¸ñÀû: The electrical auditory brainstem response (EABR), which is performed to
evaluate auditory function in hearing loss patients, has been performed
by promontory stimulation. This is mainly used for the prediction of the
cochlear implant outcomes preoperatively, but the results are
unsatisfactory in terms of accuracy and reproducibility.
In this study, postoperative intracochlear EABR results were compared
with those of conventional testing methods and CI outcome. This study
shows that postoperative intracochlear EABR can be more effective than
conventional EABR methods for prediction of CI outcome. ¹æ¹ý:A retrospective study is performed based on the medical records of patients
who underwent cochlear implants with hearing loss at Seoul National
University Bundang Hospital. The medical records confirm the patient's
etiology, preoperative pure tone audiometry test, promontory stimulation
EABR, postoperative electrically evoked compound action potential (ECAP),
postoperative EABR, and speech evaluation results after cochlear
implantation. °á°ú:A total of six patients were analyzed in this study. Two of the congenital
hearing loss patients were auditory neuropathy spectrum disorder, two were
cochlear nerve aplasia and one was cochlear aplasia. The other one had
deafness due to labyrinthine infarction. In patients with cochlear nerve
aplasia, cochlear aplasia and labyrinthine infarction, ECAP and postop EABR
results predicted CI outcomes relatively well. On the other hand, the
results of ECAP and postop EABR in patients with ANSD did not agree with
the outcome of CI. °á·Ð:ECAP and postop intracochlear EABR may be useful in predicting CI outcome
in patients with cochlear nerve disorder and inner ear anomaly. On the
other hand, in two patients with ANSD with anatomically intact cochlear
nerve, ECAP, postop EABR and CI outcomes were inconsistent. There is a
large difference in deaf duration between these two patients, and further
studies are needed to determine the cause of the discrepancy. |