Electrically evoked auditory brainstem responses to electrical stimulation at round window membrane in congenitally

Li Chen1, Jun-Ge Zhang1, Jing-Wu Sun2

  • 1Department of Otolaryngology-Head and Neck Surgery, The First Affiliated Hospital of USTC, Division of Life Sciences and Medicine, University of Science and Technology of China, Hefei, Anhui, 230001, China; Wannan Medical College, Anhui Provincial Hospital, Hefei, Anhui, 230001, China.

Insights

Measuring electrically evoked auditory brainstem responses (eABRs) at the round window membrane (RWM) is more effective than at the round window niche (RWN). Early cochlear implantation improves auditory brainstem pathway function.

Area of Science:

  • Auditory Neuroscience
  • Neurophysiology
  • Otolaryngology

Background:

  • Profound sensorineural hearing loss necessitates cochlear implantation (CI) in children.
  • Assessing auditory pathway function pre- and post-CI is crucial for treatment efficacy.
  • Understanding the impact of deafness duration on neural pathways is vital for auditory rehabilitation.

Purpose of the Study:

  • To evaluate the utility of electrically evoked auditory brainstem responses (eABRs) via round window niche (RWN) and round window membrane (RWM) stimulation.
  • To determine how the duration of deafness affects auditory pathway function up to the brainstem level.

Main Methods:

  • Ninety-nine children with profound sensorineural hearing loss were grouped by age at CI (≤12 months, 13-36 months, 37-60 months, >60 months).
  • eABRs were elicited by electrical stimulation at the RWN and RWM during cochlear implantation surgery.

Main Results:

  • RWM stimulation yielded higher eABR extraction rates and lower thresholds compared to RWN stimulation.
  • eABR wave III (eⅢ) latencies and eⅢ-eV latency intervals were consistent across all age groups for RWM stimulation.
  • Children receiving CI at ≤12 months (Group A) exhibited significantly shorter eABR wave V (eⅤ) latencies.

Conclusions:

  • Electrical stimulation at the RWM provides a more stable and sensitive measure of auditory pathway function than RWN stimulation.
  • The upper brainstem auditory pathway appears more susceptible to long-term deafness, as indicated by eⅤ latency.
Abstract