the effect of pulling out cochlear implant electrodes on inner ear microstructures a temporal bone study退出的影响在内耳耳蜗植入电极微观结构颞骨的研究.pdfVIP

Hindawi Publishing Corporation International Journal of Otolaryngology Volume 2011, Article ID 107176, 4 pages doi:10.1155/2011/107176 Research Article The Effect of Pulling Out Cochlear Implant Electrodes on Inner Ear Microstructures: A Temporal Bone Study Ingo Todt, Rainer O. Seidl, and Arne Ernst Department of Otolaryngology, Unfallkrankenhaus Berlin, 12683 Berlin, Germany Correspondence should be addressed to Ingo Todt, todt@ Received 7 July 2011; Accepted 3 August 2011 Academic Editor: Ingeborg Dhooge Copyright © 2011 Ingo Todt et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. The exchange of an cochlear implant or the re-positioning of an electrode have become more frequently required than a decade ago. The consequences of such procedures at a microstructural level within the cochlea are not known. It was the aim of the present study to further investigate the effects of an CI electrode pull-out. Therefore 10 freshly harvested temporal bones (TB) were histologically evaluated after a cochlear implant electrode pull-out of a perimodiolar electrode. In additional 9 TB the intrascalar movements of the CI electrode while being pulled-out were digitally analysed by video- capturing. Histologically, a disruption of the modiolar wall or the spiral osseous lamina were not observed. In one TB, a basilar membrane lifting up was found, but it could not be undoubtedly attributed to the pull-out of the electrode. When analyzing the temporal sequence of the electrode movement during the pull-out, the electrode turned in one case so that the tip elevates the basilar membrane. The pull- out of perimodiolarly plac