Graeme Clark Collection

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Author: Shepherd, Robert × Author: COHEN, LAWRENCE ×

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    Comparison of electrode position in the human cochlea using various perimodiolar electrode arrays
    TYKOCINSKI, MICHAEL ; Cohen, Lawrence T. ; Pyman, Brian C. ; Roland (Jr), Thomas ; Treaba, Claudiu ; PALAMARA, JOSEPH ; Dahm, Markus C. ; Shepherd, Robert K. ; XU, JIN ; Cowan, Robert S. ; Cohen, Noel L. ; Clark, Graeme M. ( 2000)
    Objective: This study was conducted to evaluate the insertion properties and intracochlear trajectories of three perimodiolar electrode array designs and to compare these designs with the standard Cochlear /Melbourne array. Background: Advantages to be expected of a perimodiolar electrode array include both a reduction in stimulus thresholds and an increase in dynamic range, resulting in a more localized stimulation pattern of the spiral ganglion cells, reduced power consumption, and, therefore, longer speech processor battery life. Methods: The test arrays were implanted into human temporal bones. Image analysis was performed on a radiograph taken after the insertion. The cochleas were then histologically processed with the electrode array in situ, and the resulting sections were subsequently assessed for position of the electrode array as well as insertion-related intracochlear damage. Results: All perimodiolar electrode arrays were inserted deeper and showed trajectories that were generally closer to the modiolus compared with the standard electrode array. However, although the precurved array designs did not show significant insertion trauma, the method of insertion needed improvement. After insertion of the straight electrode array with positioner, signs of severe insertion trauma in the majority o fimplanted cochleas were found. Conclusions: Although it was possible to position the electrode arrays close to the modiolus, none of the three perimodiolar designs investigated fulfilled satisfactorily all three criteria of being easy, safe, and a traumatic to implant.
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    Peri-modiolar electrode arrays: a comparison of electrode position n the human temporal bone
    Shepherd, R. K. ; Treaba, C. G. ; Cohen, L. ; Pyman, B. ; Huigen, J. ; Xu, J. ; Clark, Graeme M. (Monduzzi Editore, 1997)
    This paper describes a radiologic evaluation of three types of peri-modiolar arrays, comparing their trajectory within the scala tympani with a standard Mini-22 electrode. All peri-modiolar arrays were found to lie closer to the modiolus for much of their insertion length compared with the standard array. While one design showed evidence for the potential of increased insertion trauma, two designs produced satisfactory results. Although further electrode development, temporal bone and histopathologic studies arE required, it would appear that the benefits of peri-modiolar electrode arrays will be realised clinically.