Publication
Title
Metronome-guided cochlear implantation for slower and smoother insertions of lateral wall electrodes
Author
Abstract
Introduction Achieving a slow and smooth electrode array insertion is paramount for preserving structural and functional integrity during cochlear implantation. This controlled study evaluates the efficacy of a metronome-guided insertion technique in enhancing the smoothness and speed of electrode array insertions. Methods In a prospective cohort study, patients undergoing cochlear implant surgery between 2022 and 2023 with lateral wall electrode arrays were included. Metronome guidance was delivered through an acoustic signal via headphones during electrode array insertion in cochlear implantation and compared to a control group without metronome-guidance. Results In total, 37 cases were evaluated, including 25 conventional insertions and 12 metronome-guided insertions. The results indicate that metronome-guided insertions were significantly slower (− 0.46 mm/s; p < 0.001) without extending the overall procedure time. This can be attributed to fewer paused sections observed in the metronome-guided technique. Moreover, metronome-guided insertions exhibited superior performance in terms of insertion smoothness and a reduced number of re-gripping events. Conclusions The findings support the recommendation for the systematic application of metronome guidance in the manual insertion of cochlear implant electrode arrays, emphasizing its potential to optimize surgical outcomes.
Language
English
Source (journal)
European archives of oto-rhino-laryngology / European Federation of Oto-Rhino-Laryngological Societies; European Laryngological Society. - Berlin, 1990, currens
Publication
Berlin : Springer , 2024
ISSN
0937-4477 [print]
1434-4726 [online]
DOI
10.1007/S00405-024-08639-4
Volume/pages
(2024) , p. 1-7
ISI
001204696600005
Pubmed ID
38630273
Full text (Publisher's DOI)
Full text (open access)
UAntwerpen
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Publication type
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Affiliation
Publications with a UAntwerp address
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Creation 18.04.2024
Last edited 07.05.2024
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