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Singapore General Hospital (SGH) is Singapore's flagship hospital offering comprehensive range of medical specialties and services for our patients spanning over two centuries. The technology of the Vibrant Soundbridge bypasses the outer ear in order to directly stimulate middle ear structures.
The Amade, audio processor is placed on patient’s head with a magnet and can be worn discreetly underneath the hair. The Vibrant Soundbridge Middle Ear Implant System directly causes the middle ear structures to vibrate.
The Audio Processor picks up sound from the environment and transmits that amplified sound across the skin to the implanted receiver. The implanted receiver converts the acoustic signal into mechanical energy and transmits it to the FMT. The FMT is a tiny transducer that directly vibrates the ossicles by mimicking the natural motion of the ossicular chain, sending an enhanced signal to the fluid-filled inner ear (cochlea).
That ossicular motion creates movement in the fluid of the cochlea, stimulating the hair cells. Allows the ear canal to remain open which eliminates problem with obstructed ear canal or occlusion. The Audio Processor is comfortably held in place over the implant by a magnet, thus providing high wearing comfort. Improvement in perceiving softer sounds, high frequency sounds, such as children’s voices and music. Patients should understand that good auditory function is possible with the BAHA, said Darius Kohan, MD, Clinical Associate Professor in the Department of Otolaryngology at New York University School of Medicine. The BAHA consists of a sound processor attached to an external abutment, which is held in place by a titanium screw implanted into the skull behind the ear.
The beauty of the device is you can’t tell the difference between whether the sound comes through the ear canal or bone, and the patient has quite natural hearing, explained Dr. BAHA is used in patients with chronic ear infections that cause conductive or mixed hearing loss and for whom a hearing aid would aggravate the infection, said Dr. About 70% of BAHA patients have chronic ear disease or a perforation in the eardrum, said Dr.
BAHA is also indicated for people who do not have an ear canal or who have aural atresia and cannot wear a conventional hearing aid, said Dr.

Cochlear implants can improve speech and quality of life in adults with severe hearing loss - and two implants seem to work better than one, according to a U.S.
The study, which appeared in JAMA Otolaryngology - Head & Neck Surgery, included 42 studies that compared hearing, speech and quality of life in eligible adults before and after they received a cochlear implant or compared having one versus two functioning implants. The studies used in the analysis used a range of tests over different time periods to measure the effects of implantation, so it was difficult to compare them directly, the researchers added. Among studies comparing one versus two implants, the majority also found participants were better at communicating and localizing sound when they had a cochlear implant in each ear. The new findings don't mean that deafness has a detrimental effect on quality of life, Gaylor told Reuters Health in an email. Media That Matters - From the serious to the hilarious, we share stories that rise to the top. Cochlear implantation is a proven effective treatment and long term solution for those with severe to profound hearing losses that do not achieve benefit from traditional hearing aids.
A cochlear implant is a surgically implanted device, with an external processor that is attached to the side of the head.
Cochlear implantation in adults is typically successful, but does require some learning and training of the brain to adapt to the new sounds. If you have a severe to profound hearing loss, and are unsuccessful with hearing aids, talk to your audiologist about cochlear implants. Hearing Institute Atlantic has 5 Halifax area locations which are full service facilities with hearing evaluations by clinical audiologists, as well as sales and service of hearing aids. At BCFHRC, our team's caring, flexible approach includes programs, services and resources designed to help you understand and connect with your young child, as well as the opportunity to meet other parents and family members faced with similar situations. We believe in informed choice, and are committed to exploring a variety of options to best meet your child's needs. It consists of the battery, a microphone and electronics responsible for digital signal processing.
The hair cells provide stimuli to the auditory nerve, which are then interpreted by the brain as sound.
While it is definitely beneficial in many patients, they should know the device won’t give them true bilateral hearing, noted John House, MD, President of the House Ear Institute.
The bone carries vibrations that bypass the external and middle ear and travel directly to the cochlear nerve.

Tjellström, adding that a conventional hearing aid may not be feasible in these patients because of drainage through the ear canal.
However, almost all the trials looking at the effect of a single cochlear implant showed that people's speech and quality of life improved after implantation. It's almost like magic," said Pamela Roehm, an otolaryngologist from the NYU Langone Medical Center, who wasn't involved in the study.
It wasn't clear how much of an effect a second implant had on their quality of life, however.
She and her colleagues have put implants into patients over 90 years old, with good results. The cochlear implant stimulates the auditory nerve directly, thus bypassing the damaged cochlea.
Depending on the results of your hearing test, you may be a candidate for a cochlear implant, a Bone Anchored Hearing Device, or a BiCROS style hearing aid.
The main part of the implant is the innovative technology of the Floating Mass Transducer (FMT) which attached to the tiny bones (ossicles) of the middle ear.
This “direct drive” stimulation enables excellent sound quality without blocking the ear canal. It works on a totally different principle and is meant for people who do not use or benefit from a standard hearing aid. I’d recommend booking a hearing test and discussing your options with one of our audiologists.
Let us help guide you through the process of discovering what works for your child, in a safe and comfortable environment. Only those with severe hearing loss or deafness, for whom hearing aids haven't work, are considered for cochlear implants. That way, we can work together to find the best option for your hearing, and your lifestyle.

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