ArticleEar and hearing
Response Changes During Insertion of a Cochlear Implant Using Extracochlear Electrocochleography.
Article in Ear and hearing. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Who cites it
18 citing papers in PubMed, 1 synthesis or guideline pooled it, 38 citations in OpenAlex.
- Electrocochleography in Cochlear Implant Users with Residual Acoustic Hearing: A Systematic Review.International journal of environmental research and public health · 2020Pooled it
- Validating an Evoked Potential Platform for Electrocochleography During Cochlear Implantation.The Laryngoscope · 2025Article
- Diving technique of cochlear implant electrode insertion for hearing preservation: how I do it.European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery · 2024Article
- ZH-ECochG Bode Plot: A Novel Approach to Visualize Electrocochleographic Data in Cochlear Implant Users.Journal of clinical medicine · 2024Article
- Identifying Slim Modiolar Electrode Tip Fold-Over With Intracochlear Electrocochleography.Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery · 2024Article
- Development and Characterization of an Electrocochleography-Guided Robotics-Assisted Cochlear Implant Array Insertion System.Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery · 2022Article
- Intracochlear Electrocochleography and Speech Perception Scores in Cochlear Implant Recipients.The Laryngoscope · 2021Article
- Electrocochleography in cochlear implantation: Development, applications, and future directions.World journal of otorhinolaryngology - head and neck surgery · 2021Review
- Light sheet microscopy of the gerbil cochlea.The Journal of comparative neurology · 2021Article
- Intraoperative Observational Real-time Electrocochleography as a Predictor of Hearing Loss After Cochlear Implantation: 3 and 12 Month Outcomes.Otology & neurotology : official publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology · 2020Article
- Hearing at threshold intensities: by slow mechanical traveling waves or by fast cochlear fluid pressure waves.Audiology research · 2020Article
- Hair cell and neural contributions to the cochlear summating potential.Journal of neurophysiology · 2019Article
- An improved method of obtaining electrocochleography recordings from Nucleus Hybrid cochlear implant users.Hearing research · 2019Article
- Residual Cochlear Function in Adults and Children Receiving Cochlear Implants: Correlations With Speech Perception Outcomes.Ear and hearingArticle
- Cochlear implantation in an animal model documents cochlear damage at the tip of the implant.Brazilian journal of otorhinolaryngologyArticle
- Simultaneous Intra- and Extracochlear Electrocochleography During Cochlear Implantation to Enhance Response Interpretation.Trends in hearingArticle
- Article
- Intracochlear Electrocochleography: Response Patterns During Cochlear Implantation and Hearing Preservation.Ear and hearingArticle
Corrections and comments
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Authors and funding
8 authors at 3 institutions in 1 country.
Funding
Abstract
objectivesElectrocochleography is increasingly being utilized as an intraoperative monitor of cochlear function during cochlear implantation (CI). Intracochlear recordings from the advancing electrode can be obtained through the device by on-board capabilities. However, such recordings may not be ideal as a monitor because the recording electrode moves in relation to the neural and hair cell generators producing the responses. The purposes of this study were to compare two extracochlear recording locations in terms of signal strength and feasibility as intraoperative monitoring sites and to characterize changes in cochlear physiology during CI insertion.
designIn 83 human subjects, responses to 90 dB nHL tone bursts were recorded both at the round window (RW) and then at an extracochlear position-either adjacent to the stapes or on the promontory just superior to the RW. Recording from the fixed, extracochlear position continued during insertion of the CI in 63 cases.
resultsBefore CI insertion, responses to low-frequency tones at the RW were roughly 6 dB larger than when recording at either extracochlear site, but the two extracochlear sites did not differ from one another. During CI insertion, response losses from the promontory or adjacent to the stapes stayed within 5 dB in ≈61% (38/63) of cases, presumably indicating atraumatic insertions. Among responses which dropped more than 5 dB at any time during CI insertion, 12 subjects showed no response recovery, while in 13, the drop was followed by partial or complete response recovery by the end of CI insertion. In cases with recovery, the drop in response occurred relatively early (<15 mm insertion) compared to those where there was no recovery. Changes in response phase during the insertion occurred in some cases; these may indicate a change in the distributions of generators contributing to the response.
conclusionsMonitoring the electrocochleography during CI insertion from an extracochlear site reveals insertions that are potentially atraumatic, show interaction with cochlear structures followed by response recovery, or show interactions such that response losses persist to the end of recording.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.