title: Active middle ear implant coupled bilaterally to the round window despite bilateral implanted stapes prostheses.
abstract: After stapes surgery, patients with mixed or moderate hearing loss have limited possibilities for hearing improvement. We are reporting on a patient who underwent stapedotomy bilaterally 20 years ago and had sensorineural and mixed hearing loss. Recurrent otitis externa prevented the use of hearing aids. This patient was treated bilaterally with the Vibrant Soundbridge (Med-El, Innsbruck, Austria) successively. The Schuknecht piston stapes prostheses remained in situ. The Floating Mass Transducer (FMT; Med-El) was coupled to the round window (RW) and provided good acoustic reinforcement bilaterally. In conclusion, for patients with otosclerosis and stapes surgery, the FMT-RW coupling (Bess AG, Berlin, DE) is a safe procedure with good acoustic amplification. Laryngoscope, 2016 127:500-503, 2017.
authors.affiliation: Department of Otorhinolaryngology, Head and Neck Surgery, Charité-Universitätsmedizin Berlin, Campus Benjamin Franklin, Berlin, Germany.
authors.forename: Annekatrin
authors.initials: A
authors.lastname: Coordes
authors.affiliation: Department of Otorhinolaryngology, Head and Neck Surgery, Charité-Universitätsmedizin Berlin, Campus Benjamin Franklin, Berlin, Germany.|Department of Otorhinolaryngology, Head and Neck Surgery and Plastic Surgery, HELIOS-Klinikum, Bad Saarow, Germany.
authors.forename: Linda
authors.initials: L
authors.lastname: Jahreiss
authors.affiliation: Department of Otorhinolaryngology, Head and Neck Surgery, Charité-Universitätsmedizin Berlin, Campus Benjamin Franklin, Berlin, Germany.
authors.forename: Uwe
authors.initials: U
authors.lastname: Schönfeld
authors.affiliation: Department of Otorhinolaryngology, Head and Neck Surgery, Charité-Universitätsmedizin Berlin, Campus Benjamin Franklin, Berlin, Germany.
authors.forename: Minoo
authors.initials: M
authors.lastname: Lenarz
mesh_terms: D001301:Audiometry, Pure-Tone; D018424:Cholesteatoma, Middle Ear / Q000601:surgery*; D005260:Female; D006312:Hearing Loss, Bilateral / Q000601:surgery*; D046089:Hearing Loss, Mixed Conductive-Sensorineural / Q000601:surgery*; D006319:Hearing Loss, Sensorineural / Q000601:surgery*; D006801:Humans; D008875:Middle Aged; D009998:Ossicular Prosthesis; D010040:Otosclerosis / Q000601:surgery; D011183:Postoperative Complications / Q000601:surgery; D012405:Round Window, Ear / Q000601:surgery*; D013201:Stapes Surgery
keywords: Schuknecht piston; active middle ear implant; otosclerosis; power stapes; stapes plastic; vibrant soundbridge