Learning Objectives: Vibrant Soundbridge VORP 503, Round Window Soft Coupler, radical cavities.
The Vibrant Soundbridge VORP 503 is an active middle implant, which could be coupled at the ossicle chain or directly onto the round window membrane. The Round Window Soft (RWS)-Coupler is a silicone coupler and connects the Floating mass transducer to the round window membrane without any interposition of artificial fascia. The VORP 503 is now simply fixed at the bone with two screws.
We present the results of patients with radical cavities, which had several tympanoplasties for hearing restoration in the past. All of them were implanted with a VORP 503 using a RWS-Coupler.
The postoperative audiological tests showed good results by aided pure tone audiogram, monosyllabic speech test and sentence test in noise. The VORP 503 and RWS-Coupler made coupling to round window membrane easier and more precise. The results are better comparable between different surgeons.
