[Coupling of active middle ear implants-biomechanical aspects].
Ankopplung aktiver Mittelohrimplantate – biomechanische Aspekte.
Audiologic rehabilitation
Biomechanics
Hearing aid
Mixed conductive sensorineural hearing loss
Prostheses and implants
Journal
HNO
ISSN: 1433-0458
Titre abrégé: HNO
Pays: Germany
ID NLM: 2985099R
Informations de publication
Date de publication:
Jun 2021
Jun 2021
Historique:
accepted:
19
10
2020
pubmed:
11
2
2021
medline:
4
6
2021
entrez:
10
2
2021
Statut:
ppublish
Résumé
Active middle ear implants or implantable hearing aids are used to treat sensorineural or combined hearing loss. Their coupling to the middle ear structures has a large impact on the success of rehabilitation. Practical issues such as the coupling site, influence of middle ear status, and forward and backward excitation of the inner ear are discussed in the context of biomechanics. For this purpose, experimental studies, model simulations, and current literature data are evaluated. The explanations are intended to contribute to a better understanding of certain procedures in hearing rehabilitation with active implants. Aktive Mittelohrimplantate bzw. implantierbare Hörgeräte kommen bei sensorineuraler oder kombinierter Schwerhörigkeit zum Einsatz. Ihre Ankopplung an die Mittelohrstrukturen hat großen Einfluss auf den Rehabilitationserfolg. Praktische Fragestellungen, wie der Ankopplungsort, Einfluss des Mittelohrstatus sowie Vorwärts- und Rückwärtsanregung des Innenohrs, werden im Kontext der Biomechanik erörtert. Dazu werden experimentelle Untersuchungen, Modellsimulationen und aktuelle Literaturdaten ausgewertet. Ziel der Ausführungen ist es, zu einem besseren Verständnis für bestimmte Vorgehensweisen bei der Hörrehabilitation mit aktiven Implantaten beizutragen.
Autres résumés
Type: Publisher
(ger)
Aktive Mittelohrimplantate bzw. implantierbare Hörgeräte kommen bei sensorineuraler oder kombinierter Schwerhörigkeit zum Einsatz. Ihre Ankopplung an die Mittelohrstrukturen hat großen Einfluss auf den Rehabilitationserfolg. Praktische Fragestellungen, wie der Ankopplungsort, Einfluss des Mittelohrstatus sowie Vorwärts- und Rückwärtsanregung des Innenohrs, werden im Kontext der Biomechanik erörtert. Dazu werden experimentelle Untersuchungen, Modellsimulationen und aktuelle Literaturdaten ausgewertet. Ziel der Ausführungen ist es, zu einem besseren Verständnis für bestimmte Vorgehensweisen bei der Hörrehabilitation mit aktiven Implantaten beizutragen.
Identifiants
pubmed: 33566126
doi: 10.1007/s00106-021-00994-6
pii: 10.1007/s00106-021-00994-6
doi:
Types de publication
Journal Article
Review
Langues
ger
Sous-ensembles de citation
IM
Pagination
464-474Références
ASTM (2005) Standard practice for describing system output of Implantable middle ear hearing devices. ASTM Volume 13.02 Medical and Surgical Materials and Devices (II). ASTM, ASTM
Beleites T, Neudert M, Bornitz M, Zahnert T (2014) Sound transfer of active middle ear implants. Otolaryngol Clin North Am 47:859–891. https://doi.org/10.1016/j.otc.2014.08.001
doi: 10.1016/j.otc.2014.08.001
pubmed: 25444761
Beltrame AM, Todt I, Sprinzl G et al (2014) Consensus statement on round window vibroplasty. Ann Otol Rhinol Laryngol 123:734–740. https://doi.org/10.1177/0003489414534013
doi: 10.1177/0003489414534013
pubmed: 24842869
Bornitz M, Hardtke H‑J, Zahnert T (2010) Evaluation of implantable actuators by means of a middle ear simulation model. Hear Res 263:145–151. https://doi.org/10.1016/j.heares.2010.02.007
doi: 10.1016/j.heares.2010.02.007
pubmed: 20156543
Decraemer WF, de La Rochefoucauld O, Funnell WRJ, Olson ES (2014) Three-dimensional vibration of the malleus and incus in the living gerbil. J Assoc Res Otolaryngol 15:483–510
pubmed: 24691793
pmcid: 4141429
Devèze A, Koka K, Tringali S et al (2013) Techniques to improve the efficiency of a middle ear implant: effect of different methods of coupling to the ossicular chain. Otol Neurotol 34:158–166. https://doi.org/10.1097/MAO.0b013e3182785261
doi: 10.1097/MAO.0b013e3182785261
pubmed: 23196747
Frear DL, Guan X, Stieger C et al (2018) Impedances of the inner and middle ear estimated from intracochlear sound pressures in normal human temporal bones. Hear Res 367:17–31. https://doi.org/10.1016/j.heares.2018.06.019
