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增加相间间隙对人工耳蜗使用者电诱发复合动作电位的N1潜伏期及刺激水平偏移的影响

The Effect of Increasing Interphase Gap on N1 Latency of the Electrically Evoked Compound Action Potential and the Stimulation Level Offset in Human Cochlear Implant Users.

作者信息

Skidmore Jeffrey, He Shuman

机构信息

Department of Otolaryngology-Head and Neck Surgery, The Ohio State University, Columbus, Ohio, USA.

Department of Audiology, Nationwide Children's Hospital, Columbus, Ohio, USA.

出版信息

Ear Hear. 2021 Jan/Feb;42(1):244-247. doi: 10.1097/AUD.0000000000000919.

DOI:10.1097/AUD.0000000000000919
PMID:32701729
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7885894/
Abstract

OBJECTIVE

This study reports two potential biomarkers of the physiological status of the cochlear nerve (CN) in cochlear implant users.

DESIGN

This project represents a complementary analysis on a subset of electrophysiological data from our recently published study. This study compared changes in N1 latency and stimulation level (i.e., N1 latency offset and stimulation level offset) with increasing interphase gap of a biphasic pulse between children with cochlear nerve deficiency and children with normal-sized CNs.

RESULTS

Children with cochlear nerve deficiency showed smaller N1 latency offsets and larger stimulation level offsets than children with normal-sized CNs at all electrode locations tested.

CONCLUSIONS

The N1 latency and stimulation level offsets differ in two patient populations with different physiological statuses of the CN. These parameters may be useful for evaluating CN function in individual cochlear implant patients.

摘要

目的

本研究报告了人工耳蜗使用者蜗神经(CN)生理状态的两种潜在生物标志物。

设计

本项目是对我们最近发表的研究中的一部分电生理数据进行的补充分析。本研究比较了蜗神经缺损儿童和蜗神经正常大小儿童在双相脉冲相间间隙增加时N1潜伏期和刺激水平(即N1潜伏期偏移和刺激水平偏移)的变化。

结果

在所有测试电极位置,蜗神经缺损儿童的N1潜伏期偏移较小,刺激水平偏移较大,而蜗神经正常大小的儿童则相反。

结论

N1潜伏期和刺激水平偏移在蜗神经生理状态不同的两组患者中存在差异。这些参数可能有助于评估个体人工耳蜗植入患者的蜗神经功能。

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本文引用的文献

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Ear Hear. 2020 Sep/Oct;41(5):1306-1319. doi: 10.1097/AUD.0000000000000854.
2
The Effect of Interphase Gap on Neural Response of the Electrically Stimulated Cochlear Nerve in Children With Cochlear Nerve Deficiency and Children With Normal-Sized Cochlear Nerves.间期间隙对蜗神经发育不全儿童及蜗神经大小正常儿童电刺激蜗神经神经反应的影响
Ear Hear. 2020 Jul/Aug;41(4):918-934. doi: 10.1097/AUD.0000000000000815.
3
解读间期间隙对电诱发复合动作电位的影响。
JASA Express Lett. 2022 Feb;2(2):027201. doi: 10.1121/10.0009383. Epub 2022 Feb 4.
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BDNF Outperforms TrkB Agonist 7,8,3'-THF in Preserving the Auditory Nerve in Deafened Guinea Pigs.在保护耳聋豚鼠听觉神经方面,脑源性神经营养因子(BDNF)比酪氨酸激酶受体B(TrkB)激动剂7,8,3'-四氢叶酸(7,8,3'-THF)表现更优。
Brain Sci. 2020 Oct 28;10(11):787. doi: 10.3390/brainsci10110787.
Neurotrophin Gene Therapy in Deafened Ears with Cochlear Implants: Long-term Effects on Nerve Survival and Functional Measures.
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J Assoc Res Otolaryngol. 2017 Dec;18(6):731-750. doi: 10.1007/s10162-017-0633-9. Epub 2017 Aug 3.
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J Assoc Res Otolaryngol. 2015 Aug;16(4):523-34. doi: 10.1007/s10162-015-0521-0. Epub 2015 May 20.
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Examining the electro-neural interface of cochlear implant users using psychophysics, CT scans, and speech understanding.使用心理物理学、CT扫描和言语理解来检查人工耳蜗使用者的电神经接口。
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