Sensory Neural Deafness Correction-Vibrant Sound Bridge Implant

Vibrant Sound Bridge is, designed for mild to severe sensorineural hearing loss or conductive and mixed hearing losses and can amend the quality of life. Normal hearing aids only help in making the sounds louder, whereas the Vibrant Sound Bridge converts sounds from the environment into mechanical vibrations. The middle ear structures are stimulated for exceptional high frequency sound perception using this mechanical energy, thereby providing an enhanced signal. Vibrant Sound Bridge is the alternative for individuals who cannot exercise or are unsatisfied with conventional hearing aids or bone conduction devices. It is designed for hearing-impaired people with mild to severe hearing loss. Vibrant Sound bridge is an FDA approved semi-implantable device that for the treatment of sensorineural hearing loss. The Vibrant Sound Bridge is the only middle ear implant system that is attached to one single structure in the middle ear and not to the skull. This will not interfere with skull growth and therefore suitable for children.

Surgery for Deafness correction

The surgical correction procedure depends on the cause of hearing loss.

Conductive hearing loss can be surgically corrected using Canalplasty, tympanoplasty, with or without ossicular reconstruction, and stapedectomy.
  • Canalplasty: It resolves the obstruction of the external ear canal caused by congenital or acquired reasons by creating a new ear canal. This results in improved hearing.
  • Tympanoplasty: Repair of the perforation is performed either through the ear canal or by an incision behind the eardrum.
  • Ossicular Reconstruction: Ossicular reconstruction is used for the correction of partially destroyed middle ear hearing bones. It is usually performed through the ear canal. The repair typically utilizes a prosthesis made of titanium.
  • Stapedectomy: Involves the removal of stapes, which decreases vibration of sound within the ear.
Sensorineural Hearing Loss can be corrected using Cochlear Implant or Bone Anchored Hearing Aid

Stapes surgery

The stapes is one of the three bones and the smallest bones in the middle ear. It transmits sound from incus to the inner ear. The abnormal mineralization of the temporal bone called otosclerosis, congenital malformation of the stapes bone can lead to stapes fixation. The ear surgery involving the removal of the top part of the stapes and a prosthesis is then suspended from the long arm of the incus and placed though the stapedial footplate is called Stapedectomy. A stapedectomy is a middle ear surgery performed to correct hearing. A modified hearing surgery on stapes, called a stapedotomy makes a tiny hole in the footplate instead of removing the whole stapes with a micro drill or with a laser. This surgery can most safely open the base of the stapes with minimal trauma to the delicate inner ear structures beneath. The success rates of this surgery are excellent, and the risks to surgery are low. This procedure can be further improved by the use of a tissue graft seal of the fenestra. Laser stapedotomy is a well-established surgical technique for treating conductive hearing loss due to otosclerosis. The CO2 laser allows the surgeon to create very small, precisely placed holes without increasing the temperature of the inner ear fluid by more than one degree. Stapes surgery rarely is done in infants or children with congenital stapes fixation due to the risk of permanent hearing loss following stapes surgery.
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