Does early activation within hours after cochlear implant surgery influence electrode impedances?

Autor: Saoji AA; Department of Otolaryngology-Head and Neck Surgery, Mayo Clinic School of Medicine, Rochester, MN, USA., Adkins WJ; Department of Otolaryngology-Head and Neck Surgery, Mayo Clinic School of Medicine, Rochester, MN, USA., Graham MK; Department of Otolaryngology-Head and Neck Surgery, Mayo Clinic School of Medicine, Rochester, MN, USA., Carlson ML; Department of Otolaryngology-Head and Neck Surgery, Mayo Clinic School of Medicine, Rochester, MN, USA.
Jazyk: angličtina
Zdroj: International journal of audiology [Int J Audiol] 2022 Jun; Vol. 61 (6), pp. 520-525. Date of Electronic Publication: 2021 Jul 18.
DOI: 10.1080/14992027.2021.1942569
Abstrakt: Objective: This study aims to determine if early device activation can influence cochlear implant electrode impedances by providing electrical stimulation within hours after cochlear implant surgery.
Design: Electrode impedances were measured intraoperatively, at device activation, and one-month after device activation in three groups: users whose devices were activated (1) on the same day (Same Day), (2) the next day (Next Day), and (3) 10-14 days (Standard), after cochlear implant surgery.
Study Sample: Electrode impedances are reported in fifty-one patients implanted with a Cochlear™ Nucleus ® Cochlear Implant.
Results: Compared to intraoperative levels, impedances dropped within hours for the Same Day activation group ( p  < 0.001) and continued dropping on the next day after surgery ( p  < 0.001). Similarly, electrode impedances were significantly ( p  < 0.001) lower at device activation for the Next Day group as compared to their intraoperative measurements. For Standard activation, impedances increased significantly from intraoperative levels, prior to device activation ( p  < 0.001). One-month after initial activation, impedances were not statistically different between the Same Day, Next Day, and Standard activation groups.
Conclusions: Early device activation does not influence long-term impedances in a clinically meaningful manner.
Databáze: MEDLINE