Active Middle Ear Implants (Advances in by K. Boheim

By K. Boheim

Lately, equipment for coupling energetic implants to the center ear, around window or combos of passive heart ear prostheses have improved significantly. sufferer choice standards have multiplied from basically sensorineural listening to losses to conductive and combined listening to losses in difficult-to-treat ears. This publication takes into account lately constructed tools in addition to units in present use. It starts with a desirable and actual heritage of lively center ear implants, written via one of many major pioneers within the box. within the following chapters, top scientists and clinicians talk about the appropriate themes in otology and audiology. remedies for sensorineural listening to loss, conductive and combined listening to losses, and effects on replacement coupling websites akin to the stapes footplate and the oval window also are lined, in addition to articles on candidacy and cost-effectiveness. This e-book is a needs to for ENT execs and surgeons searching out the newest wisdom on present examine and scientific purposes of energetic center ear implants for every type of listening to loss.

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Extra info for Active Middle Ear Implants (Advances in Oto-Rhino-Laryngology, Vol. 69)

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B Pre- and postoperative speech recognition thresholds in dB SPL (A) for 50% correct recognition of words in sentences. Lower thresholds represent better performance. When preoperative data bars are not present, it is because subjects were unable to complete the task, and the data are labeled as ‘could not test’ (CNT). c Pre- and postoperative SNRs in dB SPL (A) for 50% correct recognition of words in sentences in a background of speech (OLSA) shaped noise presented at 60 dB SPL (A). Smaller, more negative numbers reflect better performance.

20 Snik AF, van Duijnhoven NT, Mylanus EA, Cremers CW: Estimated cost-effectiveness of active middle-ear implantation in hearing-impaired patients with severe external otitis. Arch Otolaryngol Head Neck Surg 2006; 132:1210–1215. 21 Ball GR, Huber A, Goode RL: Scanning laser Doppler vibrometry of the middle ear ossicles. Ear Nose Throat J 1997; 76:213–218, 220, 222. 22 Tjellstrom A, Luetje CM, Hough JV, Arthur B, Hertzmann P, Katz B, Wallace P: Acute human trial of the floating mass transducer. Ear Nose Throat J 1997;76:204–206, 209–210.

5 2 3 4 0 10 20 30 40 50 60 70 80 90 100 110 The Carina AMEI The Carina is a fully implantable AMEI. It consists of an implant body, the programming system, the charging set and the remote control. The implant itself includes electronic components, a microphone and a middle ear transducer. Sound is received by the microphone, amplified and transported as an electronic signal via the transducer to the middle ear. The transducer vibrates and delivers information to the incus. The charging set is used to recharge the implant battery across the patient’s skin.

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