Intraoperative measurement for a new transcutaneous bone conduction hearing implant.

Otol Neurotol

*Department of Otorhinolaryngology, Karl Landsteiner University Hospital, St. Pölten, Austria; †Karl Landsteiner Institut für implantierbare Hörsysteme; and ‡Center for Anatomy and Cell Biology, Department of Systematic Anatomy, Medical University Vienna, Austria.

Published: August 2014

Objective: To investigate the possibility of using a modified reverse transfer function (RTF) measurement intraoperatively during surgery of a new transcutaneous bone conduction hearing implant to evaluate the status of the device.

Methods: Tests were performed on a cadaver skull (preclinically) and two conductive hearing loss patients implanted with a new transcutaneous bone conduction implant. During intraoperative activation, the RTF was measured using a microphone attached perpendicularly and directly to the skin in the middle section of the forehead.

Results: The RTF could be measured for all frequencies from 500 to 6, 000 Hz.

Conclusion: The usage of an intraoperative RTF measurement may be a good method to verify the mechanical coupling of the bone conduction floating mass transducer and to test the functional integrity of the implant in an objective way.

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http://dx.doi.org/10.1097/MAO.0000000000000351DOI Listing

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