Over three-year outcomes of Bonebridge implantation in children and adolescents with congenital bilateral conductive hearing loss

IF 1.6 4区医学 Q2 OTORHINOLARYNGOLOGY

Auris Nasus Larynx Pub Date : 2025-02-27 DOI:10.1016/j.anl.2025.02.007

Yuan Wang, Jikai Zhu, Yujie Liu, Danni Wang, Shouqin Zhao

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引用次数: 0

Abstract

Objective

Investigation of the long-term performance and safety of Bonebridge in children and adolescents with congenital bilateral conductive hearing loss (BCHL) over 3 years post-implantation.

Methods

20 children and adolescents diagnosed with congenital BCHL underwent Bonebridge implantation over 36 months were enrolled. Preoperative and final follow-up pure-tone average (PTA) results were recorded, and whether postoperative complications occurred. All patients tested under two listening conditions: (1) unaided, (2) Bonebridge aided. The speech reception thresholds (SRTs), speech discrimination scores (SDSs) and sound field hearing thresholds (SFHTs) were measured. The mean absolute error (MAE) of sound source localization was calculated to assess the sound localization accuracy.

Results

The median age of 20 patients underwent Bonebridge implantation was 9 years old, and follow-up time was 55 months. There were no difference in PTA air conduction and bone conduction between preoperative with postoperative. The performance in SRTs, SDSs and SFHTs were significantly higher in the Bonebridge aided condition than that in the unaided. Concerning sound source localization, the accuracy of localization exhibited a sharp decline when using a single side Bonebridge. However, their sound localization abilities on the Bonebridge implantation same side remained unaffected. One patient had implant exposure, and completed the experiment with the exposed Bonebridge, then underwent a revision surgery. All other complications were resolved by conservative treatment.

Conclusion

The performance and safety of Bonebridge were established in children and adolescents with congenital BCHL over 3 years post-implantation.

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骨桥植入术治疗先天性双侧传导性听力损失儿童和青少年的三年多疗效

目的探讨骨桥在儿童和青少年先天性双侧传导性听力损失（BCHL）患者植入术后3年以上的长期疗效和安全性。方法选取20例诊断为先天性BCHL的儿童和青少年，在36个月内行骨桥植入术。记录术前和终期随访纯音平均（PTA）结果，以及术后是否发生并发症。所有患者在两种听力条件下进行测试：(1)无辅助，(2)骨桥辅助。测量语音接收阈值（SRTs）、语音辨别评分（SDSs）和声场听力阈值（SFHTs）。通过计算声源定位的平均绝对误差（MAE）来评估声源定位的精度。结果20例患者中位年龄为9岁，随访55个月。术前与术后PTA空气传导及骨传导均无差异。骨桥辅助条件下srt、SDSs和SFHTs的表现显著高于无辅助条件下。在声源定位方面，单面骨桥定位精度明显下降。然而，他们在骨桥植入的同侧的声音定位能力不受影响。一名患者暴露了种植体，并完成了暴露的骨桥实验，然后进行了翻修手术。其他并发症均经保守治疗消除。结论骨桥在儿童和青少年先天性BCHL患者中应用3年以上，具有良好的疗效和安全性。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Auris Nasus Larynx 医学-耳鼻喉科学

CiteScore

3.40

自引率

5.90%

发文量

169

审稿时长

30 days

期刊介绍： The international journal Auris Nasus Larynx provides the opportunity for rapid, carefully reviewed publications concerning the fundamental and clinical aspects of otorhinolaryngology and related fields. This includes otology, neurotology, bronchoesophagology, laryngology, rhinology, allergology, head and neck medicine and oncologic surgery, maxillofacial and plastic surgery, audiology, speech science. Original papers, short communications and original case reports can be submitted. Reviews on recent developments are invited regularly and Letters to the Editor commenting on papers or any aspect of Auris Nasus Larynx are welcomed. Founded in 1973 and previously published by the Society for Promotion of International Otorhinolaryngology, the journal is now the official English-language journal of the Oto-Rhino-Laryngological Society of Japan, Inc. The aim of its new international Editorial Board is to make Auris Nasus Larynx an international forum for high quality research and clinical sciences.