Comparison of a Traditional and Novel Evoked Compound Action Potentials Recording Approach and Evoked Auditory Brainstem Responses in Pediatric Cochlear Implants Users
| Autor: | Kathrin Lauss, Laura Cavallé Garrido, Miguel Diaz Gomez, Alejandra Kontides, Abel Guzmán Calvete, Konrad Schwarz, Miguel Armengot Carceller, Carlos de Paula Vernetta |
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| Rok vydání: | 2018 |
| Předmět: |
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medicine.medical_specialty pediatrics Hearing loss Hearing Loss Sensorineural Population Action Potentials Audiology 03 medical and health sciences Neural activity 0302 clinical medicine action potential Evoked Potentials Auditory Brain Stem Medicine Humans Telemetry Cochlear implant 030223 otorhinolaryngology Cochlear implantation education Child hearing loss Functional evaluation education.field_of_study business.industry Stimulation rate Infant Newborn Infant Auditory Threshold General Medicine Cochlear Implantation Cochlear Implants Otorhinolaryngology electrically evoked compound action potential Child Preschool Original Article Female Brainstem medicine.symptom business 030217 neurology & neurosurgery |
| Zdroj: | JOURNAL OF INTERNATIONAL ADVANCED OTOLOGY r-IIS La Fe. Repositorio Institucional de Producción Científica del Instituto de Investigación Sanitaria La Fe instname |
| ISSN: | 1308-7649 |
| Popis: | OBJECTIVES: Electrically evoked compound action potentials (eCAP) recordings are widely used in functional evaluation and fitting of cochlear implants (CI) in clinics. We compared the results from two eCAP recording approaches (StandardART and FineGrain, MED-EL, Austria). The FineGrain method is more advanced than the Auditory Nerve Response Telemetry (StandardART) method in terms of the stimulation and algorithm for the eCAP threshold detection. To understand the benefits of these alterations, we compared the two methods on a larger scale in pediatric CI users alongside evoked auditory brainstem responses (eABR). MATERIALS and METHODS: We collected the eCAP recordings obtained with both methods from a population of pediatric subjects with CI, either intra-or post-operatively. The eABR recordings were only collected post-operatively. For comparability reasons, we used the same stimulation rate and similar amplitude levels for all three approaches. RESULTS: Our results demonstrate that, although the success rates are similar, the FineGrain method outperforms traditional StandardART in terms of robustness and measurement duration. The eCAP recordings in general outperform the eABR in terms of speed. CONCLUSION: We conclude that the eCAP recordings are the method of choice for measuring the auditory neural activity, and FineGrain outperforms StandardART. From the three investigated approaches, we conclude that FineGrain performed best and should be the first-choice method in pediatric patients. |
| Databáze: | OpenAIRE |
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