Yanov Yuri, Kuzovkov Vladislav, Sugarova Serafima, Levin Sergey, Lilenko Andrei, Kliachko Dmitrii
a Saint-Petersburg ENT Research Institute of Ear, Nose, Throat and Speech, Hearing Implantation , St Petersburg , Russian Federation.
Int J Audiol. 2018 Sep;57(9):688-694. doi: 10.1080/14992027.2018.1479783. Epub 2018 Jul 11.
To determine the time needed to remotely perform a set of intraoperative measurements during cochlear implantation surgery and to compare it to the time needed to perform the same measurements in theatre.
Prospective two-arm study comparing a local with a remote measurement setting. Three intraoperative measurements (Impedance Field Telemetry (IFT), evoked compound action potential (ECAP) and evoked stapedius reflex test (eSRT)) were performed with the audiologist present in the operating theatre (i.e. locally) or with the audiologist in his/her office (i.e. remotely). The time needed to complete the measurements, in total and individually, were measured and compared.
Fifty cochlear implant recipients, aged 0.7-48 years Results: IFT, ECAP and eSRT were performed successfully in all participants. Comparing locally and remotely performed measurements, IFT did not differ significantly, ECAP threshold or slope did not differ significantly differ in any single channel and eSRT measurements did not differ significantly except for in one of six channels. Remote measurements took 8.6 min less to perform than did local measurements (10.04 vs. 18.64 min); a significant difference (p < 0.001).
Using a remote network connection for intraoperative objective measurements is an efficient and safe way to perform measurements during cochlear implantation surgery.
确定在人工耳蜗植入手术期间远程进行一组术中测量所需的时间，并将其与在手术室进行相同测量所需的时间进行比较。
前瞻性双臂研究，比较本地测量设置和远程测量设置。三项术中测量（阻抗场遥测（IFT）、诱发复合动作电位（ECAP）和诱发镫骨肌反射测试（eSRT））在听力学家在手术室（即本地）或在其办公室（即远程）的情况下进行。测量并比较完成测量总共所需的时间以及每项测量所需的时间。
50名年龄在0.7至48岁之间的人工耳蜗植入受者 结果：所有参与者均成功进行了IFT、ECAP和eSRT测量。比较本地和远程测量，IFT无显著差异，ECAP阈值或斜率在任何单个通道中均无显著差异，eSRT测量除六个通道中的一个通道外无显著差异。远程测量比本地测量少用8.6分钟（10.04对18.64分钟）；差异有统计学意义（p < 0.001）。
在人工耳蜗植入手术期间，使用远程网络连接进行术中客观测量是一种高效且安全的测量方法。
