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William P Gibson
The clinical uses of electrocochleography are reviewed with some technical notes on the apparatus needed to get clear recordings under different conditions. Electrocochleography can be used to estimate auditory thresholds in difficult to test children and a golf club electrode is described. The same electrode can be used to obtain electrical auditory brainstem responses (EABR). Diagnostic testing in the clinic can be performed with a transtympanic needle electrode, and a suitable disposable monopolar electrode is described...
2017: Frontiers in Neuroscience
Betul Cicek Cinar, Mehmet Yarali, Gamze Atay, Munir Demir Bajin, Gonca Sennaroglu, Levent Sennaroglu
The objective of the study was to discuss the findings of intraoperative electrically evoked auditory brainstem response (eABR) test results with a recently designed intracochlear test electrode (ITE) in terms of their relation to decisions of cochlear or auditory brainstem implantation. This clinical study was conducted in Hacettepe University, Department of Otolaryngology, Head and Neck Surgery and Department of Audiology. Subjects were selected from inner ear malformation (IEM) database. Eleven subjects with profound sensorineural hearing loss were included in the current study with age range from 1 year 3 months to 4 years 3 months for children with prelingual hearing loss...
June 19, 2017: European Archives of Oto-rhino-laryngology
Robert K Shepherd, Andrew K Wise, Ya Lang Enke, Paul M Carter, James B Fallon
OBJECTIVE: Cochlear implants (CIs) have a limited number of independent stimulation channels due to the highly conductive nature of the fluid-filled cochlea. Attempts to develop highly focused stimulation to improve speech perception in CI users includes the use of simultaneous stimulation via multiple current sources. Focused multipolar (FMP) stimulation is an example of this approach and has been shown to reduce interaction between stimulating channels. However, compared with conventional biphasic current pulses generated from a single current source, FMP is a complex stimulus that includes extended periods of stimulation before charge recovery is achieved, raising questions on whether chronic stimulation with this strategy is safe...
June 13, 2017: Journal of Neural Engineering
H-L Yang, Z Liu
OBJECTIVE: The objective of the present study was to observe the relationship between V extraction rate and threshold value of electrically evoked auditory brainstem response (EABR) waves in artificial cochlear implantation, in order to optimize EABR parameters for improving auditory rehabilitation. PATIENTS AND METHODS: Thirty patients without residual hearing and treated with artificial cochlear implants were selected. The experimental group included 17 cases with normal cochlear morphology, four with large vestibular aqueduct syndrome (LVAS), six with Mondini malformation, and three with internal auditory canal stenosis...
May 2017: European Review for Medical and Pharmacological Sciences
Zhengfei Chen, Tamar L Greaves, Gregory G Warr, Rob Atkin
The melting point of a deep eutectic solvent formed from a ternary mixture of ethylammonium bromide (EABr), butylammonium bromide (BABr) and urea is 10 °C, which is almost 40 °C lower than the melting points of binary DESs formed from either EABr:urea or BABr:urea mixtures. This reveals a new route to prepare room temperature DESs via mixing different cations.
February 6, 2017: Chemical Communications: Chem Comm
Giacomo Colletti, Marco Mandalà, Vittorio Colletti, Alberto Deganello, Fabiana Allevi, Liliana Colletti
OBJECTIVE: To present a child with cochlear nerve deficiency (CND) who received simultaneous bilateral simultaneous auditory brainstem implants (BS-ABI) and subsequently presented with bilateral cerebrospinal fluid (CSF) leaks unresponsive to standard treatments. To propose a novel rigid retrosigmoid cranioplasty for treating and preventing CSF leaks in children at high risk for this complication. PATIENT: A 3.5-year-old child with CND, vertebral defects, anal atresia, cardiac defects, tracheo-esophageal fistula, renal anomalies, and limb abnormalities, coloboma, heart defect, atresia choanae, retarded growth and development, genital abnormality, and ear abnormality, Arnold Chiari malformation, previous treated tracheo-esophageal fistula underwent BS-ABI...
April 2017: Otology & Neurotology
Wei Chen, Haijin Yi, Liang Zhang, Fei Ji, Shuolong Yuan, Yue Zhang, Lili Ren, Jianan Li, Lei Chen, Weiwei Guo, Shiming Yang
CONCLUSIONS: In this investigation, a large mammal, Rongchang pigs were used to successfully establish a research platform for cochlear implant study on the routine use of it in clinic. OBJECTIVE: The aim of this study was to establish a standard method of cochlear implant in a large mammal-pig. METHODS: Rongchang pigs were selected, then divided into two groups: normal-hearing group (Mitf +/+) and mutation group with hearing loss (Mitf -/-)...