doi: 10.1016/j.heares.2018.06.019
pubmed: 30015103
pmcid: 6923800
Grossöhmichen M, Salcher R, Lenarz T, Maier H (2016) The effect of simulated mastoid obliteration on the mechanical output of electromagnetic transducers. Otol Neurotol 37:919–925. https://doi.org/10.1097/MAO.0000000000001062
doi: 10.1097/MAO.0000000000001062
pubmed: 27228016
Grossöhmichen M, Waldmann B, Salcher R et al (2017) Validation of methods for prediction of clinical output levels of active middle ear implants from measurements in human cadaveric ears. Sci Rep 7:15877
doi: 10.1038/s41598-017-16107-9
Gyo K, Aritomo H, Goode RL (1987) Measurement of the ossicular vibration ratio in human temporal bones by use of a video measuring system. Acta Otolaryngol 103:87–95
doi: 10.3109/00016488709134702
Huber AM, Ball GR, Veraguth D et al (2006) A new implantable middle ear hearing device for mixed hearing loss: a feasibility study in human temporal bones. Otol Neurotol 27:1104–1109. https://doi.org/10.1097/01.mao.0000244352.49824.e6
doi: 10.1097/01.mao.0000244352.49824.e6
pubmed: 17031322
Hüttenbrink K‑B, Zahnert T, Bornitz M, Beutner D (2008) TORP-vibroplasty: a new alternative for the chronically disabled middle ear. Otol Neurotol 29:965–971. https://doi.org/10.1097/MAO.0b013e318185fad8
doi: 10.1097/MAO.0b013e318185fad8
pubmed: 18818544
Ihler F, Köhler S, Meyer AC et al (2014) Mastoid cavity obliteration and vibrant soundbridge implantation for patients with mixed hearing loss: mastoid cavity and vibrant soundbridge. Laryngoscope 124:531–537. https://doi.org/10.1002/lary.24180
doi: 10.1002/lary.24180
pubmed: 23918587
Jenkins HA, Pergola N, Kasic J (2007) Intraoperative ossicular loading with the Otologics fully implantable hearing device. Acta Otolaryngol 127:360–364. https://doi.org/10.1080/00016480601089424
doi: 10.1080/00016480601089424
pubmed: 17453454
Kahue CN, Carlson ML, Daugherty JA et al (2014) Middle ear implants for rehabilitation of sensorineural hearing loss: a systematic review of FDA approved devices. Otol Neurotol 35:1228–1237. https://doi.org/10.1097/MAO.0000000000000341
doi: 10.1097/MAO.0000000000000341
pubmed: 24643033
Kließ MK, Ernst A, Wagner J, Mittmann P (2018) The development of active middle ear implants: a historical perspective and clinical outcomes. Laryngoscope Investig Otolaryngol. https://doi.org/10.1002/lio2.215
doi: 10.1002/lio2.215
pubmed: 30410994
pmcid: 6209610
Koch M, Eßinger TM, Angerer M et al (2019) Static and dynamic forces in the Incudostapedial joint gap. Hear Res 378:92–100. https://doi.org/10.1016/j.heares.2019.02.004
doi: 10.1016/j.heares.2019.02.004
pubmed: 30833144
Kroll K, Grant IL, Javel E (2002) The envoy® totally Implantable hearing system, St. Croix medical. Trends Amplif 6:73–80
doi: 10.1177/108471380200600208
Lasurashvili N, Lailach S, Seidler H et al (2020) Fully implantable active middle ear implants after subtotal petrosectomy with fat obliteration: preliminary clinical results. Otol Neurotol 41:e912–e920. https://doi.org/10.1097/MAO.0000000000002797
doi: 10.1097/MAO.0000000000002797
pubmed: 32658109
Leysieffer H (1997) Principle requirements for an electromechanical transducer for implantable hearing aids in inner ear hearing loss. I: technical and audiologic aspects. HNO 45:775–786
doi: 10.1007/s001060050156
Liu H, Rao Z, Huang X et al (2014) An incus-body driving type piezoelectric middle ear implant design and evaluation in 3D computational model and temporal bone. Sci World J. https://doi.org/10.1155/2014/121624
doi: 10.1155/2014/121624
Lüers JC, Beutner D, Hüttenbrink K‑B (2011) Implantierbare Hörgeräte. HNO 59:980–987. https://doi.org/10.1007/s00106-011-2402-0
doi: 10.1007/s00106-011-2402-0
pubmed: 21956678
Marino R, Linton N, Eikelboom RH et al (2013) A comparative study of hearing aids and round window application of the vibrant sound bridge (VSB) for patients with mixed or conductive hearing loss. Int J Audiol 52:209–218. https://doi.org/10.3109/14992027.2012.750431
doi: 10.3109/14992027.2012.750431
pubmed: 23527900
