Transimpedance Matrix (TIM) measurement for the detection of intraoperative electrode tip foldover using the slim modiolar electrode
Autor: | Floris Heutink, Wendy J. Huinck, Berit M. Verbist, Tim M Klabbers, Emmanuel A. M. Mylanus |
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Jazyk: | angličtina |
Rok vydání: | 2021 |
Předmět: |
Transimpedance amplifier
medicine.medical_treatment Tip foldover Sensory disorders Donders Center for Medical Neuroscience [Radboudumc 12] 03 medical and health sciences All institutes and research themes of the Radboud University Medical Center 0302 clinical medicine Cochlear implant medicine Electrode array Fluoroscopy In patient 030223 otorhinolaryngology Cochlear implantation Intraoperative imaging medicine.diagnostic_test business.industry Transimpedance matrix Sensory Systems Objective measures Otorhinolaryngology Electrode Neurology (clinical) business 030217 neurology & neurosurgery Rare cancers Radboud Institute for Health Sciences [Radboudumc 9] Biomedical engineering |
Zdroj: | Otology and Neurotology, 42(2), E124-E129. LIPPINCOTT WILLIAMS & WILKINS Otology & Neurotology, 42, 2, pp. E124-E129 Otology & Neurotology, 42, E124-E129 |
ISSN: | 1531-7129 |
Popis: | Objectives The aim of this study is to report on our preliminary experience with Transimpedance Matrix (TIM)-measurement for the detection of cochlear implant electrode tip foldovers compared with intraoperative imaging in patients implanted with the slim modiolar electrode (SME). Study design Proof of concept study. Setting Tertiary university referral center. Patients Twenty five ears (in 22 patients) implanted consecutively with the SME. Intervention(s) Following cochlear implantation, intraoperative TIM-measurement and fluoroscopy were performed. One week postoperatively, the electrode position was evaluated using Computed Tomography (CT)-imaging. Main outcome measures Electrode array tip foldover. Results Electrode array tip foldover occurred in three of the 25 cochlear implantations performed (12%). In each case, the foldover was detected by both TIM and fluoroscopy, leading to reposition and correct intracochlear placement of the array. Conclusions TIM-measurement is a promising method for the intraoperative detection of an electrode array tip foldover. The TIM-tool with intuitive heatmap display is easy to use, fast, and readily available to clinics using TIM-software in the operating theatre. |
Databáze: | OpenAIRE |
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