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Multi-electrode sequential versus single electrode stimulation to elicit the stapedial reflex during cochlear implantation: Correlation with maximum comfort level
To assess whether electrical stimulation sequentially delivered through 4 electrodes located in different cochlear areas may elicit the stapedial reflex at lower levels compared to single electrode stimulation and to correlate the sequentially obtained values with the maximum comfort level (C-level)...
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Published in: | European annals of otorhinolaryngology, head and neck diseases head and neck diseases, 2019-06, Vol.136 (3), p.169-172 |
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container_title | European annals of otorhinolaryngology, head and neck diseases |
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creator | Guida, M. Falcioni, M. Di Lella, F. Negri, M. Fagnani, E. Vincenti, V. |
description | To assess whether electrical stimulation sequentially delivered through 4 electrodes located in different cochlear areas may elicit the stapedial reflex at lower levels compared to single electrode stimulation and to correlate the sequentially obtained values with the maximum comfort level (C-level).
A retrospective study was performed on 35 post-verbal adult patients (age 19–80 years) consecutively implanted in 2 cochlear implant centers, evaluating the level of stimulation (pulse width) necessary to electrically evoke the stapedial reflex with two different stimulation modalities: single electrode versus sequential 4 electrode stimulation. Threshold values were compared with C-level obtained at activation.
The average differences of pulse width and C-level were significantly smaller (P |
doi_str_mv | 10.1016/j.anorl.2018.01.012 |
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A retrospective study was performed on 35 post-verbal adult patients (age 19–80 years) consecutively implanted in 2 cochlear implant centers, evaluating the level of stimulation (pulse width) necessary to electrically evoke the stapedial reflex with two different stimulation modalities: single electrode versus sequential 4 electrode stimulation. Threshold values were compared with C-level obtained at activation.
The average differences of pulse width and C-level were significantly smaller (P<0.0001) when the stapedial reflex was obtained with the sequential stimulation modality and reached statistical significance for every single electrode (P<0.0001).
Stapedial reflex thresholds obtained with sequential stimulation through 4 different electrodes significantly correlate to the C-level obtained at the first setting and may be helpful in defining the upper limit of the dynamic field during initial CI mapping.</description><identifier>ISSN: 1879-7296</identifier><identifier>EISSN: 1879-730X</identifier><identifier>DOI: 10.1016/j.anorl.2018.01.012</identifier><identifier>PMID: 30878509</identifier><language>eng</language><publisher>France: Elsevier Masson SAS</publisher><subject>Adult ; Aged ; Aged, 80 and over ; Auditory Threshold - physiology ; Cochlear Implantation ; Comfort level ; Electric Stimulation - instrumentation ; Electric Stimulation - methods ; Electrophysiology ; Female ; Humans ; Implantable Neurostimulators ; Male ; Middle Aged ; Reflex, Acoustic - physiology ; Retrospective Studies ; Stapedius - physiology ; Stapedius reflex ; Young Adult</subject><ispartof>European annals of otorhinolaryngology, head and neck diseases, 2019-06, Vol.136 (3), p.169-172</ispartof><rights>2019 Elsevier Masson SAS</rights><rights>Copyright © 2019 Elsevier Masson SAS. All rights reserved.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c404t-b9b2631bef9a486aea9e8d20bc2843e46bc0a4ed0a2b4b3542fcfcc5bd20f8653</citedby><cites>FETCH-LOGICAL-c404t-b9b2631bef9a486aea9e8d20bc2843e46bc0a4ed0a2b4b3542fcfcc5bd20f8653</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/30878509$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Guida, M.</creatorcontrib><creatorcontrib>Falcioni, M.</creatorcontrib><creatorcontrib>Di Lella, F.</creatorcontrib><creatorcontrib>Negri, M.</creatorcontrib><creatorcontrib>Fagnani, E.</creatorcontrib><creatorcontrib>Vincenti, V.</creatorcontrib><title>Multi-electrode sequential versus single electrode stimulation to elicit the stapedial reflex during cochlear implantation: Correlation with maximum comfort level</title><title>European annals of otorhinolaryngology, head and neck diseases</title><addtitle>Eur Ann Otorhinolaryngol Head Neck Dis</addtitle><description>To assess whether electrical stimulation sequentially delivered through 4 electrodes located in different cochlear areas may elicit the stapedial reflex at lower levels compared to single electrode stimulation and to correlate the sequentially obtained values with the maximum comfort level (C-level).
A retrospective study was performed on 35 post-verbal adult patients (age 19–80 years) consecutively implanted in 2 cochlear implant centers, evaluating the level of stimulation (pulse width) necessary to electrically evoke the stapedial reflex with two different stimulation modalities: single electrode versus sequential 4 electrode stimulation. Threshold values were compared with C-level obtained at activation.
The average differences of pulse width and C-level were significantly smaller (P<0.0001) when the stapedial reflex was obtained with the sequential stimulation modality and reached statistical significance for every single electrode (P<0.0001).
