scholarly journals Microfocus X-ray for Electrode Array Position Control During Cochlear Implantation

2017 ◽  
Vol 9 (3) ◽  
pp. 39
Author(s):  
V.N. Sokolova ◽  
H.M.A. Diab ◽  
N.N. Potrakhov ◽  
A.Y. Gryaznov ◽  
N.E. Staroverov ◽  
...  
Author(s):  
R Ramalingam ◽  
K K Ramalingam ◽  
H S Padmaja

AbstractObjective:To highlight the possibility of misplacement of electrodes during cochlear implantation surgery, to stress the importance of routine neural response telemetry, and also to emphasise the value of conventional radiography in confirming electrode positioning in the immediate post-operative period.Case report:A two-year-old boy presented with bilateral, profound, sensorineural hearing loss and underwent conventional cochlear implantation surgery. During insertion of the implant, there was doubt regarding the direction of passage of the electrode array. Instead of the usual smooth passage of the electrode, some resistance was felt. Neural response telemetry, performed at the end of the procedure, showed absent responses. A confirmatory X-ray in Stenver's view confirmed the extra-cochlear positioning of the electrodes in the superior semicircular canal. The wound was reopened, the electrode array removed and the cochleostomy was positioned a little more antero-inferiorly on the promontory with respect to the round window. Correct insertion of the electrode was then performed without difficulty.Conclusion:The misplacement of electrodes during cochlear implantation surgery is rare but can occur. Neural response telemetry and conventional radiography are invaluable in assessing the placement of the electrode intra-operatively. Conventional radiographs are very cost-effective and aid in confirming the position of the electrode array.


2012 ◽  
Vol 126 (11) ◽  
pp. 1172-1175 ◽  
Author(s):  
Y M Feng ◽  
Y Q Wu ◽  
J Wang ◽  
S K Yin

AbstractObjective:We report the case of a successful cochlear implantation in a patient with severe cochlear hypoplasia.Case report:The outcome of cochlear implantation is generally less favourable for patients with cochlear hypoplasia than for those with a normal cochlear structure. In the reported patient, part of the electrode array was inserted into the internal auditory canal. Nevertheless, the benefits following cochlear implantation seemed to outweigh the risks for this patient.Conclusion:Cochlear hypoplasia is not necessarily a contraindication for cochlear implantation.


2016 ◽  
Vol 17 (3) ◽  
pp. 129-131 ◽  
Author(s):  
Kathryn Spiers ◽  
Tina Cardamone ◽  
John B. Furness ◽  
Jonathan C. M. Clark ◽  
James F. Patrick ◽  
...  

2021 ◽  
Vol 10 (17) ◽  
pp. 3962
Author(s):  
Angel Ramos-de-Miguel ◽  
Juan Carlos Falcón-González ◽  
Angel Ramos-Macias

Background: The proximity of the electrode to the modiolar wall may be of interest to investigate the effect of pitch discrimination. This research establishes the relation between these factors and whether perimodiolar positions may provide benefits regarding improved electrode discrimination. Methods: A prospective randomized study including 24 post-lingual deaf adults was performed. A psychoacoustic study was done by using a psychoacoustic research platform. Radiological study, and a cone-beam computed tomography was used to assess post cochlear implantation electrodes’ position. Trans-impedance matrix (TIM) analysis was performed after cochlear implant insertion in all cases, and pupillometry test was also performed. Results: 12 patients received a slim perimodiolar electrode array, and 12 patients received a straight electrode array. Although all the patients showed similar speech test results after 12 months follow-up, those implanted with a perimodiolar electrode obtained better scores in electrode discrimination test and pupillometry test, and showed more homogenous TIM patterns. Conclusions: The better positioning of the electrode array seams to provide a better hearing resolution and less listening effort trans-impedance matrix seems to be a useful tool to analyze positioning of the perimodiolar array.


2018 ◽  
Vol 193 ◽  
pp. 87-99 ◽  
Author(s):  
Ninel Z. Gregori ◽  
Natalia F. Callaway ◽  
Catherine Hoeppner ◽  
Alex Yuan ◽  
Aleksandra Rachitskaya ◽  
...  

