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Updated: Jul 25, 2025
Enhancing Electrode Location Assessment in Cochlear Implantation via Computed Tomography Image Fusion
Published on: January 17, 2025
Reexamining the effects of electrode location on measures of neural health in cochlear implant users
Kara C Schvartz-Leyzac1, Bryan E Pfingst2
1Medical University of South Carolina, Department of Otolaryngology-Head & Neck Surgery, 135 Rutledge Avenue, Charleston, South Carolina 29425, USA.
Abstract:
The electrically evoked compound action potentials (ECAPs) amplitude-growth function (AGF) slope correlates with spiral ganglion neuron (SGN) density in the cochlear implanted cochlea. Electrode insertion angle and medial-lateral distance covary from base to apex; in some human ears, SGN survival varies from base to apex, making it difficult to parse out contributing factors to the ECAP AGF slope. Evoked compound action potentials were analyzed on each electrode and compared to post-operative computerized tomography scans. When controlling for medial-lateral distance, insertion angle does not influence ECAP AGF slope.
