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Related Concept Videos

Anatomy of the Ear01:16

Anatomy of the Ear

Auditory sensation, commonly called hearing, involves the transformation of sonic waves into neural impulses facilitated by the structures of the auditory organ. The prominent, flesh-like structure on the side of the head, called the auricle, directs sound waves towards the auditory canal. The auricle is often mislabeled as the pinna, a term more aligned with mobile structures like a feline's external ear. The auditory canal penetrates the cranium via the external auditory meatus of the...

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Performing Repeated Intraoperative Impedance Telemetry Measurements during Cochlear Implantation
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Round window membrane insertion with perimodiolar cochlear implant electrodes.

Annekatrin Coordes1, Arne Ernst, Goetz Brademann

  • 1Department of Otolaryngology at UKB, Hospital of University of Berlin, Charité Medical School, Berlin, Germany. annekatrin.coordes@ukb.de

Otology & Neurotology : Official Publication of the American Otological Society, American Neurotology Society [And] European Academy of Otology and Neurotology
|March 20, 2013
PubMed
Summary

The round window membrane (RWM) approach for cochlear implantation shows promise for preserving vestibular function but hearing preservation was unsatisfactory. Further research is needed for more atraumatic electrodes.

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Area of Science:

  • Otolaryngology
  • Neurosurgery
  • Biomedical Engineering

Background:

  • The round window membrane (RWM) approach aims for atraumatic scala tympani implantation to preserve hearing and vestibular function.
  • Perimodiolar electrode arrays offer electrophysiologic advantages but require evaluation in clinical settings.

Purpose of the Study:

  • To evaluate the feasibility and outcomes of perimodiolar electrode placement using the RWM approach in a clinical trial.
  • To assess hearing preservation and vestibular receptor function following RWM insertion with perimodiolar electrodes.

Main Methods:

  • A prospective study of 27 patients undergoing cochlear implantation via the RWM approach with perimodiolar electrodes.
  • Electrode placement was assessed using radiography; hearing, vestibular function, and vertigo were evaluated post-operatively.

Main Results:

  • RWM insertions were feasible in 78% of cases, with a 19% basilar membrane disruption rate.
  • Vestibular function and vertigo remained unchanged, but residual hearing preservation was unsatisfactory (mean pure-tone average loss of 21 dB).

Conclusions:

  • The RWM insertion technique appears safe for vestibular function and does not induce vertigo with regular practice.
  • Cochlear hair cells may be more susceptible to insertion trauma than vestibular cells, necessitating development of more atraumatic electrodes for better hearing preservation.