Individual Optimization of the Insertion of a Preformed Cochlear Implant Electrode Array
Identifieur interne : 000805 ( Main/Merge ); précédent : 000804; suivant : 000806Individual Optimization of the Insertion of a Preformed Cochlear Implant Electrode Array
Auteurs : Thomas S. Rau [Allemagne] ; Thomas Lenarz [Allemagne] ; Omid Majdani [Allemagne]Source :
- International Journal of Otolaryngology [ 1687-9201 ] ; 2015.
Abstract
Url:
DOI: 10.1155/2015/724703
PubMed: 26448764
PubMed Central: 4581552
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<author><name sortKey="Rau, Thomas S" sort="Rau, Thomas S" uniqKey="Rau T" first="Thomas S." last="Rau">Thomas S. Rau</name>
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<author><name sortKey="Lenarz, Thomas" sort="Lenarz, Thomas" uniqKey="Lenarz T" first="Thomas" last="Lenarz">Thomas Lenarz</name>
<affiliation wicri:level="3"><nlm:aff id="I1">Department of Otolaryngology, Hannover Medical School, Carl-Neuberg-Straße 1, 30625 Hannover, Germany</nlm:aff>
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<wicri:regionArea>Department of Otolaryngology, Hannover Medical School, Carl-Neuberg-Straße 1, 30625 Hannover</wicri:regionArea>
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<author><name sortKey="Majdani, Omid" sort="Majdani, Omid" uniqKey="Majdani O" first="Omid" last="Majdani">Omid Majdani</name>
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<sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Individual Optimization of the Insertion of a Preformed Cochlear Implant Electrode Array</title>
<author><name sortKey="Rau, Thomas S" sort="Rau, Thomas S" uniqKey="Rau T" first="Thomas S." last="Rau">Thomas S. Rau</name>
<affiliation wicri:level="3"><nlm:aff id="I1">Department of Otolaryngology, Hannover Medical School, Carl-Neuberg-Straße 1, 30625 Hannover, Germany</nlm:aff>
<country xml:lang="fr">Allemagne</country>
<wicri:regionArea>Department of Otolaryngology, Hannover Medical School, Carl-Neuberg-Straße 1, 30625 Hannover</wicri:regionArea>
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<settlement type="city">Hanovre</settlement>
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<author><name sortKey="Lenarz, Thomas" sort="Lenarz, Thomas" uniqKey="Lenarz T" first="Thomas" last="Lenarz">Thomas Lenarz</name>
<affiliation wicri:level="3"><nlm:aff id="I1">Department of Otolaryngology, Hannover Medical School, Carl-Neuberg-Straße 1, 30625 Hannover, Germany</nlm:aff>
<country xml:lang="fr">Allemagne</country>
<wicri:regionArea>Department of Otolaryngology, Hannover Medical School, Carl-Neuberg-Straße 1, 30625 Hannover</wicri:regionArea>
<placeName><region type="land" nuts="2">Basse-Saxe</region>
<settlement type="city">Hanovre</settlement>
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<author><name sortKey="Majdani, Omid" sort="Majdani, Omid" uniqKey="Majdani O" first="Omid" last="Majdani">Omid Majdani</name>
<affiliation wicri:level="3"><nlm:aff id="I1">Department of Otolaryngology, Hannover Medical School, Carl-Neuberg-Straße 1, 30625 Hannover, Germany</nlm:aff>
<country xml:lang="fr">Allemagne</country>
<wicri:regionArea>Department of Otolaryngology, Hannover Medical School, Carl-Neuberg-Straße 1, 30625 Hannover</wicri:regionArea>
<placeName><region type="land" nuts="2">Basse-Saxe</region>
<settlement type="city">Hanovre</settlement>
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<series><title level="j">International Journal of Otolaryngology</title>
<idno type="ISSN">1687-9201</idno>
<idno type="eISSN">1687-921X</idno>
<imprint><date when="2015">2015</date>
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<front><div type="abstract" xml:lang="en"><p><italic>Purpose</italic>
. The aim of this study was to show that individual adjustment of the curling behaviour of a preformed cochlear implant (CI) electrode array to the patient-specific shape of the cochlea can improve the insertion process in terms of reduced risk of insertion trauma.<italic> Methods</italic>
. Geometry and curling behaviour of preformed, commercially available electrode arrays were modelled. Additionally, the anatomy of each small, medium-sized, and large human cochlea was modelled to consider anatomical variations. Finally, using a custom-made simulation tool, three different insertion strategies (conventional Advanced Off-Stylet (AOS) insertion technique, an automated implementation of the AOS technique, and a manually optimized insertion process) were simulated and compared with respect to the risk of insertion-related trauma. The risk of trauma was evaluated using a newly developed “trauma risk” rating scale.<italic> Results</italic>
. Using this simulation-based approach, it was shown that an individually optimized insertion procedure is advantageous compared with the AOS insertion technique.<italic> Conclusion</italic>
. This finding leads to the conclusion that, in general, consideration of the specific curling behaviour of a CI electrode array is beneficial in terms of less traumatic insertion. Therefore, these results highlight an entirely novel aspect of clinical application of preformed perimodiolar electrode arrays in general.</p>
</div>
</front>
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