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Abstract

Medicine

Performing Repeated Intraoperative Impedance Telemetry Measurements during Cochlear Implantation

Published: August 4th, 2023

DOI:

10.3791/65600

1Department of Otorhinolaryngology-Head and Neck Surgery, Ruhr-University Bochum, St. Elisabeth-Hospital Bochum, 2Department of Translational Neurosciences, Faculty of Medicine and Health Sciences, University of Antwerp, 3International Graduate School of Neuroscience (IGSN), Ruhr-University Bochum, 4Technical University of Munich, 5Department of Otorhinolaryngology, TUM School of Medicine, Klinikum rechts der Isar, 6MED-EL, 7Department of Otorhinolaryngology and Head & Neck Surgery, Antwerp University Hospital, 8Department of Otorhinolaryngology-Head and Neck Surgery, Medical University Innsbruck

Abstract

Impedance measurements are routinely performed during cochlear implantation (CI) after finalized electrode insertion. They may allow conclusions on the electrode's and implant's function. In the postoperative setting, the analysis of impedance changes enables the identification of scarring or inflammation processes around the electrode. Recent studies report associations between impedance telemetry and the site of stimulation. Consequently, repeated impedance measurements during cochlear implant electrode insertion may enable objective feedback on whether the electrode is positioned inside the perilymph or outside the inner ear. With the presented novel method, impedances can be measured in real-time during cochlear implantation. This protocol systematically explains how to perform repeated impedance recordings during CI surgery. These repeated measurements are challenging since they depend on multiple intraoperative methodological factors starting with the draping of the patient. Thus, for successful recordings, a standardized procedure is mandatory. In this article, we comprehensively illustrate the system setup and procedure of performing intraoperative measurements during CI surgery.

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Keywords Cochlear Implantation

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