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Radiological evaluation of a new straight electrode array compared to its precursors

OBJECTIVE: The aim of this study is to examine electrode array coverage, scalar position and dislocation rate in straight electrode arrays with special focus on a new electrode array with 26 mm in lengths. STUDY DESIGN: Retrospective study. SETTING: Tertiary academic center. PATIENTS: 201 ears impla...

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Autores principales: Ketterer, Manuel Christoph, Aschendorff, A., Arndt, S., Speck, I., Rauch, A. K., Beck, R., Hassepass, F.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer Berlin Heidelberg 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8382647/
https://www.ncbi.nlm.nih.gov/pubmed/33090276
http://dx.doi.org/10.1007/s00405-020-06434-5
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author Ketterer, Manuel Christoph
Aschendorff, A.
Arndt, S.
Speck, I.
Rauch, A. K.
Beck, R.
Hassepass, F.
author_facet Ketterer, Manuel Christoph
Aschendorff, A.
Arndt, S.
Speck, I.
Rauch, A. K.
Beck, R.
Hassepass, F.
author_sort Ketterer, Manuel Christoph
collection PubMed
description OBJECTIVE: The aim of this study is to examine electrode array coverage, scalar position and dislocation rate in straight electrode arrays with special focus on a new electrode array with 26 mm in lengths. STUDY DESIGN: Retrospective study. SETTING: Tertiary academic center. PATIENTS: 201 ears implanted between 2013 and 2019. MAIN OUTCOME MEASURES: We conducted a comparative analysis of patients implanted with lateral wall electrode arrays of different lengths (F24 = MED-EL Flex(24), F26 = MED-EL Flex(26), F28 = MED-EL Flex(28) and F31.5 = MED-EL Flex(Soft)). Cone beam computed tomography was used to determine electrode array position (scala tympani (ST) versus scala vestibuli (SV), intracochlear dislocation, position of dislocation and insertion angle). RESULTS: Study groups show no significant differences regarding cochlear size which excludes influences by cochlear morphology. As expected, the F24 showed significant shorter insertion angles compared to the longer electrode arrays. The F26 electrode array showed no signs of dislocation or SV insertion. The electrode array with the highest rate of ST dislocations was the F31.5 (26.3%). The electrode array with the highest rates of SV insertions was the F28 (5.75%). Most of the included electrode arrays dislocate between 320° and 360° (mean: 346.4°; range from 166° to 502°). CONCLUSION: The shorter F24 and the new straight electrode array F26 show less or no signs of scalar dislocation, neither for round window nor for cochleostomy insertion than the longer F28 and the F31.5 array. As expected, the cochlear coverage is increasing with length of the electrode array itself but with growing risk for scalar dislocation and with the highest rates of dislocation for the longest electrode array F31.5. Position of intracochlear dislocation is in the apical cochlear part in the included lateral wall electrode arrays.
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spelling pubmed-83826472021-09-09 Radiological evaluation of a new straight electrode array compared to its precursors Ketterer, Manuel Christoph Aschendorff, A. Arndt, S. Speck, I. Rauch, A. K. Beck, R. Hassepass, F. Eur Arch Otorhinolaryngol Otology OBJECTIVE: The aim of this study is to examine electrode array coverage, scalar position and dislocation rate in straight electrode arrays with special focus on a new electrode array with 26 mm in lengths. STUDY DESIGN: Retrospective study. SETTING: Tertiary academic center. PATIENTS: 201 ears implanted between 2013 and 2019. MAIN OUTCOME MEASURES: We conducted a comparative analysis of patients implanted with lateral wall electrode arrays of different lengths (F24 = MED-EL Flex(24), F26 = MED-EL Flex(26), F28 = MED-EL Flex(28) and F31.5 = MED-EL Flex(Soft)). Cone beam computed tomography was used to determine electrode array position (scala tympani (ST) versus scala vestibuli (SV), intracochlear dislocation, position of dislocation and insertion angle). RESULTS: Study groups show no significant differences regarding cochlear size which excludes influences by cochlear morphology. As expected, the F24 showed significant shorter insertion angles compared to the longer electrode arrays. The F26 electrode array showed no signs of dislocation or SV insertion. The electrode array with the highest rate of ST dislocations was the F31.5 (26.3%). The electrode array with the highest rates of SV insertions was the F28 (5.75%). Most of the included electrode arrays dislocate between 320° and 360° (mean: 346.4°; range from 166° to 502°). CONCLUSION: The shorter F24 and the new straight electrode array F26 show less or no signs of scalar dislocation, neither for round window nor for cochleostomy insertion than the longer F28 and the F31.5 array. As expected, the cochlear coverage is increasing with length of the electrode array itself but with growing risk for scalar dislocation and with the highest rates of dislocation for the longest electrode array F31.5. Position of intracochlear dislocation is in the apical cochlear part in the included lateral wall electrode arrays. Springer Berlin Heidelberg 2020-10-22 2021 /pmc/articles/PMC8382647/ /pubmed/33090276 http://dx.doi.org/10.1007/s00405-020-06434-5 Text en © The Author(s) 2020 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) .
spellingShingle Otology
Ketterer, Manuel Christoph
Aschendorff, A.
Arndt, S.
Speck, I.
Rauch, A. K.
Beck, R.
Hassepass, F.
Radiological evaluation of a new straight electrode array compared to its precursors
title Radiological evaluation of a new straight electrode array compared to its precursors
title_full Radiological evaluation of a new straight electrode array compared to its precursors
title_fullStr Radiological evaluation of a new straight electrode array compared to its precursors
title_full_unstemmed Radiological evaluation of a new straight electrode array compared to its precursors
title_short Radiological evaluation of a new straight electrode array compared to its precursors
title_sort radiological evaluation of a new straight electrode array compared to its precursors
topic Otology
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8382647/
https://www.ncbi.nlm.nih.gov/pubmed/33090276
http://dx.doi.org/10.1007/s00405-020-06434-5
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