Effects of cochlear implant surgical technique on post-operative electrode impedance.

Conclusions: The mCI surgical technique led to reduced impedance and minimized disturbance of the microenvironment inside the cochlea. Atraumatic surgical techniques and inflammation-reduction strategies may preserve the cochlear architecture and prevent fibrotic development.Objectives: To assess th...

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Publicado en:Acta Oto-Laryngologica Vol. 136; no. 7; pp. 677 - 682
Autores principales: Gu, Ping, Jiang, Yi, Gao, Xue, Huang, Shasha, Yuan, Yongyi, Wang, Guojian, Li, Beicheng, Xi, Xin, Dai, Pu
Formato: research tables/charts Journal Article
Publicado: Taylor & Francis Ltd Jul2016
Acceso en línea:Ver este registro en EBSCOhost
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        10.3109/00016489.2016.1143967
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        atl: Effects of cochlear implant surgical technique on post-operative electrode impedance.
      aug:
        au:
          Gu, Ping
          Jiang, Yi
          Gao, Xue
          Huang, Shasha
          Yuan, Yongyi
          Wang, Guojian
          Li, Beicheng
          Xi, Xin
          Dai, Pu
        affil: Department of Otorhinolaryngology, Head and Neck Surgery, PLA General Hospital, Beijing, PR China
      sug:
        subj:
          Cochlear Implant
          Ear Surgery Methods
          Minimally Invasive Procedures
          Inflammation Prevention and Control
          Electrodes
          Electric Impedance
          Postoperative Period
          Outcome Assessment
          Comparative Studies
          Retrospective Design
          Data Analysis Software
          Two-Way Analysis of Variance
          Repeated Measures
          Post Hoc Analysis
          Descriptive Statistics
          P-Value
          Infant
          Child, Preschool
          Child
          Adolescence
          Adult
          Middle Age
          Female
          Male
          Human
          Funding Source
          Infant: 1-23 months
          Child, Preschool: 2-5 years
          Child: 6-12 years
          Adolescent: 13-18 years
          Adult: 19-44 years
          Middle Aged: 45-64 years
          Female
          Male
      ab: Conclusions: The mCI surgical technique led to reduced impedance and minimized disturbance of the microenvironment inside the cochlea. Atraumatic surgical techniques and inflammation-reduction strategies may preserve the cochlear architecture and prevent fibrotic development.Objectives: To assess the advantages of a modified minimal access technique in cochlear implantation as well as to investigate the effects of intra-operative application of inflammation reduction strategies on the intra-cochlear impedance.Methods: One hundred patients received a 31.5 mm long Med-El standard electrode array fully inserted into the cochlea and did not have surgical complications post-operation. Patients were divided into two groups according to the surgical technique that was used for implantation: 50 were in the modified minimal access cochlear implant (mCI) surgery group and 50 were in the traditional CI surgery group. Intra-cochlear impedance values were measured at initial activation (4 weeks post-operatively). Electrode impedance values were compared between the surgery groups.Results: Electrode impedance values were significantly lower in the mCI group than in the CI surgery group at initial activation (5.01 kOhm vs 6.10 kOhm, respectively,F = 13.761,p = 0.000). The differences between the two groups were most prominent for the electrodes located at the basal region of the cochlea.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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