RESUMEN

BACKGROUND: The spread of excitation (SOE) and auditory nerve recovery function (REC) are objective measures recorded by neural response telemetry and may interfere in cochlear implant (CI) stimulation. OBJECTIVE: To analyze and correlate SOE with the refractory periods in subjects with pre- and postlingual deafness implanted with different electrode arrays. METHODS: This was a retrospective study of 323 ears separated by perimodiolar or straight arrays and by pre- or postlingually deaf recipients. Measures were collected intraoperatively on electrode 11. The SOE width was measured in millimeters at the 0.75 point of the curve, and the relative (tau) and absolute (t0) refractory periods were measured in microseconds. RESULTS: There was a statistical correlation between the SOE and the t0 in the patients with postlingual deafness implanted with the perimodiolar array. The SOE width was statistically different between the straight and perimodiolar arrays and between the pre- and postlingual groups in the perimodiolar array. Tau was statistically different between the pre- and postlingual groups with the straight array and the t0, between the pre- and postlingual groups with the perimodiolar array. Neural response threshold and amplitude of the neural response were not statistically different among groups. CONCLUSION: There was a correlation between SOE width and t0 only in patients with acquired deafness. The findings suggest that different factors influence SOE and REC, considering SOE is different according to the electrode array and REC being different according the onset of deafness.

Asunto(s)

Implantación Coclear , Implantes Cocleares , Nervio Coclear/fisiopatología , Sordera/fisiopatología , Adulto , Anciano , Niño , Preescolar , Sordera/cirugía , Femenino , Humanos , Masculino , Persona de Mediana Edad , Estudios Retrospectivos , Telemetría

RESUMEN

Objective: To propose a method for quantitative assessment of the migration of lateral-wall, straight electrode arrays after surgery based on postoperative Cone Beam Computed Tomography (CBCT) images and automated medical image analysis techniques. Methods: A preliminary study is conducted on 19 implanted ears. For each implantation, two CBCT images are objectively analyzed. Electrode arrays are consistently projected into the same coordinate system in order to estimate precisely the migration of each electrode. Spatial configuration changes are characterized with the overall curvature of the electrode array. Results: From the samples analyzed no significant electrode migration, extrusion or electrode curvature changes were found. Mean infinitesimal local migration reveals a tendency where apical electrodes tend to move away from the modiolus and basal electrodes away from the round window. Conclusion: CBCT images demonstrate adequate resolution with limited artifacts to assess the electrode array position in vivo. Automated medical image analysis techniques and consistent coordinate system allow to quantitatively estimate migration and extrusion effect for lateral-wall, straight electrode array.

Asunto(s)

Implantación Coclear , Implantes Cocleares , Tomografía Computarizada de Haz Cónico/métodos , Interpretación de Imagen Asistida por Computador/métodos , Falla de Prótesis , Adulto , Estudios de Factibilidad , Femenino , Humanos , Masculino , Periodo Posoperatorio , Reproducibilidad de los Resultados

RESUMEN

One of the most challenging problems of electrochemical therapy is the design and selection of suitable electrode array for cancer. The aim is to determine how two-dimensional spatial patterns of tissue damage, temperature, and pH induced in pieces of potato (Solanum tuberosum L., var. Mondial) depend on electrode array with circular, elliptical, parabolic, and hyperbolic shape. The results show the similarity between the shapes of spatial patterns of tissue damage and electric field intensity, which, like temperature and pH take the same shape of electrode array. The adequate selection of suitable electrodes array requires an integrated analysis that involves, in a unified way, relevant information about the electrochemical process, which is essential to perform more efficiently way the therapeutic planning and the personalized therapy for patients with a cancerous tumor.

RESUMEN

Several studies have shown that connexin channels play an important role in retinal neural coding in nocturnal rodents. However, the contribution of these channels to signal processing in the retina of diurnal rodents remains unclear. To gain insight into this problem, we studied connexin expression and the contribution of connexin channels to the retinal light response in the diurnal rodent Octodon degus (degu) compared to rat, using in vivo ERG recording under scotopic and photopic light adaptation. Analysis of the degu genome showed that the common retinal connexins present a high degree of homology to orthologs expressed in other mammals, and expression of Cx36 and Cx43 was confirmed in degu retina. Cx36 localized mainly to the outer and inner plexiform layers (IPLs), while Cx43 was expressed mostly in cells of the retinal pigment epithelium. Under scotopic conditions, the b-wave response amplitude was strongly reduced by 18-ß-glycyrrhetinic acid (ß-GA) (-45.1% in degu, compared to -52.2% in rat), suggesting that connexins are modulating this response. Remarkably, under photopic adaptation, ß-GA increased the ERG b-wave amplitude in degu (+107.2%) while reducing it in rat (-62.3%). Moreover, ß-GA diminished the spontaneous action potential firing rate in ganglion cells (GCs) and increased the response latency of ON and OFF GCs. Our results support the notion that connexins exert a fine-tuning control of the retinal light response and have an important role in retinal neural coding.