Synapse
⌘+K
Synapse
PulseExploreClubsResearchersJournals
Instagram
HomeClubsExplore
January 9, 2013Otology & Neurotology

How Well Do Cochlear Implant Intraoperative Impedance Measures Predict Postoperative Electrode Function?

View Full Paper
Ask AI
Bookmark
Share

Authors

JGJenny L. GoehringMHMichelle L. HughesJBJacquelyn L. Baudhuin

Discussion

Loading...

Member takes

Overview

Retrospective review reveals most intraoperative cochlear implant impedance abnormalities resolve by activation in pediatric and adult recipients, suggesting limited need for backup devices.

Key Points

  • To evaluate the incidence of abnormal cochlear implant electrode impedances intraoperatively and at initial activation, and to assess the rates of abnormality resolution and new-onset postoperative failure.
  • Retrospective records review conducted at a single tertiary referral center.
  • Evaluated intraoperative and postoperative impedance telemetry from 194 devices (3,430 total electrodes) implanted in 165 pediatric and adult patients.
  • Abnormal impedance occurred in 12.4% (24/194) of devices intraoperatively and decreased to 8.2% (16/194) postoperatively, with open circuits predominating over short circuits across both intraoperative (92% vs. 8%) and postoperative (94% vs. 6%) intervals.
  • Among 78 individual electrodes showing abnormal intraoperative impedance, 82% (64/78; 62 open circuits, 2 short circuits) resolved by initial activation, while 18% (14/78; 12 open circuits, 2 short circuits) remained abnormal.
  • New-onset impedance abnormalities occurred postoperatively in only 0.17% (6/3,430) of electrodes that tested normal intraoperatively.

Cite This Study

Goehring et al. (2013) studied this question.

synapsesocial.com/papers/6a95d2148372d5bc8453957ahttps://doi.org/10.1097/mao.0b013e31827c9d71
View Full Paper
Ask AI
Bookmark
Share

Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Prevalence and Timing of Individual Cochlear Implant Electrode Failures2010 · 61 citations
  2. 2Electrophysiologic and objective monitoring of the cochlear implant during surgery: implementation, audit and outcomes2004 · 32 citations
  3. 3Characteristics of malfunctioning channels in pediatric cochlear implants2009 · 27 citations
  4. 4Clinical behavior of follicular variant of papillary thyroid carcinoma: Presentation and survival2010 · 58 citations
  5. 5A Longitudinal Study of Electrode Impedance, the Electrically Evoked Compound Action Potential, and Behavioral Measures in Nucleus 24 Cochlear Implant Users2001 · 264 citations