2021 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Dana Egra-Dagan ◽  
Isabeau van Beurden ◽  
Samuel R. Barber ◽  
Christine L. Carter ◽  
Mary E. Cunnane ◽  
...  

2021 ◽  
pp. 108371
Author(s):  
Nauman Hafeez ◽  
Xinli Du ◽  
Nikolaos Boulgouris ◽  
Philip Begg ◽  
Richard Irving ◽  
...  

2001 ◽  
Vol 86 (2) ◽  
pp. 856-870 ◽  
Author(s):  
A. D. Craig ◽  
J. O. Dostrovsky

The projections of 40 trigeminothalamic or spinothalamic (TSTT) lamina I neurons were mapped using antidromic activation from a mobile electrode array in barbiturate anesthetized cats. Single units were identified as projection cells from the initial array position and characterized with natural cutaneous stimuli as nociceptive-specific (NS, n = 9), polymodal nociceptive (HPC, n = 8), or thermoreceptive-specific (COOL, n = 22; WARM, n = 1) cells. Thresholds for antidromic activation were measured from each electrode in the mediolateral array at vertical steps of 250 μm over a 7-mm dorsoventral extent in two to eight (median = 6.0) anteroposterior planes. Histological reconstructions showed that the maps encompassed all three of the main lamina I projection targets observed in prior anatomical work, i.e., the ventral aspect of the ventroposterior complex (vVP), the dorsomedial aspect of the ventroposterior medial nucleus (dmVPM), and the submedial nucleus (Sm). The antidromic activation foci were localized to these sites (and occasional projections to other sites were also observed, such as the parafascicular nucleus and zona incerta). The projections of thermoreceptive and nociceptive cells differed. The projections of the thermoreceptive-specific cells were 20/23 to dmVPM, 21/23 to vVP, and 17/23 to Sm, whereas the projections of the NS cells were 1/9 to dmVPM, 9/9 to vVP, and 9/9 to Sm and the projections of the HPC cells were 0/8 to dmVPM, 7/8 to vVP, and 6/8 to Sm. Thus nearly all thermoreceptive cells projected to dmVPM, but almost no nociceptive cells did. Further, thermoreceptive cells projected medially within vVP (including the basal ventral medial nucleus), while nociceptive cells projected both medially and more laterally, and the ascending axons of thermoreceptive cells were concentrated in the medial mesencephalon, while the axons of nociceptive cells ascended in the lateral mesencephalon. These findings provide evidence for anatomical differences between these physiological classes of lamina I cells, and they corroborate prior anatomical localization of the lamina I TSTT projection targets in the cat. These results support evidence indicating that the ventral aspect of the basal ventral medial nucleus is important for thermosensory behavior in cats, consistent with the view that this region is a primordial homologue of the posterior ventral medial nucleus in primates.


1989 ◽  
Vol 100 (3) ◽  
pp. 227-231 ◽  
Author(s):  
Clough Shelton ◽  
William M. Luxford ◽  
Lisa L. Tonokawa ◽  
William W. M. Lo ◽  
William F. House

We suggest a new explanation for the lack of auditory response to electric stimulation in children with cochlear implants: The very narrow internal auditory canal, 1 to 2 mm in diameter, and the probable absence of the cochlear nerve. This defect can be seen on high-resolution computed tomographic x-ray studies and may represent aplasia of the auditory-vestibular nerve. We report on eight children with this anomaly, three of whom have received implants and failed to respond with a sensation of sound. Identification of this problem on screening x-ray films is a contraindication to cochlear Implantation for auditory stimulation.


2020 ◽  
pp. 014556132097486
Author(s):  
Mounika Reddy Y ◽  
Anjali Lepcha ◽  
Ann Mary Augustine ◽  
Ajay Philip ◽  
Philip Thomas

Successful cochlear implantation in the setting of labyrinthitis ossificans is challenging. Various surgical techniques are described to circumvent the region of ossification and retrograde insertion of the electrode array is one such option. While reverse programming is often recommended in the case of retrograde electrode insertion, we present our experience of retrograde electrode insertion for labyrinthitis ossificans, where standard programming was adopted due to patient preference and provided satisfactory outcomes.


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