A Mid-scala Cochlear Implant Electrode Design Achieves a Stable Post-surgical Position in the Cochlea of Patients Over Time-A Prospective Observational Study
| العنوان: | A Mid-scala Cochlear Implant Electrode Design Achieves a Stable Post-surgical Position in the Cochlea of Patients Over Time-A Prospective Observational Study |
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| المؤلفون: | Jeroen J. Smits, Marc van Hoof, Dzemal Gazibegovic, J.R. Hof, Guido Dees, A. Miranda L. Janssen, Robert J. Stokroos |
| المساهمون: | RS: MHeNs - R1 - Cognitive Neuropsychiatry and Clinical Neuroscience, KNO, MUMC+: MA Keel Neus Oorheelkunde (9), MUMC+: MA AIOS Keel Neus Oorheelkunde (9) |
| المصدر: | Otology & Neurotology, 39(4), E231-E239. LIPPINCOTT WILLIAMS & WILKINS Otology & Neurotology, 39, e231-e239 Otology & Neurotology, 39, 4, pp. e231-e239 |
| سنة النشر: | 2018 |
| مصطلحات موضوعية: | BEAM COMPUTED-TOMOGRAPHY, Adult, Male, Post surgical, Cone beam computed tomography, FIBROUS TISSUE, MIGRATION, SURGERY, medicine.medical_treatment, INSERTION, Mastoidectomy, Sensory disorders Donders Center for Medical Neuroscience [Radboudumc 12], 03 medical and health sciences, 0302 clinical medicine, Foreign-Body Migration, Cochlear implant, Electrode array, Medicine, Humans, Prospective Studies, 030223 otorhinolaryngology, Lead (electronics), Cochlea, Image registration, business.industry, LOCALIZATION, Cochlear Implantation, Sensory Systems, Cochlear Implants, Otorhinolaryngology, PLACEMENT, Electrode, ARRAY, Female, Neurology (clinical), business, Nuclear medicine, Radiology, BONE, 030217 neurology & neurosurgery, CT |
| الوصف: | Item does not contain fulltext INTRODUCTION: Cochlear implant (CI) electrode design impacts the clinical performance of patients. Stability and the occurrence of electrode array migration, which is the postoperative movement of the electrode array, were investigated using a mid-scalar electrode array and postoperative image analysis. METHODS: A prospective observational study was conducted. A mid-scalar electrode was surgically placed using a mastoidectomy, followed by a posterior tympanotomy and an extended round-window or cochleostomy insertion. A few days after surgery and 3 months later Cone Beam Computed Tomography (CBCT) was performed. The two different CBCT's were fused, and the differences between the electrode positions in three dimensions were calculated (the migration). A migration greater than 0.5 mm was deemed clinically relevant. RESULTS: Fourteen subjects participated. The mid-scalar electrode migrated in one patient (7%). This did not lead to the extrusion of an electrode contact. The mean migration of every individual electrode contact in all patients was 0.36 mm (95% confidence interval 0.22-0.50 mm), which approximates to the estimated measurement error of the CBCT technique. CONCLUSION: A mid-scalar electrode array achieves a stable position in the cochlea in a small but representative group of patients. The methods applied in this work can be used for providing postoperative feedback for surgeons and for benchmarking electrode designs. |
| تدمد: | 1537-4505 1531-7129 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::adeca3b478fc9ad9f975f27341603a0a https://pubmed.ncbi.nlm.nih.gov/29494467 |
| حقوق: | RESTRICTED |
| رقم الأكسشن: | edsair.doi.dedup.....adeca3b478fc9ad9f975f27341603a0a |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 15374505 15317129 |
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