Electrophysiological and Behavioral Programming Parameters in Patients with Facial Nerve Stimulation Post-Cochlear Implantation
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| Titel: | Electrophysiological and Behavioral Programming Parameters in Patients with Facial Nerve Stimulation Post-Cochlear Implantation |
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| Autoren: | Alhassan J Algazlan, Isra Aljazeeri, Medhat Yousef, Yassin Abdelsamad, Fida Almuhawas, Farid Alzahrani, Abdulrahman Alsanosi |
| Quelle: | J Int Adv Otol Journal of International Advanced Otology, Vol 21, Iss 2, Pp 1-6 (2025) |
| Verlagsinformationen: | AVES YAYINCILIK A.Ş., 2025. |
| Publikationsjahr: | 2025 |
| Schlagwörter: | Male, Adult, Facial Nerve Injuries, facial nerve stimulation, cochlear implant, Middle Aged, Cochlear Implantation, phase duration, otology, Facial Nerve, Cochlear Implants, Treatment Outcome, Otorhinolaryngology, RF1-547, Child, Preschool, impedance, Humans, Original Article, Female, mapping, Child, amplitude, Retrospective Studies |
| Beschreibung: | Background: The aim of this study is to compare patients who develop facial nerve stimulation (FNS) after cochlear implantation (CI) and aremanaged with a triphasic stimulation pulse pattern (TPP) to those who do not develop FNS regarding the behavioral mapping parameters including the most comfortable loudness level (MCL) charge and amplitude, and the threshold level (THR), as well as the electrophysiological mappingparameters including phase duration (PD) and impedance level.Methods: A retrospective chart review of the patients who developed FNS at any point after device activation and were managed with TPP wascarried out. Electrophysiological and behavioral mapping parameters were retrieved from the programming software database at 3 time points:the time of implantation, the time of shift to TPP, and the last programming session. A control group with no FNS was matched randomly to evaluate any difference in the mapping parameters that could be attributed to FNS.Results: Sixteen ears with FNS were found to be eligible for inclusion in this study. These cases were matched to 16 ears in the control group.The programming was changed from biphasic pulse pattern (BPP) to TPP (time point -1) after a period of 22.37± 14.62 months. Resolution of FNSwas achieved in 14 ears (87.5%) by using TPP alone.Conclusion: The TPP mapping strategy, in addition to decreased phase duration, showed successful results in managing facial nerve stimulation while allowing an increase in the hearing level in the form of increased MCL amplitude.Cite this article as: Algazlan AJ, Aljazeeri I, Yousef M, et al. Electrophysiological and behavioral programming parameters in patients with facialnerve stimulation post-cochlear implantation. J Int Adv Otol. 2025, 21(2), 1704, doi: 10.5152/iao.2025.241704. |
| Publikationsart: | Article Other literature type |
| ISSN: | 2148-3817 |
| DOI: | 10.5152/iao.2025.241704 |
| Zugangs-URL: | https://pubmed.ncbi.nlm.nih.gov/40207349 https://doaj.org/article/4487135768a249a291812cf9aa53bccc |
| Rights: | URL: http://creativecommons.org/licenses/by-nc/4.0/ Content of this journal is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License. (http://creativecommons.org/licenses/by-nc/4.0/) |
| Dokumentencode: | edsair.doi.dedup.....6d6e2877276af9abf72aa98273e65755 |
| Datenbank: | OpenAIRE |
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Nájsť tento článok vo Web of Science | Abstract: | Background: The aim of this study is to compare patients who develop facial nerve stimulation (FNS) after cochlear implantation (CI) and aremanaged with a triphasic stimulation pulse pattern (TPP) to those who do not develop FNS regarding the behavioral mapping parameters including the most comfortable loudness level (MCL) charge and amplitude, and the threshold level (THR), as well as the electrophysiological mappingparameters including phase duration (PD) and impedance level.Methods: A retrospective chart review of the patients who developed FNS at any point after device activation and were managed with TPP wascarried out. Electrophysiological and behavioral mapping parameters were retrieved from the programming software database at 3 time points:the time of implantation, the time of shift to TPP, and the last programming session. A control group with no FNS was matched randomly to evaluate any difference in the mapping parameters that could be attributed to FNS.Results: Sixteen ears with FNS were found to be eligible for inclusion in this study. These cases were matched to 16 ears in the control group.The programming was changed from biphasic pulse pattern (BPP) to TPP (time point -1) after a period of 22.37± 14.62 months. Resolution of FNSwas achieved in 14 ears (87.5%) by using TPP alone.Conclusion: The TPP mapping strategy, in addition to decreased phase duration, showed successful results in managing facial nerve stimulation while allowing an increase in the hearing level in the form of increased MCL amplitude.Cite this article as: Algazlan AJ, Aljazeeri I, Yousef M, et al. Electrophysiological and behavioral programming parameters in patients with facialnerve stimulation post-cochlear implantation. J Int Adv Otol. 2025, 21(2), 1704, doi: 10.5152/iao.2025.241704. |
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| ISSN: | 21483817 |
| DOI: | 10.5152/iao.2025.241704 |