Reliability of cone beam computed tomography in scalar localization of the electrode array: a radio histological study View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2014-04

AUTHORS

Mathieu Marx, Frank Risi, Bernard Escudé, Irfan Durmo, Christopher James, Frédéric Lauwers, Olivier Deguine, Bernard Fraysse

ABSTRACT

Postoperative imaging plays a growing role in clinical studies concerning prognostic factors in cochlear implantation. Indeed, intracochlear position of the cochlear implant has recently been identified as a contributor in functional outcomes and radiological tools must be accurate enough to determine the final placement of the electrode array. The aim of our study was to validate cone beam computed tomography as a reliable technique for scalar localization of the electrode array. We performed therefore a temporal bone study on ten specimens that were implanted with a perimodiolar implant prototype. Cone beam reconstructions were performed and images were analyzed by two physicians both experienced in cochlear implant imaging, who determined the scalar localization of the implant. Temporal bones then underwent histological control to document this scalar localization and hypothetical intracochlear lesions. In four cases, a dislocation from scala tympani to scala vestibuli was suspected on cone beam reconstructions of the ascending part of the basal turn. In three of these four specimens, dislocation in pars ascendens was confirmed histologically. In the remaining temporal bone, histological analysis revealed an elevation with rupture of the basilar membrane. Histological assessment revealed spiral ligament tearing in another bone. We conclude that cone beam is a reliable tool to assess scalar localization of the selectrode array and may be used in future clinical studies. More... »

PAGES

673-679

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/s00405-013-2448-6

DOI

http://dx.doi.org/10.1007/s00405-013-2448-6

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1022861714

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/23536136


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Download the RDF metadata as:  json-ld nt turtle xml License info

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RDF/XML is a standard XML format for linked data.

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