Surgical and audiological outcomes of a fully implantable middle ear implant: early results from a retrospective multice
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OTOLOGY
Surgical and audiological outcomes of a fully implantable middle ear implant: early results from a retrospective multicentre study Kimberley Lau1,4 · Gianluca Scotta1,4 · Iulo Barauna2 · Victor Correia da Silva3 · Maria Conceição Peixoto3 · Jaydip Ray1,4 Received: 23 January 2020 / Accepted: 15 April 2020 © Springer-Verlag GmbH Germany, part of Springer Nature 2020
Abstract Purpose This paper reports the surgical and audiological outcomes of a large series of patients who received a fully implantable middle ear implant (MEI): carina (Cochlear, Australia). Methods This is a multicentreretrospective study involving three tertiary referral centres. Patient data were collected for the first 42 consecutive patients who were fitted with the MEI between 2014 and 2019 (Sheffield from February 2017 to January 2019; São Paulo from April 2015 to September 2017; Porto from December 2014 to May 2017). The main outcome measures included surgical results, free field speech testing with speech recognition thresholds (SRT) and audiological gain. Results There was one major complication due to infection resulting in a brain abscess and explantation of the device. Three other patients had minor skin infections; no other complications were reported. Results show a functional gain of 19.5 dB (p
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