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

Research output: Contribution to journalResearch articleContributedpeer-review

Contributors

  • Maria Magdalena Mair - , Tirol-Kliniken GmbH (Author)
  • Ruth Schröcksnadel - , Tirol-Kliniken GmbH (Author)
  • Kurt Stephan - , Innsbruck Medical University (Author)
  • Josef Seebacher - , Innsbruck Medical University (Author)
  • Philipp Zelger - , Innsbruck Medical University (Author)
  • Franz Muigg - , Tirol-Kliniken GmbH (Author)
  • Timo Gottfried - , Innsbruck Medical University (Author)
  • Annett Franke-Trieger - , Department of Otorhinolaryngology, Head and Neck Surgery (Author)
  • Joachim Schmutzhard - , Innsbruck Medical University (Author)

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

Original languageEnglish
Article numbere66526
JournalJournal of Visualized Experiments
Volume2024
Issue number208
Publication statusPublished - Jun 2024
Peer-reviewedYes

External IDs

PubMed 38975780