title: Usefulness of MRI and EABR Testing for Predicting CI Outcomes Immediately After Cochlear Implantation in Cases With Cochlear Nerve Deficiency.
abstract: OBJECTIVE
  Cochlear nerve deficiency (CND) is often associated with poor cochlear implant (CI) outcomes, and patients with CND may be candidates for auditory brainstem implantation (ABI). The purpose of this study was to identify investigations which predict CI outcomes immediately after cochlear implantation to recommend ABI within the critical period of auditory development when cochlear implantation precedes ABI.
  
  
  METHODS
  Retrospective case review.
  
  
  METHODS
  Cochlear implant centers at tertiary referral hospitals.
  
  
  METHODS
  Nineteen children with CND who underwent cochlear implantation and intraoperative electrically evoked auditory brainstem response (EABR) testing.
  
  
  METHODS
  Diagnostic and therapeutic.
  
  
  METHODS
  Preoperative MRI and intraoperative EABR were used to evaluate relative diameter of the vestibulocochlear nerve (CN8) compared to the facial nerve (CN7) at the cerebellopontine angle and presence of evoked wave Vs (eVs) with typical latency, respectively. Correlation between 2-year postoperative categories of auditory performance (CAP) scores and results of MRI and EABR were evaluated.
  
  
  RESULTS
  Each classification using MRI or EABR was significantly associated with the CI outcomes. Combination of the MRI and EABR results allowed better discrimination between poor CI users and moderate to good CI users than either examination used separately. All children in "CN7 > CN8/negative eV" showed ≤3, while all in "CN7 ≤ CN8/positive eV" achieved ≥3 in the postoperative CAP score.
  
  
  CONCLUSIONS
  Combination of MRI and EABR results allows prediction of CI outcomes immediately after cochlear implantation. This should facilitate management decision making for auditory implantation in children with CND.
authors: *Department of Otolaryngology, Kobe City Medical Center General Hospital, Kobe, Japan; †Institute of Biomedical Research and Innovation, Kobe, Japan; ‡Cochlear Implant Clinic, Royal Victorian Eye and Ear Hospital, East Melbourne, Australia; §Departments of Audiology and Speech Pathology and ||Otolaryngology, The University of Melbourne, Parkville, Australia; and ¶The HEARing CRC, Melbourne, Australia.
authors: Hiroshi
authors: H
authors: Yamazaki
authors: Jaime
authors: J
authors: Leigh
authors: Robert
authors: R
authors: Briggs
authors: Yasushi
authors: Y
authors: Naito
mesh_terms: D000293:Adolescent; D038263:Auditory Brain Stem Implantation; D002648:Child; D002675:Child, Preschool; D019929:Cochlear Implantation; D003054:Cochlear Implants; D003056:Cochlear Nerve; D016057:Evoked Potentials, Auditory, Brain Stem / Q000502:physiology; D005260:Female; D006801:Humans; D007223:Infant; D064795:Intraoperative Neurophysiological Monitoring / Q000379:methods*; D008279:Magnetic Resonance Imaging; D008297:Male; D011379:Prognosis; D012189:Retrospective Studies; D016896:Treatment Outcome