1. A new objective method to estimate the charge integration efficiency in cochlear implant users.
- Author
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Saravanan, Palani, Antony P., Jawahar, Megha, Geetha, Chinnaraj, and Manjula, Puttabasappa
- Subjects
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COCHLEAR implants , *ACOUSTIC nerve , *CHILD patients , *LOUDNESS , *REFLEXES - Abstract
AbstractObjectiveDesignStudy SampleResultsConclusions\nHIGHLIGHTSThe present study aimed to objectively assess the charge integration efficiency (CIE) of the auditory nerve using electrically-evoked stapedial reflex threshold (eSRT) measurements in paediatric cochlear implant users.The eSRT was estimated in two ways: by keeping pulse width constant while increasing pulse amplitude and vice versa. The electrical dynamic range (EDR) obtained for eSRT was measured with increasing pulse amplitude (EDRPA) and pulse width (EDRPW) by calculating the difference in charge units between eSRT and behavioural thresholds; further, CIE was estimated.Fifteen paediatric cochlear implant users.EDRPW was 1.4 to 1.7 times larger than EDRPA. The EDRPW was significantly greater than the EDRPA. A significant correlation was observed between both EDR measures. However, the CIE measure did not significantly correlate with the behavioural threshold. Further, there was no significant effect of electrode location on the CIE.The CIE estimated with objective measures such as eSRT is comparable to those estimated using behavioural loudness judgments. eSRT can serve as a quick method to estimate the CIE, which can be easily implemented in the paediatric population. The CIE could be a valuable tool for differentiating electrodes with excellent and poor charge integration efficiency.In cochlear implants, loudness perception can be increased with an increase in pulse amplitude or width.Charge integration efficiency can be a valuable measure to assess the ability of the auditory nerve to integrate the charge over time.Electrically evoked stapedial reflex measurement can be used as an objective method to measure charge integration efficiency.In cochlear implants, loudness perception can be increased with an increase in pulse amplitude or width.Charge integration efficiency can be a valuable measure to assess the ability of the auditory nerve to integrate the charge over time.Electrically evoked stapedial reflex measurement can be used as an objective method to measure charge integration efficiency. [ABSTRACT FROM AUTHOR]
- Published
- 2024
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