Cochlear Implant Electrode Effect on Sound Energy Transfer Within the Cochlea During Acoustic Stimulation.
OBJECTIVE
Cochlear implants (CIs) designed for hearing preservation will not alter mechanical properties of the middle and inner ears as measured by intracochlear pressure (P(IC)) and stapes velocity (Vstap).


BACKGROUND
CIs designed to provide combined electroacoustic stimulation are now available. To maintain functional acoustic hearing, it is important to know if a CI electrode can alter middle or inner ear mechanics because any alteration could contribute to elevated low-frequency thresholds in electroacoustic stimulation patients.


METHODS
Seven human cadaveric temporal bones were prepared, and pure-tone stimuli from 120 Hz to 10 kHz were presented at a range of intensities up to 110 dB sound pressure level. P(IC) in the scala vestibuli (P(SV)) and tympani (PST) were measured with fiber-optic pressure sensors concurrently with VStap using laser Doppler vibrometry. Five CI electrodes from two different manufacturers with varying dimensions were inserted via a round window approach at six different depths (16-25 mm).


RESULTS
The responses of P(IC) and VStap to acoustic stimulation were assessed as a function of stimulus frequency, normalized to sound pressure level in the external auditory canal, at baseline and electrode-inserted conditions. Responses measured with electrodes inserted were generally within approximately 5 dB of baseline, indicating little effect of CI electrode insertion on P(IC) and VStap. Overall, mean differences across conditions were small for all responses, and no substantial differences were consistently visible across electrode types.


CONCLUSIONS
Results suggest that the influence of a CI electrode on middle and inner ear mechanics is minimal despite variation in electrode lengths and configurations.
*Department of Otolaryngology, University of Colorado School of Medicine †Department of Physiology and Biophysics, University of Colorado School of Medicine, Aurora ‡Cochlear Boulder LLC, Boulder, Colorado, U.S.A.
Nathaniel T
NT
Greene
Jameson K
JK
Mattingly
Herman A
HA
Jenkins
Daniel J
DJ
Tollin
James R
JR
Easter
Stephen P
SP
Cass
D000161:Acoustic Stimulation; D002102:Cadaver; D003051:Cochlea / Q000502:physiology*; D019929:Cochlear Implantation; D003054:Cochlear Implants; D004424:Ear Canal; D004735:Energy Transfer; D006309:Hearing / Q000502:physiology*; D006801:Humans; D011312:Pressure; D012405:Round Window, Ear / Q000502:physiology*; D054738:Scala Vestibuli / Q000502:physiology*; D013016:Sound; D013199:Stapes / Q000502:physiology*; D013701:Temporal Bone