A new method of preoperative assessment of correct electrode array alignment based on post-operative measurements in a cochlear implanted cohort Article Swipe
Bence Horváth
,
Ádám Perényi
,
Fiona Anna Molnár
,
Roland Nagy
,
Miklós Csanády
,
J. Kiss
,
László Rovó
·
YOU?
·
· 2022
· Open Access
·
· DOI: https://doi.org/10.1007/s00405-022-07421-8
YOU?
·
· 2022
· Open Access
·
· DOI: https://doi.org/10.1007/s00405-022-07421-8
Purpose During cochlear implantation surgery, a range of complications may occur such as tip fold-over. We recently developed a method to estimate the insertion orientation of the electrode array. The aim of the study was to determine the optimal angle of orientation in a cohort of cochlear implanted patients. Methods On eighty-five CT scans (80 uncomplicated insertions and 5 cases with tip fold-over), location of the electrode array’s Insertion Guide (IG), Orientation marker (OM) and two easily identifiable landmarks (the round window (RW) and the incus short process (ISP)) were manually marked. The angle enclosed by ISP-RW line and the Cochlear™ Slim Modiolar electrode array’s OM line determined the electrode array insertion angle. Results The average insertion angle was 45.0–47.2° ± 10.4–12° SD and was validated with 98% confidence interval. Based on the measurements obtained, patients’ sex and age had no impact on the size of this angle. Although the angles of the tip fold-over cases (44.9°, 46.9°, 34.2°, 54.3°, 55.9°) fell within this average range, the further it diverted from the average it increased the likelihood for tip fold-over. Conclusion Electrode array insertion in the individually calculated angle relative to the visible incus short process provides a useful guide for the surgeon when aiming for the optimal angle, and potentially enhances good surgical outcomes. Our results show that factors other than the orientation angle may additionally contribute to failures in implantation when the Slim Modiolar electrode is used.
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- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.1007/s00405-022-07421-8
- https://link.springer.com/content/pdf/10.1007/s00405-022-07421-8.pdf
- OA Status
- hybrid
- Cited By
- 2
- References
- 20
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W4283220599
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Raw OpenAlex JSON
- OpenAlex ID
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https://openalex.org/W4283220599Canonical identifier for this work in OpenAlex
- DOI
-
https://doi.org/10.1007/s00405-022-07421-8Digital Object Identifier
- Title
-
A new method of preoperative assessment of correct electrode array alignment based on post-operative measurements in a cochlear implanted cohortWork title
- Type
-
articleOpenAlex work type
- Language
-
enPrimary language
- Publication year
-
2022Year of publication
- Publication date
-
2022-06-21Full publication date if available
- Authors
-
Bence Horváth, Ádám Perényi, Fiona Anna Molnár, Roland Nagy, Miklós Csanády, J. Kiss, László RovóList of authors in order
- Landing page
-
https://doi.org/10.1007/s00405-022-07421-8Publisher landing page
- PDF URL
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https://link.springer.com/content/pdf/10.1007/s00405-022-07421-8.pdfDirect link to full text PDF
- Open access
-
YesWhether a free full text is available
- OA status
-
hybridOpen access status per OpenAlex
- OA URL
-
https://link.springer.com/content/pdf/10.1007/s00405-022-07421-8.pdfDirect OA link when available
- Concepts
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Incus, Electrode array, Electrode, Cochlear implantation, Orientation (vector space), Round window, Materials science, Biomedical engineering, Confidence interval, Medicine, Audiology, Surgery, Hearing loss, Cochlea, Middle ear, Mathematics, Chemistry, Geometry, Stapes, Internal medicine, Physical chemistryTop concepts (fields/topics) attached by OpenAlex
- Cited by
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2Total citation count in OpenAlex
- Citations by year (recent)
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2025: 2Per-year citation counts (last 5 years)
- References (count)
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20Number of works referenced by this work
- Related works (count)
-
10Other works algorithmically related by OpenAlex
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