Hearing Preservation Outcomes Using a Precurved Electrode Array Inserted With an External Sheath Article Swipe
YOU?
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· 2019
· Open Access
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· DOI: https://doi.org/10.1097/mao.0000000000002426
Objectives: Describe audiologic outcomes in hearing preservation cochlear implantation (CI) using a precurved electrode array inserted using an external sheath and evaluate association of electrode positioning and preservation of residual hearing. Study Design: Retrospective review. Setting: Tertiary otologic center. Patients: Twenty-four adult patients who underwent hearing preservation CI with precurved electrode array. Interventions: CI, intraoperative computed tomography (CT) Outcome Measures: Audiologic measures (consonant-nucleus-consonant [CNC] words, AzBio sentences, low-frequency pure tone averages [LFPTA]) and electrode location (scalar location, electrode-to-modiolus distance ( JOURNAL/otneu/04.03/00129492-202001000-00008/inline-graphic1/v/2023-08-21T201642Z/r/image-tiff ), angular insertion depth). Results: Twenty-four adults with less than 80 dB LFPTA with a precurved electrode array inserted using an external sheath; 16 underwent intraoperative CT. LFPTA was 58.5 dB HL preoperatively, with a 17.3 dB threshold shift at CI activation ( p = 0.005). CNC word scores improved from 6% preoperatively to 64% at 6 months postoperatively ( p < 0.0001). There was one scalar translocation and no tip fold-overs. The average angular insertion depth was 388.2 degrees, and the average JOURNAL/otneu/04.03/00129492-202001000-00008/inline-graphic2/v/2023-08-21T201642Z/r/image-tiff across all electrodes was 0.36 mm. Multivariate regression revealed a significant correlation between CNC scores at 6 months and angular insertion depth ( p = 0.0122; r 2 = 0.45, adjusted r 2 = 0.35). Change in LFPTA was not significantly associated with angular insertion depth or JOURNAL/otneu/04.03/00129492-202001000-00008/inline-graphic3/v/2023-08-21T201642Z/r/image-tiff . Conclusions: A low rate of translocation allows a precurved electrode array inserted using an external sheath to maintain hearing preservation rates comparable to straight electrode arrays. With scala tympani insertion, angular insertion depth is a positive marker of improved speech performance postoperatively but may be a confounder variable based on individual cochlear size.
Related Topics
- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.1097/mao.0000000000002426
- OA Status
- green
- Cited By
- 35
- References
- 35
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W2986366151
Raw OpenAlex JSON
- OpenAlex ID
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https://openalex.org/W2986366151Canonical identifier for this work in OpenAlex
- DOI
-
https://doi.org/10.1097/mao.0000000000002426Digital Object Identifier
- Title
-
Hearing Preservation Outcomes Using a Precurved Electrode Array Inserted With an External SheathWork title
- Type
-
articleOpenAlex work type
- Language
-
enPrimary language
- Publication year
-
2019Year of publication
- Publication date
-
2019-11-17Full publication date if available
- Authors
-
Ashley M. Nassiri, Robert J. Yawn, Jourdan T. Holder, Robert T. Dwyer, Matthew R. O’Malley, Marc Bennett, Robert F. Labadie, Alejandro RivasList of authors in order
- Landing page
-
https://doi.org/10.1097/mao.0000000000002426Publisher landing page
- Open access
-
YesWhether a free full text is available
- OA status
-
greenOpen access status per OpenAlex
- OA URL
-
https://www.ncbi.nlm.nih.gov/pmc/articles/6910978Direct OA link when available
- Concepts
-
Medicine, Electrode array, Electrode, Absolute threshold of hearing, Hearing loss, Audiology, Nuclear medicine, Physics, Quantum mechanicsTop concepts (fields/topics) attached by OpenAlex
- Cited by
-
35Total citation count in OpenAlex
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-
2025: 5, 2024: 5, 2023: 8, 2022: 8, 2021: 4Per-year citation counts (last 5 years)
- References (count)
-
35Number of works referenced by this work
- Related works (count)
-
10Other works algorithmically related by OpenAlex
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