Modifying cochlear implant design: Advantages of placing a return electrode in the modiolus

Otology and Neurotology

Volumn 25, Issue 4, 2004, Pages 497-503

  Ho, Steven Y ^a   Wiet, Richard J ^a   Richter, Claus Peter ^b  

^a NW University School of Medicine ^*  (United States)

^b NORTHWESTERN UNIVERSITY   (United States)

Author keywords

Cochlear implant; Design; Modiolus; Return electrode

Indexed keywords

ARTICLE; AUDITORY NERVOUS SYSTEM; COCHLEA; COCHLEA PROSTHESIS; DEVICE; ELECTRIC CURRENT; ELECTRIC POTENTIAL; ELECTRODE; HUMAN; HUMAN TISSUE; LONG TERM CARE; MODEL; MODIOLUS; PRIORITY JOURNAL; SPIRAL GANGLION; TEMPORAL BONE;

COCHLEA; COCHLEAR DISEASES; COCHLEAR IMPLANTS; DEAFNESS; ELECTRODES, IMPLANTED; HUMANS; MODELS, ANATOMIC; POLYMETHYL METHACRYLATE; PROSTHESIS DESIGN; TEMPORAL BONE;

EID: 4043138884     PISSN: 15317129     EISSN: None     Source Type: Journal    
DOI: 10.1097/00129492-200407000-00017     Document Type: Article

References (19)

1. Black RC, Clark GM, Patrick JF. Current distribution measurements within the human cochlea. IEEE Trans Biomed Eng 1981; 28:721-5.
2. Rubinstein JT, Spelman FA, Soma M, Suesserman MF. Current density profiles of surface mounted and recessed electrodes for neural prostheses. IEEE Trans Biomed Eng 1987;34:864-75.
3. Suesserman MF, Spelman FA. Quantitative in vivo measurements of inner ear tissue resistivities: I. In vitro characterization. IEEE Trans Biomed Eng 1993;40:1032-47.
4. Suesserman MF, Spelman FA, Rubinstein JT. In vitro measurement and characterization of current density profiles produced by non-recessed, simple recessed, and radially varying recessed stimulating electrodes. IEEE Trans Biomed Eng 1991;38:401-8.
5. Spelman FA, Clopton BM, Pfingst BE. Tissue impedance and current flow in the implanted ear: implications for the cochlear prosthesis. Ann Otol Rhinol Laryngol Suppl 1982;98:3-8.
6. Simmons BF. Percepts from modiolar (eighth nerve) stimulation. Ann N Y Acad Sci 1983;405:259-63.
7. Luxford WM. Surgery for cochlear implantation. In Brackmann DE, Shelton C, Arriaga MA, eds. Otologic Surgery. Philadelphia: W.B. Saunders Co., 1994:425-36.
8. Bigelow DC, Kay DJ, Rafter KO, Montes M, Knox GW, Yousem DM. Facial nerve stimulation from cochlear implants. Am J Otol 1998;19:163-9.
9. Kelsall DC, Shallop JK, Brammeier TG, Prenger EC. Facial nerve stimulation after Nucleus 22-channel cochlear implantation. Am J Otol 1997;18:336-41.
10. Muckle RP, Levine SC. Facial nerve stimulation produced by cochlear implants in patients with cochlear otosclerosis. Am J Otol 1994;15:394-8.
11. Shea JJ III, Domico EH. Facial nerve stimulation after successful multichannel cochlear implantation. Am J Otol 1994;15:752-6.
12. Stoddart RL, Cooper HR. Electrode complications in 100 adults with multichannel cochlear implants. J Laryngol Otol Suppl 1999; 24:18-20.
13. Bluestone CD. Cochlear malformations, meningitis, and cochlear implants: what have we learned? Otol Neurotol 2003;24:349-50.
14. Bluestone CD. Prevention of meningitis: cochlear implants and inner ear abnormalities. Arch Otolaryngol Head Neck Surg 2003; 129:279-81.
15. Josefson D. Cochlear implants carry risk of meningitis, agencies warn. BMJ 2002;325:298.
16. O'Donoghue G, Balkany T, Cohen N, Lenarz T, Lustig L, Niparko J. Meningitis and cochlear implantation. Otol Neurotol 2002;23: 823-4.
17. Simmons FB. The electrical stimulation of the acoustic nerve. Proceedings of the First International Conference on Electrical Stimulation of the Acoustic Nerve as a treatment for Profound Sensorineural Deafness in Man, San Francisco, CA, 1974, pp 123-125.
18. Badi A, Hillman T, Shelton C, Normann R. A technique for implantation of a 3-dimensional penetrating electrode array in the modiolar nerve of cats and humans. Arch Otolaryngol Head Neck Surg 2002;128:1019-25.
19. Zappia JJ, Hetke JF, Altschuler RA, Nipariko JK. Evaluation of a silicon-substrate modiolar eight nerve implant in a guinea pig. Otolaryngol Head Neck Surg 1990;103:575-82.