May 2017: Acta Oto-laryngologica
Sarah E Mowry, Sarah King
OBJECTIVE: To describe a case of chronic inflammatory demyelinating polyneuropathy (CDIP) with bilateral sudden sensorineural hearing loss who subsequently benefited from unilateral cochlear implantation. METHODS: case history review and review of the literature for the terms CDIP, hearing loss, cochleovestibular dysfunction, and cochlear implantation. RESULTS: A 49-year-old woman presented with bilateral rapidly progressive sensorineural hearing loss (SNHL) 1 month after an upper respiratory tract infection...
March 2017: Cochlear Implants International
B Wang, K L Cao, C G Wei, Y Wang, H Li
Objective: Analysis of the outcome of the electric brain stem auditory response (EABR) before cochlear implantation (CI) and the mapping parameters after CI in 187 cases, to explore the significance of EABR before CI. Methods: From February, 2008 to December, 2014, EABR were performed in 187 patients with normal cochlear structures before CI with Nucleus 24R multi-channel cochlear. Including 105 cases of male, 82 cases of female; 152 cases of no residual hearing, 35 cases of residual hearing. Self-design electrical stimulator and US Bio-logic auditory evoked potential were taken, EABR were performed under general anesthesia before CI, recording EABR waveforms, measuring the latency of Ⅱ, Ⅲ, Ⅳ, Ⅴ wave and the Ⅲ-Ⅴ interval, Ⅴ-wave amplitude, Ⅴ-wave threshold and I/O curve slope...
November 7, 2016: Zhonghua Er Bi Yan Hou Tou Jing Wai Ke za Zhi, Chinese Journal of Otorhinolaryngology Head and Neck Surgery
Nicolas Guevara, Michel Hoen, Eric Truy, Stéphane Gallego
BACKGROUND: Cochlear implants (CIs) are neural prostheses that have been used routinely in the clinic over the past 25 years. They allow children who were born profoundly deaf, as well as adults affected by hearing loss for whom conventional hearing aids are insufficient, to attain a functional level of hearing. The "modern" CI (i.e., a multi-electrode implant using sequential coding strategies) has yielded good speech comprehension outcomes (recognition level for monosyllabic words about 50% to 60%, and sentence comprehension close to 90%)...
2016: PloS One
Hongmei Hu, Birger Kollmeier, Mathias Dietz
Although bilateral cochlear implants (BiCIs) have succeeded in improving the spatial hearing performance of bilateral CI users, the overall performance is still not comparable with normal hearing listeners. Limited success can be partially caused by an interaural mismatch of the place-of-stimulation in each cochlea. Pairing matched interaural CI electrodes and stimulating them with the same frequency band is expected to facilitate binaural functions such as binaural fusion, localization, or spatial release from masking...
2016: Advances in Experimental Medicine and Biology
Ke Liu, Fei Ji, Guan Yang, Zhaohui Hou, Jianhe Sun, Xiaoyu Wang, Weiwei Guo, Wei Sun, Weiyan Yang, Xiao Yang, Shiming Yang
More than 100 genes have been associated with deafness. However, SMAD4 is rarely considered a contributor to deafness in humans, except for its well-defined role in cell differentiation and regeneration. Here, we report that a SMAD4 defect in mice can cause auditory neuropathy, which was defined as a mysterious hearing and speech perception disorder in human for which the genetic background remains unclear. Our study showed that a SMAD4 defect induces failed formation of cochlear ribbon synapse during the earlier stage of auditory development in mice...
October 2016: Molecular Neurobiology
Na Gao, Xin-Da Xu, Fang-Lu Chi, Fan-Gang Zeng, Qian-Jie Fu, Xian-Hao Jia, Yan-Bo Yin, Li-Chuan Ping, Hou-Yong Kang, Hai-Hong Feng, Yong-Zhen Wu, Ye Jiang
CONCLUSION: This study described objective and subjective evaluations of the Nurotron® Venus™ Cochlear Implant System and indicated that this system produced a satisfactory performance. OBJECTIVE: To observe the performance of the Nurotron® Venus™ cochlear implant (CI) system via electrophysiological and psychophysical evaluations. METHODS: A 26-electrode CI system was specially designed. The performance of MRI in animal and cadaveric head experiments, EABR in cats experiment, the correlation between ESRT and C level, and psychophysics evaluations in clinical trials were observed...
