Evaluation of the Slope of Amplitude Growth Function Changes of the Electrically Evoked Action Potential in Three Months after Receiving the Device in Children with Cochlear Implant

• Main Authors: Ali Reza Pourjavid, Mansoureh Adel-Ghahraman, Mahin Sedaei, Mohammad Farhadi, Ahmad Daneshi, Massoud Motesaddi-Zarandi, Hesamoddin Emam-Jomeh, Farzad Moubedshahi, Parvaneh AbbasaliPour-Kabirrah, Soghrat Faghih-Zadeh
• Format: Article
• Language: fas
• Published: University of Social Welfare and Rehabilitation Sciences 2012-04-01
• Series: Journal of Rehabilitation
• Subjects: Electrically evoked compound action potential; Neural response telemetry; Cochlear implant
• Online Access: http://rehabilitationj.uswr.ac.ir/browse.php?a_code=A-10-378-1&slc_lang=en&sid=1

Objective: In neural response telemetry, intracochlear electrodes stimulate the auditory nerve and record the neural responses. The electrical stimulation is sent to the auditory nerve by an electrode and the resulted response, called electrically evoked compound action potential, is recorded by an adjacent electrode. The most important clinical applications of this test are evaluation and monitoring the intra and postoperative responses of auditory nerve and help to primary setting of speech processor. The aim of this study was evaluating the potential's slope of amplitude growth function changes three monthes after receiving the devise in pediatric cochlear implant recipients. Materials & Methods: This longitudinal study evaluated the potentials' slope of amplitude growth function changes in four given electrodes in four sessions after receiving the devise by approximately one month's intervals in all of the children who implanted in Amir Alam and Hazrat-e-Rasoul hospitals in 2007, July to December. Friedman test was used to analyse the results. Results: Electrically evoked compound action potential's mean slope of each electrode was more in later sessions relative to first session, while there was significant difference between the 1st and the other electrodes’ responses in every session (P<0.05). Conclusion: The reliabiliy of the responses results in more assurance of clinician to fit the speech processor for along time. