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KMID : 0361020010440080810
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Korean Journal of Otolaryngology - Head and Neck Surgery
2001 Volume.44 No. 8 p.810 ~ p.816
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Promontory Stimulation EABR in Sensorineural Hearing Loss
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Abstract
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Background and Objectives : Cochlear implants help patients who suffer from profound hearing loss and for whom hearing aids do not provide enough beneift rehabilitation. Promontory stimulation test (PST), a part of preoperative evaluation for
cochlear
implants, is not appropriate for prelingually deafened adults and young children because it is measured by the patient's subjective expression to electrical stimulation. Recently, promontory stimulation EABR (PS-EABR) was studied in order to
compensate
for this disadvantage of PST. The aim of this study is to investigate the feasibility of PS-EABR in the assessment of neural survival of auditory nerve. Materials and Method : PS-EABRs were recorded from subjects with sensorineural hearing loss
(group
Ⅰ; pure tone average - between 40 to 70 dB HL) and deafness (group Ⅱ; pure tone average > 90 dB HL). Electrical stimulation was performed with the tip of a transtympanic electrode placed on the promontory near the round window niche. We
compared
PS-EABR waveforms, thresholds, wave V latencies and amplitudes. Results : Stable PS-EABR waveforms were obtained in both groups. The typical PS-EABR waveform consisted of a series of two to three peaks. The largest peak among them was the wave V
which
is was not identifiable due to a stimulus artifact. The mean thresholds of PS-EABR were 389.3±220.3 μA in the group Ⅰ and 921.4±610.4 μA in the group Ⅱ. The maximal acceptable level (MAL) was 746.4±371.3 μA in the group Ⅰ and 2150±980.2
μA in
the group Ⅱ. The mean wave V latencies at threshold level were 4.63±0.07 msec in the group Ⅰ and 4.58±0.35 msec in the group Ⅱ and were not significantly changed as the stimulus intensity increased. There was no statistical significant
difference
between these two groups. The mean wave V amplitudes at threshold level were 0.65±0.58 μV in the group Ⅰ and 0.89±1.04 μV in the group Ⅱ. The amplitude of the wave V in the group Ⅰ and the group Ⅱ increased as the stimulus intensity
increased.
There was no significant diffe
Conclusion : The results of this study suggest that PS-EABR will be
useful in preoperative evaluation of neural survival in young children and
prelinguistically deafened adults with limited communication abilities.
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KEYWORD
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