PMID- 37606729 OWN - NLM STAT- MEDLINE DCOM- 20231102 LR - 20231221 IS - 1434-4726 (Electronic) IS - 0937-4477 (Linking) VI - 280 IP - 12 DP - 2023 Dec TI - Effect of congenital inner ear malformations (IEMs) on electrically evoked compound action potential (ECAP) responses in cochlear implant children. PG - 5193-5204 LID - 10.1007/s00405-023-08196-2 [doi] AB - PURPOSE: The study was designed to assess the electrically evoked compound action potential (ECAP) responses in children with inner ear malformations compared to children with normal inner ear anatomy. METHODS: The study included 235 prelingual deaf children who were implanted in cochlear implant unit in King Fahad University hospital-Imam Abdulrahman Bin Faisel University. Subjects were using either Cochlear Nucleus or Medel cochlear implant devices. We had 171 (64.5%) subjects with normal inner ear anatomy and 94 (35.5%) subjects with inner ear malformations (IEMs) and they were classified into 6 groups according to inner ear anatomy. Fourteen subjects (14.9%) subjects had enlarged vestibular aqueduct (EVA), 30 (32%) subjects had Mondini deformity, 25 (26.6%) subjects had incomplete partition type two (IPII), 9 (9.6%) subjects had incomplete partition type one (IPI) and 16 (17%) subjects had hypoplastic cochlea type III or IV. Intraoperative electrically evoked compound action potential (ECAP) responses were analyzed and compared in all subjects. RESULTS AND CONCLUSIONS: Measurable ECAP responses can be elicited in patients with IEMs in most of the channels. Severe malformations can affect the prevalence of measuring ECAP and getting identifiable waveform morphology. Additionally, increased thresholds and lower slope of AGF was observed in IEMs specially in more severe malformations (e.g. IPI). IPI patients with better word recognition scores tended to show more identifiable ECAP measurements. This could suggest the presence of some correlation between ECAP responses and patients' performance after cochlear implantation. CI - (c) 2023. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature. FAU - Said, Nithreen M AU - Said NM AUID- ORCID: 0000-0002-4371-8704 AD - Audiovestibular Medicine Unit, Otorhinolaryngology Department, Faculty of Medicine, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia. nithreens@yahoo.com. AD - Audio-Vestibular Medicine Unit, Otorhinolaryngology Department, Faculty of Medicine, Ain Shams University, Cairo, Egypt. nithreens@yahoo.com. FAU - Telmesani, Lena S AU - Telmesani LS AUID- ORCID: 0000-0003-0519-0344 AD - Otorhinolaryngology Department, Faculty of Medicine, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia. FAU - Telmesani, Laila M AU - Telmesani LM AUID- ORCID: 0000-0001-7237-4923 AD - Otorhinolaryngology Department, Faculty of Medicine, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia. LA - eng PT - Journal Article PT - Review DEP - 20230822 PL - Germany TA - Eur Arch Otorhinolaryngol JT - European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery JID - 9002937 SB - IM MH - Humans MH - Child MH - *Cochlear Implantation/methods MH - *Cochlear Implants MH - Action Potentials/physiology MH - *Hearing Loss, Sensorineural/surgery MH - *Ear, Inner/surgery MH - Evoked Potentials, Auditory/physiology MH - Electric Stimulation OTO - NOTNLM OT - Auditory nerve responses OT - Cochlear implantation OT - Electric compound action potentials (ECAP) OT - Inner ear malformations EDAT- 2023/08/22 13:42 MHDA- 2023/11/02 12:46 CRDT- 2023/08/22 11:13 PHST- 2023/06/17 00:00 [received] PHST- 2023/08/14 00:00 [accepted] PHST- 2023/11/02 12:46 [medline] PHST- 2023/08/22 13:42 [pubmed] PHST- 2023/08/22 11:13 [entrez] AID - 10.1007/s00405-023-08196-2 [pii] AID - 10.1007/s00405-023-08196-2 [doi] PST - ppublish SO - Eur Arch Otorhinolaryngol. 2023 Dec;280(12):5193-5204. doi: 10.1007/s00405-023-08196-2. Epub 2023 Aug 22.