Long-Term Impedance Trend in Cochlear Implant Users with Genetically Determined Congenital Profound Hearing Loss.

Background  Impedance is a basic parameter registered at any cochlear implant (CI) fitting section. It is useful in monitoring electrode functioning and the status of the surrounding anatomical structures. Purpose  The main aim of this study is to evaluate the 5-year impedance-value trend in patient...

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Published in:Journal of the American Academy of Audiology Vol. 33; no. 2; pp. 105 - 115
Main Authors: Brotto, Davide, Caserta, Ezio, Sorrentino, Flavia, Favaretto, Niccolò, Marioni, Gino, Martini, Alessandro, Bovo, Roberto, Gheller, Flavia, Trevisi, Patrizia
Format: research tables/charts Journal Article
Published: Thieme Medical Publishing Inc. 2022
Online Access:View this record in EBSCOhost
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      dt: 2022
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      pub: Thieme Medical Publishing Inc.
      place: New York, New York
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        10.1055/s-0041-1739290
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        atl: Long-Term Impedance Trend in Cochlear Implant Users with Genetically Determined Congenital Profound Hearing Loss.
      aug:
        au:
          Brotto, Davide
          Caserta, Ezio
          Sorrentino, Flavia
          Favaretto, Niccolò
          Marioni, Gino
          Martini, Alessandro
          Bovo, Roberto
          Gheller, Flavia
          Trevisi, Patrizia
        affil: Section of Otorhinolaryngology - Head and Neck Surgery, Department of Neurosciences, University of Padova, Padova, Italy
      sug:
        subj:
          Hearing Disorders Familial and Genetic
          Hearing Disorders Surgery
          Cochlear Implant
          Electric Impedance Trends
          Time Factors
          Human
          Male
          Female
          Child, Preschool
          Child
          Adolescence
          Adult
          Italy
          Nonexperimental Studies
          Retrospective Design
          Record Review
          Repeated Measures
          Analysis of Variance
          Data Analysis Software
          Post Hoc Analysis
          Paired T-Tests
          Cochlear Implant Programming
          Electrodes, Implanted Classification
          Telemetry
          Evoked Potentials, Auditory
          Child, Preschool: 2-5 years
          Child: 6-12 years
          Adolescent: 13-18 years
          Adult: 19-44 years
          Male
          Female
      ab: Background  Impedance is a basic parameter registered at any cochlear implant (CI) fitting section. It is useful in monitoring electrode functioning and the status of the surrounding anatomical structures. Purpose  The main aim of this study is to evaluate the 5-year impedance-value trend in patients affected by congenital genetically determined profound hearing loss implanted with Cochlear Nucleus devices. Research Design  Observational, retrospective, monocentric study. Study Sample  Twenty-seven consecutive patients (9 females: 12.0 ± 7.6 years old; range: 4.2–40.4) with genetic diagnosis of GJB2 mutation causing congenital profound hearing loss who underwent cochlear implantation from 2010 to 2020 with good auditory benefit. Intervention  Impedance values of the CIs were obtained from the CIs' programming software that registers those parameters for each follow-up section of each patient. Data Collection and Analysis  Impedance values were measured over time (activation, 6, 12, 24, and 60 months after cochlear implantation), for each of the 22 electrodes, in common ground, monopolar 1, monopolar 2, and monopolar 1 + 2 stimulation modes. Results  A significant variation was found between CI activation and 6-month follow-up. This difference was found for each of the 22 electrodes. Electrodes 1 to 4 showed higher impedance values compared with all other electrodes in each time interval. Repeated-measures analysis of variance ruled out significant variations in impedance values from 6-month to 5-year follow-up. Conclusions  Impedance values were extremely stable after activation, at least for the first 5 years. In these cases, even minimal impedance variations should be carefully evaluated for their possible implications on hearing performance.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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