Intraoperative Impedance Measurements for the Evaluation of Perimodiolar Location οf Cochlear Implant Electrode - Own Experience

Evaluation of insertion of a cochlear implant electrode into the cochlea includes radiological techniques: plain X-ray of the skull, cochlear projection (based on Stenvers projection), computer tomography. These methods allow generally postoperative evaluation. During surgery the insertion of the electrode is assessed based on anatomical structures and markers placed on the electrode. The measurement of the electrode impedance is also an important tool. 60 patients implanted with the Contour cochlear implant with pre-shaped electrode were examined. Age o patients: mediana 4.25 (1.5-54.5). Examination includes intraoperative impedance measurement performed in two stages: (1) after the electrode insertion, and (2) after removal of the stylet. Measurements were done in Common Ground (CG) and Monopolar 1 (MP1) stimulation modes. Measurements recorded in two modes and in 3 different parts of the cochlea (apical, middle, basal) were compared. The average difference value (before-after) was for the CG mode: 0.45 kΩ, and for the MP1 mode: 0.39 kΩ. For the CG mode the difference values were: 0.64, 0.44 and 0.28 toward apical part. For the MP1 mode the difference values were: 0.47, 0.43 and 0.27 toward apical part of the cochlea

Intraoperative Impedance Measurements for the Evaluation of Perimodiolar Location οf Cochlear Implant Electrode - Own Experience

Evaluation of insertion of a cochlear implant electrode into the cochlea includes radiological techniques: plain X-ray of the skull, cochlear projection (based on Stenvers projection), computer tomography. These methods allow generally postoperative evaluation. During surgery the insertion of the electrode is assessed based on anatomical structures and markers placed on the electrode. The measurement of the electrode impedance is also an important tool. 60 patients implanted with the Contour cochlear implant with pre-shaped electrode were examined. Age o patients: mediana 4.25 (1.5-54.5). Examination includes intraoperative impedance measurement performed in two stages: (1) after the electrode insertion, and (2) after removal of the stylet. Measurements were done in Common Ground (CG) and Monopolar 1 (MP1) stimulation modes. Measurements recorded in two modes and in 3 different parts of the cochlea (apical, middle, basal) were compared. The average difference value (before-after) was for the CG mode: 0.45 kΩ, and for the MP1 mode: 0.39 kΩ. For the CG mode the difference values were: 0.64, 0.44 and 0.28 toward apical part. For the MP1 mode the difference values were: 0.47, 0.43 and 0.27 toward apical part of the cochlea

Stimmstörungen bei rheumatoider Arthritis

The report presents patients with coincidence of voice disorders and rheumatoid arthritis. Material consisted of 3 females aged 39, 48 and 74 years. Methods included phoniatric examination, videolaryngoscopy, stroboscopy and acoustic voice analysis (MDVP).Results: In two youngest patients the laryngoscopic changes were located on vocal folds, mostly as a yellow nodules. The appropriate mobility of both vocal folds was found. The MDVP analysis revealed particularly changes in parameters describing perturbation of amplitude in two cases. In the third case oedema in the region of the crico-arytenoid joints and vestibular folds were observed. MDVP analysis showed slight disturbances in the parameters describing frequency perturbation

Targeting vascular changes in lesions in multiple sclerosis and experimental autoimmune encephalomyelitis.

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