (대한청각학회)
권호 표지
DOI QR코드

DOI QR Code

Hearing Rehabilitation with Combined Electroacoustic Stimulation and Ossiculoplasty

  • Lee, Jeon Mi (Department of Otorhinolaryngology, Ilsan Paik Hospital, Inje University College of Medicine) ;
  • Na, Gina (Department of Otorhinolaryngology, Yonsei University College of Medicine) ;
  • Choi, Jae Young (Department of Otorhinolaryngology, Yonsei University College of Medicine)
  • Received : 2020.04.03
  • Accepted : 2020.07.24
  • Published : 2021.04.20
⟨ Previous Next ⟩

Abstract

We report a case of hearing rehabilitation following combined cochlear implantation and ossiculoplasty. A 71-year-old patient visited the clinic for right-sided mixed hearing loss. We targeted neural and conductive components, performing two different operations simultaneously. At two months post-operative, the patient showed satisfactory results with respect to hearing threshold and speech comprehension. Our experience suggests that careful evaluation of patients and consideration of the diverse array of available treatment strategies can be used to provide personalized rehabilitation with maximal effectiveness. To the best of our knowledge, this is the first report to take such an integrated approach to treat hearing impairment and is thus likely to have clinical importance for otologists.

Keywords

Acknowledgement

This work was supported by the National Research Foundation of Korea (NRF) grant funded by the Korea government (MSIT) (No. 2019R1C1C1006341).

References

  1. Carlsson PI, Hjaldahl J, Magnuson A, Ternevall E, Eden M, Skagerstrand A, et al. Severe to profound hearing impairment: quality of life, psychosocial consequences and audiological rehabilitation. Disabil Rehabil 2015;37:1849-56. https://doi.org/10.3109/09638288.2014.982833
  2. Reinfeldt S, Hakansson B, Taghavi H, Freden Jansson KJ, Eeg-Olofsson M. The bone conduction implant: clinical results of the first six patients. Int J Audiol 2015;54:408-16. https://doi.org/10.3109/14992027.2014.996826
  3. Zwartenkot JW, Hashemi J, Cremers CW, Mulder JJ, Snik AF. Active middle ear implantation for patients with sensorineural hearing loss and external otitis: long-term outcome in patient satisfaction. Otol Neurotol 2013;34:855-61. https://doi.org/10.1097/mao.0b013e31828f47c2
  4. Goffi-Gomez MV, Magalhaes AT, Brito Neto R, Tsuji RK, Gomes Mde Q, Bento RF. Auditory brainstem implant outcomes and MAP parameters: report of experiences in adults and children. Int J Pediatr Otorhinolaryngol 2012;76:257-64. https://doi.org/10.1016/j.ijporl.2011.11.016
  5. Lee HJ, Lee JM, Choi JY, Jung J. Evaluation of maximal speech intelligibility with vibrant soundbridge in patients with sensorineural hearing loss. Otol Neurotol 2017;38:1246-50. https://doi.org/10.1097/MAO.0000000000001537
  6. Lee JM, Jung J, Moon IS, Kim SH, Choi JY. Benefits of active middle ear implants in mixed hearing loss: stapes versus round window. Laryngoscope 2017;127:1435-41. https://doi.org/10.1002/lary.26244
  7. Baumgartner WD, Boheim K, Hagen R, Muller J, Lenarz T, Reiss S, et al. The vibrant soundbridge for conductive and mixed hearing losses: European multicenter study results. Adv Otorhinolaryngol 2010;69:38-50.
  8. Zhang T, Spahr AJ, Dorman MF. Frequency overlap between electric and acoustic stimulation and speech-perception benefit in patients with combined electric and acoustic stimulation. Ear Hear 2010;31:195-201. https://doi.org/10.1097/AUD.0b013e3181c4758d
  9. Talbot KN, Hartley DE. Combined electro-acoustic stimulation: a beneficial union? Clin Otolaryngol 2008;33:536-45. https://doi.org/10.1111/j.1749-4486.2008.01822.x
  10. Roland PS, Wright CG. Surgical aspects of cochlear implantation: mechanisms of insertional trauma. Adv Otorhinolaryngol 2006;64:11-30.
  11. Mick P, Amoodi H, Shipp D, Friesen L, Symons S, Lin V, et al. Hearing preservation with full insertion of the FLEXsoft electrode. Otol Neurotol 2014;35:e40-4. https://doi.org/10.1097/mao.0b013e318291c66d
  12. Gantz BJ, Turner CW. Combining acoustic and electrical hearing. Laryngoscope 2003;113:1726-30. https://doi.org/10.1097/00005537-200310000-00012
  13. Reiss LA, Turner CW, Karsten SA, Gantz BJ. Plasticity in human pitch perception induced by tonotopically mismatched electro-acoustic stimulation. Neuroscience 2014;256:43-52. https://doi.org/10.1016/j.neuroscience.2013.10.024
  14. Arndt S, Prosse S, Laszig R, Wesarg T, Aschendorff A, Hassepass F. Cochlear implantation in children with single-sided deafness: does aetiology and duration of deafness matter? Audiol Neurootol 2015;20 Suppl 1:21-30. https://doi.org/10.1159/000380744
  15. Buchsenschutz K, Arnolds J, Bagus H, Fahimi F, Gunnicker M, Lang S, et al. [Surgical risk profile and audiological outcome in the elderly after cochlea-implantation.]. Laryngorhinootologie 2015;94:670-5.