Abstract
Implantable hearing devices, such as the Vibrant Soundbridge, were originally developed to be an alternative to traditional external auditory canal hearing devices. Recent modifications in surgical technique have allowed this implantable device to find a unique new niche in the treatment of mixed hearing loss. The primary design of the Vibrant Soundbridge marries a floating mass transducer to the incus to deliver mechanical energy through the native conductive mechanism. Variants to this theme have been developed to address specific issues. In this work we review the alternative placements of the floating mass transducer with different ossicular reconstruction configurations and placement at the round window.
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