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Two different methods to digitally visualize continuous electrocochleography potentials during cochlear implantation: a first description of feasibility

Λεπτομέρειες βιβλιογραφικής εγγραφής
Τίτλος: Two different methods to digitally visualize continuous electrocochleography potentials during cochlear implantation: a first description of feasibility
Συγγραφείς: Theda Eichler, Antonia Lakomek, Laura Waschkies, Moritz Meyer, Nadia Sadok, Stephan Lang, Diana Arweiler-Harbeck
Πηγή: Eur Arch Otorhinolaryngol
Στοιχεία εκδότη: Springer Science and Business Media LLC, 2024.
Έτος έκδοσης: 2024
Θεματικοί όροι: Male, Adult, Hearing preservation, Female [MeSH], Aged [MeSH], Adult [MeSH], Humans [MeSH], Software [MeSH], Intraoperative electrocochleography, Middle Aged [MeSH], Audiometry, Evoked Response/methods [MeSH], Feasibility Studies [MeSH], Digital microscope imaging, Otology, Cochlear Implantation/methods [MeSH], Male [MeSH], Cochlear implantation, Cochlear Implants [MeSH], Medizin, Middle Aged, Cochlear Implantation, Audiometry, Evoked Response, Cochlear Implants, Humans, Feasibility Studies, Female, Software, Aged
Περιγραφή: Purpose The study explores the potential of real-time electrocochleographic potentials (ECochG) visualization during electrode insertion using digital microscopes such as RoboticScope (BHS®). Collaborative software development of the MAESTRO Software (MED-EL®) offers continuous ECochG monitoring during implantation and postoperative hearing evaluation, addressing previous time constraints. The study aims to assess software applicability and the impact of real-time visualization on long-term residual hearing preservation. Methods Eight patients with residual hearing underwent cochlear implantation with Flex26 or Flex28 electrode according to the Otoplan evaluation. ECochG responses were measured and visualized during electrode insertion, with insertion times recorded. Two randomized display methods (graph and arrows) tracked ECochG potentials. Postoperative behavioral thresholds determined hearing preservation. Successful real-time intraoperative ECochG visualization was achieved in all cases, enabling surgeon adaptation. Mean electrode insertion time was 114 s, with postoperative thresholds comparable to preoperative values. Visualization did not affect surgeon workload. ECochG amplitudes differed between patients with and without residual hearing. Conclusion The study demonstrates effective implementation of advanced ECochG software combined with real-time visualization, enabling residual hearing preservation during CI. Visualization had no apparent effect on surgeon performance or workload. Future investigation involving a larger population will assess the long-term impact of ECochG on hearing threshold and structure preservation.
Τύπος εγγράφου: Article
Other literature type
Γλώσσα: English
ISSN: 1434-4726
0937-4477
DOI: 10.1007/s00405-023-08400-3
Σύνδεσμος πρόσβασης: https://pubmed.ncbi.nlm.nih.gov/38170210
https://repository.publisso.de/resource/frl:6517933
https://www.ncbi.nlm.nih.gov/pubmed/38170210
https://www.scopus.com/inward/record.url?partnerID=HzOxMe3b&origin=inward&scp=85181248769
https://doi.org/10.1007/s00405-023-08400-3
Rights: CC BY
Αριθμός Καταχώρησης: edsair.doi.dedup.....68a1e0540839c0c3630f903a8a738184
Βάση Δεδομένων: OpenAIRE
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  Data: Two different methods to digitally visualize continuous electrocochleography potentials during cochlear implantation: a first description of feasibility
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  Data: <searchLink fieldCode="DE" term="%22Male%22">Male</searchLink><br /><searchLink fieldCode="DE" term="%22Adult%22">Adult</searchLink><br /><searchLink fieldCode="DE" term="%22Hearing+preservation%22">Hearing preservation</searchLink><br /><searchLink fieldCode="DE" term="%22Female+[MeSH]%22">Female [MeSH]</searchLink><br /><searchLink fieldCode="DE" term="%22Aged+[MeSH]%22">Aged [MeSH]</searchLink><br /><searchLink fieldCode="DE" term="%22Adult+[MeSH]%22">Adult [MeSH]</searchLink><br /><searchLink fieldCode="DE" term="%22Humans+[MeSH]%22">Humans [MeSH]</searchLink><br /><searchLink fieldCode="DE" term="%22Software+[MeSH]%22">Software [MeSH]</searchLink><br /><searchLink fieldCode="DE" term="%22Intraoperative+electrocochleography%22">Intraoperative electrocochleography</searchLink><br /><searchLink fieldCode="DE" term="%22Middle+Aged+[MeSH]%22">Middle Aged [MeSH]</searchLink><br /><searchLink fieldCode="DE" term="%22Audiometry%2C+Evoked+Response%2Fmethods+[MeSH]%22">Audiometry, Evoked Response/methods [MeSH]</searchLink><br /><searchLink fieldCode="DE" term="%22Feasibility+Studies+[MeSH]%22">Feasibility Studies [MeSH]</searchLink><br /><searchLink fieldCode="DE" term="%22Digital+microscope+imaging%22">Digital microscope imaging</searchLink><br /><searchLink fieldCode="DE" term="%22Otology%22">Otology</searchLink><br /><searchLink fieldCode="DE" term="%22Cochlear+Implantation%2Fmethods+[MeSH]%22">Cochlear Implantation/methods [MeSH]</searchLink><br /><searchLink fieldCode="DE" term="%22Male+[MeSH]%22">Male [MeSH]</searchLink><br /><searchLink fieldCode="DE" term="%22Cochlear+implantation%22">Cochlear implantation</searchLink><br /><searchLink fieldCode="DE" term="%22Cochlear+Implants+[MeSH]%22">Cochlear Implants [MeSH]</searchLink><br /><searchLink fieldCode="DE" term="%22Medizin%22">Medizin</searchLink><br /><searchLink fieldCode="DE" term="%22Middle+Aged%22">Middle Aged</searchLink><br /><searchLink fieldCode="DE" term="%22Cochlear+Implantation%22">Cochlear Implantation</searchLink><br /><searchLink fieldCode="DE" term="%22Audiometry%2C+Evoked+Response%22">Audiometry, Evoked Response</searchLink><br /><searchLink fieldCode="DE" term="%22Cochlear+Implants%22">Cochlear Implants</searchLink><br /><searchLink fieldCode="DE" term="%22Humans%22">Humans</searchLink><br /><searchLink fieldCode="DE" term="%22Feasibility+Studies%22">Feasibility Studies</searchLink><br /><searchLink fieldCode="DE" term="%22Female%22">Female</searchLink><br /><searchLink fieldCode="DE" term="%22Software%22">Software</searchLink><br /><searchLink fieldCode="DE" term="%22Aged%22">Aged</searchLink>
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  Data: Purpose The study explores the potential of real-time electrocochleographic potentials (ECochG) visualization during electrode insertion using digital microscopes such as RoboticScope (BHS®). Collaborative software development of the MAESTRO Software (MED-EL®) offers continuous ECochG monitoring during implantation and postoperative hearing evaluation, addressing previous time constraints. The study aims to assess software applicability and the impact of real-time visualization on long-term residual hearing preservation. Methods Eight patients with residual hearing underwent cochlear implantation with Flex26 or Flex28 electrode according to the Otoplan evaluation. ECochG responses were measured and visualized during electrode insertion, with insertion times recorded. Two randomized display methods (graph and arrows) tracked ECochG potentials. Postoperative behavioral thresholds determined hearing preservation. Successful real-time intraoperative ECochG visualization was achieved in all cases, enabling surgeon adaptation. Mean electrode insertion time was 114 s, with postoperative thresholds comparable to preoperative values. Visualization did not affect surgeon workload. ECochG amplitudes differed between patients with and without residual hearing. Conclusion The study demonstrates effective implementation of advanced ECochG software combined with real-time visualization, enabling residual hearing preservation during CI. Visualization had no apparent effect on surgeon performance or workload. Future investigation involving a larger population will assess the long-term impact of ECochG on hearing threshold and structure preservation.
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        Value: 10.1007/s00405-023-08400-3
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      – SubjectFull: Male
        Type: general
      – SubjectFull: Adult
        Type: general
      – SubjectFull: Hearing preservation
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      – SubjectFull: Intraoperative electrocochleography
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      – SubjectFull: Middle Aged [MeSH]
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      – SubjectFull: Audiometry, Evoked Response/methods [MeSH]
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      – SubjectFull: Feasibility Studies [MeSH]
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      – SubjectFull: Cochlear Implantation/methods [MeSH]
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      – SubjectFull: Male [MeSH]
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      – SubjectFull: Cochlear implantation
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      – TitleFull: Two different methods to digitally visualize continuous electrocochleography potentials during cochlear implantation: a first description of feasibility
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              Y: 2024
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