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European Archives of Oto-Rhino-Laryngology

Erschienen in:

04.11.2023 | Otology

Relationships between bilateral auditory brainstem activity and inter-implant interval in children with cochlear implants

verfasst von: Yan-Lin Wu, Li Chen, Han-Yu Zhu, Wen-Yun Luo, Kai Shi, Xiao-Yan Hou, Jing-Wu Sun, Jia-Qiang Sun, Xiao-Tao Guo

Erschienen in: European Archives of Oto-Rhino-Laryngology | Ausgabe 4/2024

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Abstract

Purpose

To investigate the effect of the interval between bilateral cochlear implantation on the development of bilateral peripheral auditory pathways as revealed by the electrically evoked auditory brainstem response (EABR).

Methods

Fifty-eight children with profound bilateral sensorineural hearing loss were recruited. Among them, 33 children received sequential bilateral cochlear implants (CIs), and 25 children received simultaneous bilateral CIs. The bilateral EABRs evoked by electrical stimulation from the CI electrode were recorded on the day of second-side CI activation.

Results

The latencies of wave III (eIII) and wave V (eV) were significantly shorter on the first CI side than on the second CI side in children with sequential bilateral CIs but were similar between the two sides in children with simultaneous bilateral CIs. Furthermore, the latencies were prolonged from apical to basal channels along the cochlea in the two groups. In children with sequential CIs, the inter-implant interval was negatively correlated with the eV latency on the first CI side and was positively correlated with bilateral differences in the eIII and eV latencies.

Conclusions

Unilateral CI use promotes the maturation of ipsilateral auditory conduction function. However, a longer inter-implant interval results in more unbalanced development of bilateral auditory brainstem pathways. Bilateral cochlear implantation with no or a short interval is recommended.

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Titel: Relationships between bilateral auditory brainstem activity and inter-implant interval in children with cochlear implants
verfasst von: Yan-Lin Wu
Li Chen
Han-Yu Zhu
Wen-Yun Luo
Kai Shi
Xiao-Yan Hou
Jing-Wu Sun
Jia-Qiang Sun
Xiao-Tao Guo
Publikationsdatum: 04.11.2023
Verlag: Springer Berlin Heidelberg
Erschienen in: European Archives of Oto-Rhino-Laryngology / Ausgabe 4/2024
Print ISSN: 0937-4477
Elektronische ISSN: 1434-4726
DOI: https://doi.org/10.1007/s00405-023-08285-2

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Relationships between bilateral auditory brainstem activity and inter-implant interval in children with cochlear implants