1. Use of a mid-scala and a lateral wall electrode in children: insertion depth and hearing preservation.
- Author
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Benghalem, Abdelhamid, Gazibegovic, Dzemal, Saadi, Fatima, and Tazi-Chaoui, Zakia
- Subjects
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COCHLEA injuries , *AUDIOMETRY , *AUDITORY perception testing , *COCHLEAR implants , *EAR surgery , *HEARING levels , *HOSPITALS , *LONGITUDINAL method , *PROBABILITY theory , *RESEARCH funding , *SEMICIRCULAR canals , *X-rays , *TREATMENT effectiveness , *PRE-tests & post-tests , *DATA analysis software , *DESCRIPTIVE statistics , *MANN Whitney U Test ,SURGICAL complication risk factors - Abstract
Conclusions:Atraumatic insertion of the HiFocusTMMid-Scala (HFMS) electrode via the round window was successfully achieved in seven children. Residual hearing 6 months post-operatively was preserved to within 10 dB HL of the pre-operative audiogram at 500 Hz for six children, indicating minimal initial insertion trauma to the cochlea. Objectives:The objectives were to document the clinical experience and evaluate differences between HFMS and HiFocusTM1j (HF1j) by means of insertion depth and hearing preservation results. Method:Nineteen children were prospectively recruited and consecutively implanted with the HF1j electrode (n = 12) or the HFMS electrode (n = 7) via the round window. Average median angular insertion depths and the amount of residual hearing preserved at 6 months post-operatively were compared between the two electrode groups. Results:The median angular insertion depth for the HF1j was 439° and for the HFMS 435°. Preservation of residual hearing at 500 Hz was assessed in seven HFMS subjects and 11 HF1j subjects. Based on the Skarzynski formula, three out of seven subjects (42%) in the HFMS group had their residual hearing completely preserved at 500 Hz. In the control group, no subjects had complete hearing preservation and five subjects had a complete loss of residual hearing. [ABSTRACT FROM PUBLISHER]
- Published
- 2017
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