Mlynski R, Dalhoff E, Heyd A et al (2015) Standardized active middle-ear implant coupling to the short incus process. Otol Neurotol 36:1390–1398. https://doi.org/10.1097/MAO.0000000000000822
doi: 10.1097/MAO.0000000000000822
pubmed: 26247138
Müller C (2019) Untersuchungen zum Einfluss der Trommelfellrekonstruktion auf das Mittelohrübertragungsverhalten nach Mittelohrrekonstruktion mit aktiven Implantaten – Simulation postoperativer Belüftungsstörungen. Dissertation. TU Dresden, Medizinische Fakultät, Dresden
Müller C, Zahnert T, Neudert M et al (2019) Vibroplasty combined with tympanic membrane reconstruction in middle ear ventilation disorders. Hear Res 378:166–175. https://doi.org/10.1016/j.heares.2019.02.012
doi: 10.1016/j.heares.2019.02.012
pubmed: 30878272
Müller M, Salcher R, Lenarz T, Maier H (2017) The Hannover coupler: controlled static Prestress in round window stimulation with the floating mass transducer. Otol Neurotol 38:1186–1192. https://doi.org/10.1097/MAO.0000000000001484
doi: 10.1097/MAO.0000000000001484
pubmed: 28657955
Nakajima HH, Dong W, Olson ES et al (2010) Evaluation of round window stimulation using the floating mass transducer by intracochlear sound pressure measurements in human temporal bones. Otol Neurotol 31:506–511. https://doi.org/10.1097/MAO.0b013e3181c0ea9f
doi: 10.1097/MAO.0b013e3181c0ea9f
pubmed: 19841600
pmcid: 2854861
Neudert M, Bornitz M, Lasurashvili N et al (2016) Impact of prosthesis length on tympanic membrane’s and annular ligament’s stiffness and the resulting middle ear sound transmission. Otol Neurotol 37:e369–e376. https://doi.org/10.1097/MAO.0000000000001064
doi: 10.1097/MAO.0000000000001064
pubmed: 27631661
Raphael F (2020) Übertragungsverhalten elektromechanischer Aktoren bei Anregung unterschiedlicher Mittelohrstrukturen im humanen Felsenbeinmodell. Dissertation. TU Dresden, Medizinische Fakultät, HNO-Klinik, Dresden
Rosowski JJ, Chien W, Ravicz ME, Merchant SN (2007) Testing a method for quantifying the output of implantable middle ear hearing devices. Audiol Neurootol 12:265–276. https://doi.org/10.1159/000101474
doi: 10.1159/000101474
pubmed: 17406105
pmcid: 2596735
Rosowski JJ, Merchant SN (1995) Mechanical and acoustic analysis of middle ear reconstruction. Am J Otol 16:486–497
pubmed: 8588650
Schraven SP, Dalhoff E, Wildenstein D et al (2014) Alternative fixation of an active middle ear implant at the short incus process. Audiol Neurootol 19:1–11. https://doi.org/10.1159/000354981
doi: 10.1159/000354981
pubmed: 24192762
Schraven SP, Rak K, Cebulla M et al (2018) Surgical impact of coupling an active middle ear implant to short incus process. Otol Neurotol. https://doi.org/10.1097/MAO.0000000000001830
doi: 10.1097/MAO.0000000000001830
pubmed: 30289846
Stoppe T, Bornitz M, Lasurashvili N et al (2018) Function, applicability, and properties of a novel flexible total ossicular replacement prosthesis with a silicone coated ball and socket joint. Otol Neurotol 39:739–747. https://doi.org/10.1097/MAO.0000000000001797
doi: 10.1097/MAO.0000000000001797
pubmed: 29794685
Wullstein H (1956) Theory and practice of tympanoplasty. Laryngoscope 66:1076–1093. https://doi.org/10.1288/00005537-195608000-00008
doi: 10.1288/00005537-195608000-00008
pubmed: 13358259
Zahnert T, Bornitz M, Hüttenbrink KB (2010) Experiments on the coupling of an active middle ear implant to the stapes footplate. In: Adv Otorhinolaryngol. S. Karger AG/Department of Otorhinolaryngology, University Clinic of Dresden, Dresden, S 32–37
Zenner HP (1997) Principle requirements of an electromechanical transducer for implantable hearing aids in inner hearing hearing loss. II: Clinical aspects]. HNO 45:787–791
doi: 10.1007/s001060050157
Zhang J, Tian J, Ta N, Rao Z (2019) Finite element analysis of round-window stimulation of the cochlea in patients with stapedial otosclerosis. J Acoust Soc Am 146:4122–4130. https://doi.org/10.1121/1.5134770
doi: 10.1121/1.5134770
pubmed: 31893738
Zhang J, Zou D, Tian J et al (2019) A comparative finite-element analysis of acoustic transmission in human cochlea during forward and reverse stimulations. Appl Acoust 145:278–289. https://doi.org/10.1016/j.apacoust.2018.10.023
doi: 10.1016/j.apacoust.2018.10.023