2016: Acta Oto-laryngologica
S Zirn, S Arndt, A Aschendorff, T Wesarg
The interaural time difference (ITD) is an important cue for the localization of sounds. ITD changes as little as 10 μs can be detected by the human auditory system. By provision of one ear with a cochlear implant (CI) ITD are altered due to the partial replacement of the peripheral auditory system. A hearing aid (HA), in contrast, does not replace but adds a processing delay component to the peripheral auditory system extending ITD. The aim of the present study was to quantify interaural stimulation timing between these different modalities to estimate the need for central auditory temporal compensation in single sided deaf CI users or bimodal CI/HA users...
October 2015: Hearing Research
Anette Fransson, Philippe de Medina, Michaël R Paillasse, Sandrine Silvente-Poirot, Marc Poirot, Mats Ulfendahl
AIM: To investigate the therapeutic potential for treating inner ear damage of two new steroidal alkaloid compounds, Dendrogenin A and Dendrogenin B, previously shown to be potent inductors of cell differentiation. METHODS: Guinea pigs, unilaterally deafened by neomycin infusion, received a cochlear implant followed by immediate or a 2-week delayed treatment with Dendrogenin A, Dendrogenin B, and, as comparison artificial perilymph and glial cell-line derived neurotrophic factor...
2015: Frontiers in Aging Neuroscience
Jongmoon Jang, JangWoo Lee, Seongyong Woo, David J Sly, Luke J Campbell, Jin-Ho Cho, Stephen J O'Leary, Min-Hyun Park, Sungmin Han, Ji-Wong Choi, Jeong Hun Jang, Hongsoo Choi
We proposed a piezoelectric artificial basilar membrane (ABM) composed of a microelectromechanical system cantilever array. The ABM mimics the tonotopy of the cochlea: frequency selectivity and mechanoelectric transduction. The fabricated ABM exhibits a clear tonotopy in an audible frequency range (2.92-12.6 kHz). Also, an animal model was used to verify the characteristics of the ABM as a front end for potential cochlear implant applications. For this, a signal processor was used to convert the piezoelectric output from the ABM to an electrical stimulus for auditory neurons...
2015: Scientific Reports
Marc J W Lammers, Ruben H M van Eijl, Gijsbert A van Zanten, Huib Versnel, Wilko Grolman
Neurophysiological studies in animals and humans suggest that severe hearing loss during early development impairs the maturation of the auditory brainstem. To date, studies in humans have mainly focused on the neural activation of the auditory brainstem in children treated with a cochlear implant (CI), but little is known about the pattern of activation in adult CI users with early onset of deafness (prelingual, before the age of 2 years). In this study, we compare auditory brainstem activation in prelingually deaf and late-implanted adult CI users to that in postlingually deaf CI users...
October 2015: Journal of the Association for Research in Otolaryngology: JARO
Ruxiang Zhang, Daoxing Zhang, Xiuyong Ding
OBJECTIVE: To investigate the feasibility of the round window stimulation electrical evoked auditory brainstem response (EABR) test, and optimize the parameters of recording and stimulation electrodes positions. METHOD: Ten healthy Hartley guinea pigs (20 ears) were used for the EABR test. The positive stimulation electrodes were placed into the round window niche, the animals were divided into three group according to the negative electrodes position, group A: the electric field was parallel with the projection of cochlear modiolus on the tympanic membrane, group B: the electric field was perpendicular to modiolus projection toward to the mastoid, group C: the electric field was perpendicular to modiolus projection toward to the zygomatic process...
March 2015: Journal of Clinical Otorhinolaryngology, Head, and Neck Surgery
Chavalit Ratanatamskul, Chakraphan Charoenphol
A novel energy-saving anaerobic baffled reactor-membrane bioreactor (EABR-MBR) system has been developed as a compact biological treatment system for reuse of water from a high-rise building. The anaerobic baffled reactor (ABR) compartment had five baffles and served as the anaerobic degradation zone, followed by the aerobic MBR compartment. The total operating hydraulic retention time (HRT) of the EABR-MBR system was 3 hours (2 hours for ABR compartment and very short HRT of 1 hour for aerobic MBR compartment)...
2015: Water Science and Technology: a Journal of the International Association on Water Pollution Research
Shujiro B Minami, Hideki Takegoshi, Yukiko Shinjo, Chieko Enomoto, Kimitaka Kaga
CONCLUSIONS: EABR is a reliable and effective way of objectively confirming device function and implant-responsiveness of the peripheral auditory neurons up to the level of the brainstem in cases of inner ear malformation. OBJECTIVE: To investigate the usefulness of measuring the intra-operative electrically evoked compound action potential (ECAP) and electrically evoked auditory brainstem response (EABR) in patients with and without congenital inner ear anomalies during cochlear implantation...
2015: Acta Oto-laryngologica
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