Electrically Evoked Stapedius Reflex Measurements in Cochlear Implantation and its Application in the Postoperative Fitting Process

Publikation: Beitrag in FachzeitschriftForschungsartikelBeigetragenBegutachtung

Beitragende

  • Maria Magdalena Mair - , Tirol-Kliniken GmbH (Autor:in)
  • Ruth Schröcksnadel - , Tirol-Kliniken GmbH (Autor:in)
  • Kurt Stephan - , Medizinische Universität Innsbruck (Autor:in)
  • Josef Seebacher - , Medizinische Universität Innsbruck (Autor:in)
  • Philipp Zelger - , Medizinische Universität Innsbruck (Autor:in)
  • Franz Muigg - , Tirol-Kliniken GmbH (Autor:in)
  • Timo Gottfried - , Medizinische Universität Innsbruck (Autor:in)
  • Annett Franke-Trieger - , Klinik und Poliklinik für Hals-Nasen-Ohrenheilkunde (Autor:in)
  • Joachim Schmutzhard - , Medizinische Universität Innsbruck (Autor:in)

Abstract

Measuring the electrically evoked stapedius reflex during the fitting of cochlear implants (CIs) provides a reliable estimation of maximum comfort levels, resulting in the programming of the CI with high hearing comfort and good speech understanding. Detection of the stapedius reflex and the required stimulation level on each implant channel is already being performed during surgery, whereby intraoperative stapedius reflexes are observed through the surgical microscope. Intraoperative stapedius reflex detection is both an indicator that the auditory nerve is responding to electrical stimulation up to the brainstem and a test for the ability to perform postoperative stapedius reflex measurements. Postoperative stapedius reflex thresholds can be used to estimate upper stimulation levels in the CI fitting process. In particular, in children or patients unable to provide feedback on loudness perception, this method avoids inadequate stimulation with the CI, which can result in poor hearing performance. In addition, overstimulation can be avoided, which could even lead to refusal to use the device.

Details

OriginalspracheEnglisch
Aufsatznummere66526
FachzeitschriftJournal of Visualized Experiments
Jahrgang2024
Ausgabenummer208
PublikationsstatusVeröffentlicht - Juni 2024
Peer-Review-StatusJa

Externe IDs

PubMed 38975780