The effect of the cochlear implant electrode position on the neural response telemetry results: A prospective clinical trial at a single center

The effect of the cochlear implant electrode position on the neural response telemetry results: A prospective clinical trial at a single center

Aim: This study aims to investigate the changes in the post-op NRT thresholds of two different implant electrodes of the same brandpositioned laterally within the scala tympani, and the pre-modiolar locations, using the same round window approach.Material and Methods: After CI operation NRT measurements conducted at different times on the Nucleus® CI422 nucleus slimstraight and Nucleus® CI24RE electrode types of two different electrode models.Results: The number of patients who received the Nucleus® CI24RE (ST) electrode and the Nucleus® CI422 nucleus slim straightwere 26 (33.3%) and 56 (66.7%), respectively. NRT values tended to decrease from the basal part of cochlea towards an apex at anytime of evaluation in both types of cochlear implants.Conclusion: There was a difference between Nucleus® CI24RE and Nucleus® CI422 nucleus slim straight groups in terms of NRTthresholds. Nucleus® CI422 nucleus slim straight electrode yielded lower NRT threshold levels.

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  • 1. Briggs RJ, Tykocinski M, Saunders E, et al. Surgical implications of perimodiolar cochlear implant electrode design: avoiding intracochlear damage and scala vestibuli insertion. Cochlear Implants Int 2001; 2: 135-49.
  • 2. Eshraghi AA, Yang NW, Balkany TJ. Comparative Study of Cochlear Damage With Three Perimodiolar Electrode Designs. Laryngoscope 2003;113: 415-9.
  • 3. Finley CC, Holden TA, Holden LK, et al. Role of electrode placement as a contributor to variability in cochlear implant outcomes. Otol Neurotol 2008;29:920-8.
  • 4. Arnoldner C, Helbig S, Wagenblast J, et al. Electric acoustic stimulation in patients with postlingual severe high-frequency hearing loss: clinical experience. Adv Otorhinolaryngol 2010;67:116-24.
  • 5. Skarzynski H, Matusiak M, Lorens A, et al. Preservation of cochlear structures and hearing when using the Nucleus Slim Straight (CI422) electrode in children. J Laryngol Otol 2016;130:332-9.
  • 6. Lenarz T, James C, Cuda D, et al. European multi-centre study of the Nucleus Hybrid L24 cochlear implant. Int J Audiol 2013;52:838-48.
  • 7. Adunka O, Kiefer J. Impact of electrode insertion depth on intracochlear trauma. Otolaryngol Neck Surg 2006;135:374-82.
  • 8. Kiefer J, Gstoettner W, Baumgartner W, et al. Conservation of low-frequency hearing in cochlear implantation. Acta Otolaryngol 2004;124:272-80.
  • 9. Tykocinski M, Cohen LT, Cowan RS. Measurement and analysis of access resistance and polarization impedance in cochlear implant recipients. Otol Neurotol 2005;26:948-56.
  • 10. Xi X, Ji F, Han D, et al. Electrode interaction in cochlear implant recipients: Comparison of straight and contour electrode arrays. Orl 2009;71:228-37.
  • 11. Tanamati LF, Bevilacqua MC, Costa OA. Longitudinal study of the ecap measured in children with cochlear implants. Braz J Otorhinolaryngol 2009;75:90-6.
  • 12. Leone CA, Mosca F, Grassia R. Temporal changes in impedance of implanted adults for various cochlear segments. Acta Otorhinolaryngol Ital 2017;37:312-9.
  • 13. Telmesani LM, Said NM. Electrically evoked compound action potential (ECAP) in cochlear implant children: Changes in auditory nerve response in first year of cochlear implant use. Int J Pediatr Otorhinolaryngol 2016;82:28-33.
  • 14. Van Weert S, Stokroos RJ, Rikers MMJG, et al. Effect of peri-modiolar cochlear implant positioning on auditory nerve responses: A neural response telemetry study. Acta Otolaryngol 2005;125:725-31.
  • 15. Venail F, Mura T, Akkari M, et al. Modeling of Auditory Neuron Response Thresholds with Cochlear Implants. Biomed Res Int 2015;2015:394687.
  • 16. Lathuillière M, Merklen F, Piron J-P, et al. Cone-beam computed tomography in children with cochlear implants: The effect of electrode array position on ECAP. Int J Pediatr Otorhinolaryngol 2017;92:27-31.
  • 17. Gordin A, Papsin B, James A, et al. Evolution of cochlear implant arrays result in changes in behavioral and physiological responses in children. Otol Neurotol 2009;30:908-15.
  • 18. Müller A, Hocke T, Mir-Salim P. Intraoperative findings on ECAP-measurement: Normal or special case? Int J Audiol 2015;54:257–64.
  • 19. van Wermeskerken GKA, van Olphen AF, Graamans K. Imaging of electrode position in relation to electrode functioning after cochlear implantation. Eur Arch Otorhinolaryngol 2009;266:1527-31.
  • 20. Holden LK, Finley CC, Firszt JB, et al. Factors affecting open-set word recognition in adults with cochlear implants. Ear Hear 2013;34:342-60.
  • 21. Busby P, Plant K, Whitford L. Electrode impedance in adults and children using the Nucleus 24 cochlear implant system. Cochlear Implants Int 2002;3:87-103.
  • 22. Vargas JL, Sainz M, Roldan C, et al. Long-term evolution of the electrical stimulation levels for cochlear implant patients. Clin Exp Otorhinolaryngol 2012;5:194-200.
  • 23. Christov F, Munder P, Berg L, et al. ECAP analysis in cochlear implant patients as a function of patient’s age and electrode-design. Eur Ann Otorhinolaryngol Head Neck Dis 2016;133:1-3.
  • 24. Mittmann P, Rademacher G, Mutze S, et al. Evaluation of the Relationship between the NRT-Ratio, Cochlear Anatomy, and Insertions Depth of Perimodiolar Cochlear Implant Electrodes. Biomed Res Int 2015;2015:706253.
Annals of Medical Research-Cover
  • Yayın Aralığı: 12
  • Yayıncı: İnönü Üniversitesi Tıp Fakültesi
Sayıdaki Diğer Makaleler

Outcomes of nonsurgical endodontic treatment in teeth with large periapical lesion

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A critical analysis of prophylaxis to avoid venous thromboembolism after cesarean delivery

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Comparison of the effects of supreme laryngeal mask airway and endotracheal tube on airway reflexes in patients who underwent nasal surgery: A randomized, controlled clinical trial

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Determination of ‘tooth’ perception as the first step in development of oral health in Turkish society: A metaphor study

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Cryptotanshinone mitigates ischemia reperfusion-induced testicular damage: A experimental study

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Does melatonin alleviate ototoxic effect caused by administration of cisplatin?

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Evaluation of sleep quality and daytime sleepiness in nurses

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Intracavitary lesion caused by bladder wall stone and mimicking bladder tumor

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The effect of birth weight percentile on adverse neonatal morbidity in term uncomplicated pregnancies

Mefkure Eraslan ŞAHİN, İlknur Col MADENDAĞ, Mehmet AK

Agriculture faculty students’ knowledge, attitude, and behaviors about genetically modified organisms (GMOs)

Aliye BULUT, Ruveyda Esra ERCİM