Stapedial reflex thresholds obtained with sequential stimulation through 4 different electrodes significantly correlate to the C-level obtained at the first setting and may be helpful in defining the upper limit of the dynamic field during initial CI mapping.</description><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Auditory Threshold - physiology</subject><subject>Cochlear Implantation</subject><subject>Comfort level</subject><subject>Electric Stimulation - instrumentation</subject><subject>Electric Stimulation - methods</subject><subject>Electrophysiology</subject><subject>Female</subject><subject>Humans</subject><subject>Implantable Neurostimulators</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Reflex, Acoustic - physiology</subject><subject>Retrospective Studies</subject><subject>Stapedius - physiology</subject><subject>Stapedius reflex</subject><subject>Young Adult</subject><issn>1879-7296</issn><issn>1879-730X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2019</creationdate><recordtype>article</recordtype><recordid>eNp9UctqGzEUFaWlCW6-oBC07GYcvTyWCl0UkxckdNNCd0LS3IllNCNX0jjJ7_RLK8dO6ariggT3nHN1z0HoIyVzSmh7sZmbMaYwZ4TKOaG12Bt0SuVSNUtOfr59fTPVnqCznDekHi6lIuo9OuFELuWCqFP0-34KxTcQwJUUO8AZfk0wFm8C3kHKU8bZjw8B8D-Q4ocpmOLjiEusDe98wWW975gtdHtugj7AE-6mVNnYRbcOYBL2wzaYsbxwP-NVTAmOQo--rPFgnqr0UPFDH1PBAXYQPqB3vQkZzo73DP24uvy-umnuvl3frr7eNU4QURqrLGs5tdArI2RrwCiQHSPWMSk4iNY6YgR0xDArLF8I1rveuYWtmF62Cz5Dnw662xSrB7nowWcHoX4Y4pQ1o4q3ZCmq2gzxA9SlmHPdVW-TH0x61pTofT56o1_y0ft8NKG1WGWdHwdMdoDuL-c1jQr4cgBAXXPnIensPIyuWpqq-bqL_r8D_gBQ0aiK</recordid><startdate>201906</startdate><enddate>201906</enddate><creator>Guida, M.</creator><creator>Falcioni, M.</creator><creator>Di Lella, F.</creator><creator>Negri, M.</creator><creator>Fagnani, E.</creator><creator>Vincenti, V.</creator><general>Elsevier Masson SAS</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>201906</creationdate><title>Multi-electrode sequential versus single electrode stimulation to elicit the stapedial reflex during cochlear implantation: Correlation with maximum comfort level</title><author>Guida, M. ; Falcioni, M. ; Di Lella, F. ; Negri, M. ; Fagnani, E. ; Vincenti, V.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c404t-b9b2631bef9a486aea9e8d20bc2843e46bc0a4ed0a2b4b3542fcfcc5bd20f8653</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2019</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Auditory Threshold - physiology</topic><topic>Cochlear Implantation</topic><topic>Comfort level</topic><topic>Electric Stimulation - instrumentation</topic><topic>Electric Stimulation - methods</topic><topic>Electrophysiology</topic><topic>Female</topic><topic>Humans</topic><topic>Implantable Neurostimulators</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Reflex, Acoustic - physiology</topic><topic>Retrospective Studies</topic><topic>Stapedius - physiology</topic><topic>Stapedius reflex</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Guida, M.</creatorcontrib><creatorcontrib>Falcioni, M.</creatorcontrib><creatorcontrib>Di Lella, F.</creatorcontrib><creatorcontrib>Negri, M.</creatorcontrib><creatorcontrib>Fagnani, E.</creatorcontrib><creatorcontrib>Vincenti, V.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>European annals of otorhinolaryngology, head and neck diseases</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Guida, M.</au><au>Falcioni, M.</au><au>Di Lella, F.</au><au>Negri, M.</au><au>Fagnani, E.</au><au>Vincenti, V.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Multi-electrode sequential versus single electrode stimulation to elicit the stapedial reflex during cochlear implantation: Correlation with maximum comfort level</atitle><jtitle>European annals of otorhinolaryngology, head and neck diseases</jtitle><addtitle>Eur Ann Otorhinolaryngol Head Neck Dis</addtitle><date>2019-06</date><risdate>2019</risdate><volume>136</volume><issue>3</issue><spage>169</spage><epage>172</epage><pages>169-172</pages><issn>1879-7296</issn><eissn>1879-730X</eissn><abstract>To assess whether electrical stimulation sequentially delivered through 4 electrodes located in different cochlear areas may elicit the stapedial reflex at lower levels compared to single electrode stimulation and to correlate the sequentially obtained values with the maximum comfort level (C-level).
A retrospective study was performed on 35 post-verbal adult patients (age 19–80 years) consecutively implanted in 2 cochlear implant centers, evaluating the level of stimulation (pulse width) necessary to electrically evoke the stapedial reflex with two different stimulation modalities: single electrode versus sequential 4 electrode stimulation. Threshold values were compared with C-level obtained at activation.
The average differences of pulse width and C-level were significantly smaller (P<0.0001) when the stapedial reflex was obtained with the sequential stimulation modality and reached statistical significance for every single electrode (P<0.0001).
Stapedial reflex thresholds obtained with sequential stimulation through 4 different electrodes significantly correlate to the C-level obtained at the first setting and may be helpful in defining the upper limit of the dynamic field during initial CI mapping.</abstract><cop>France</cop><pub>Elsevier Masson SAS</pub><pmid>30878509</pmid><doi>10.1016/j.anorl.2018.01.012</doi><tpages>4</tpages><oa>free_for_read</oa></addata></record> |
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source | ScienceDirect Journals |
subjects | Adult Aged Aged, 80 and over Auditory Threshold - physiology Cochlear Implantation Comfort level Electric Stimulation - instrumentation Electric Stimulation - methods Electrophysiology Female Humans Implantable Neurostimulators Male Middle Aged Reflex, Acoustic - physiology Retrospective Studies Stapedius - physiology Stapedius reflex Young Adult |
title | Multi-electrode sequential versus single electrode stimulation to elicit the stapedial reflex during cochlear implantation: Correlation with maximum comfort level |
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