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Author: admin, 21.01.2014. Category: Tinnitus Causes And Cures

Middle ear implants are available to hearing-impaired patients who are dissatisfied with conventional hearing aids.
The Vibrant Soundbridge is a semi-implantable device that has been FDA approved for the treatment of sensorineural hearing loss. The Vibrant Soundbridge utilizes a hearing technology that directly drives the ossicular chain (middle ear bones), bypassing the ear canal and tympanic membrane. The externally-worn receiver, called the Audio Processor™ (approximately the size of a quarter). The Soundbridge is a direct drive device which mechanically vibrates the bones in the middle ear without surgically altering the structures of the middle ear. The tiny Floating Mass Transducer™, attached to the incus bone in the middle ear, is approximately the size of a grain of rice. The external audio processor picks up the sound from the environment and transmits it across the skin to the receiver of the VORP. The Soundbridge is not a cochlear implant and it is not currently approved for conductive hearing loss. Hearing aids, which are worn in the ear canal, amplify sound acoustically in order to increase the movement of the eardrum and indirectly vibrate the middle ear bones.
With nothing in the ear canal, the Soundbridge is a particularly good treatment option for current hearing aid wearers who suffer from occlusion or feedback, and those who are looking for better sound quality or improved cosmetics. The procedure to implant the Soundbridge is done on an outpatient basis and it takes approximately one and a half to two hours.
Many private insurance companies-- HMO, PPO, or fee for service -- cover the Soundbridge implant procedure. Our physicians and ancillary providers are respected and use their expertise to deliver efficient and advanced techniques to allow our patients to resume their busy lives.
Many years of medical practice management experience guide the daily delivery of the administrative duties in St Louis Ear. Any questions you may have, we will gladly address promptly to assist you with your hearing aid service and medical care. Communication and cooperation are important elements of the office policies of St Louis Ear.
Providing patient education helps to increase the understanding of what can be done to improve health and hearing. The Vibrant Soundbridge has been shown to be a safe alternative to hearing aids in people with sensorineural, or nerve hearing loss who cannot or do not wish to wear a hearing aid. It is 100 percent digital and is programmed by an Audiologist eight weeks after the implant procedure to fit the user's specific hearing loss.
The signal is then transmitted to the Floating Mass Transducer (FMT) causing it to vibrate.

Cochlear implants are for the estimated 10 percent of the hearing-impaired population who suffer from severe to profound hearing loss. In contrast, the Soundbridge provides an enhanced signal to the inner ear by directly vibrating the middle ear bones while leaving the ear canal open and the eardrum undisturbed. For many patients who cannot wear hearing aids due to medical necessity, a middle ear implant like the Soundbridge is the only available alternative. Occlusion is the sensation of hearing distorted, muffled sounds experienced when an object blocks the ear canal. Implant patients are exposed to the normal risks of middle ear surgery and general anesthesia. Maw for the treatment of conductive and mixed hearing losses, which can occur in patients with chronic disease of the middle ear.
These tumors grow slowly and , in some cases, it is warranted to watch the tumor and see if it is growing. In most cases, the special radiation treatment known as stereotactic radiotherapy will stop tumor growth. This involves making an incision in the crease behind the ear and going through the ear bone directly to the tumor. Most of the approach is through the ear, and there is very little manipulation of the brain in removal of a tumor in this fashion. It is currently the only middle ear implant approved by the FDA for the treatment of hearing loss. The Soundbridge is indicated for use in adults, 18 years or older, with a moderate to severe sensorineural hearing loss and no interest in conventional hearing aids. The Soundbridge converts sound into mechanical energy which is directly transmitted to the auditory ossicles.
They are implanted directly in the inner ear, or cochlea, where they electronically stimulate the nerves through a series of electrodes.
It is a common complaint among hearing aid users, who often find that the presence of the hearing aid, or hearing aid ear mold, in their ear canal distorts not only outside sounds but also the sound of their own voice.
It can be placed at the opening to the inner ear, the round window, bypassing the middle ear bones which may be absent or diseased, and therefore eliminates the conductive, or mechanical hearing loss of the ear. The hearing part, called the cochlear nerve, travels from the brain through the internal ear canal into the cochlea, or hearing portion of the inner ear.
If the tumor gets very large, it will grow into the brain and eventually cause some imbalance and headaches with blurred vision. The first goal is to ensure total removal of the tumor with no damage to the surrounding brain. This approach involves going through the bone above the ear and gently lifting the temporal lobe of the brain and drilling the bone over the internal ear canal.

It is manufactured by the Med El Corporation and over 2300 patients have been implanted internationally. Maw was an investigating surgeon of the FDA trail for sensorineural hearing loss, and implanted 14 patients with the device during the clinical trial.
The Soundbridge is the first FDA approved implantable middle ear hearing device to treat sensorineural hearing loss.. In contrast, the Soundbridge is implanted in the middle ear and is for the 60 percent of hearing-impaired people with moderate-to-severe sensorineural hearing loss.
It can also amplify sound to overcome a sensorineural, or nerve hearing loss, if also present. Eustachian tube dysfunction limits the hearing results that patients can achieve with reconstructive ear surgery, and there are no well-established treatments for this problem. If the tumor is allow to grow to a giant size, it eventually causes death due to pressure on the brain. Large tumors are those that extend from the internal auditory canal through the spinal fluid and into the brain.
A proven, safe and effective treatment that leaves the ear canal completely open, the Soundbridge features a 94 percent improvement in patient satisfaction, with thousands of patients worldwide. As this device can mimic the function of the middle ear, we can potentially help a large category of patients who could not be previously considered as suitable surgical candidates”. Fortunately, this rarely happens in the present day due to our methods to detect these tumors earlier. This device is an excellent choice for patients experiencing difficulty with their own voice quality due to occlusion, feedback or reverberation issues with conventional hearing aids. The Soundbridge is intended for use in adults (18 years or older) who have moderate-to-severe sensorineural hearing loss and desire an alternative to an acoustic hearing aid.
The mastoid bone is opened and the middle ear is then entered through the mastoid and the floating mass transducer is placed on the incus. It is also beneficial for patients who are experiencing multiple hearing aid repairs due to debris or cerumen or someone interested in a more comfortable hearing solution.
The hair cells provide stimuli to the auditory nerve, which is interpreted as sound by the brain. This is a clinical scenario that is frequently encountered by ear surgeons, and is often caused by poor function of the Eustachian tube, the tube which connects the middle ear to the back of the nose.
At activation, the device is connected to the Siemens programming software and programmed for the individual’s hearing loss.

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