Intraoperative Neural Response Telemetry and Neural Recovery Function: a Comparative Study between Adults and Children
AUTOR(ES)
Carvalho, Bettina, Hamerschmidt, Rogerio, Wiemes, Gislaine
FONTE
Int. Arch. Otorhinolaryngol.
DATA DE PUBLICAÇÃO
2015-03
RESUMO
Neural response telemetry (NRT) is a method of capturing the action potential of the distal portion of the auditory nerve in cochlear implant (CI) users, using the CI itself to elicit and record the answers. In addition, it can alsomeasure the recovery function of the auditory nerve (REC), that is, the refractory properties of the nerve. It is not clear in the literature whether the responses from adults are the same as those from children. To compare the results of NRT and REC between adults and children undergoing CI surgery. Cross-sectional, descriptive, and retrospective study of the results of NRT and REC for patients undergoing IC at our service. The NRT is assessed by the level of amplitude (microvolts) and REC as a function of three parameters: A (saturation level, in microvolts), t0 (absolute refractory period, in seconds), and tau (curve of the model function), measured in three electrodes (apical, medial, and basal). Fifty-two patients were evaluated with intraoperative NRT (26 adults and 26 children), and 24 with REC (12 adults and 12 children). No statistically significant difference was found between intraoperative responses of adults and children for NRTor for REC's three parameters, except for parameter A of the basal electrode. The results of intraoperative NRT and REC were not different between adults and children, except for parameter A of the basal electrode.
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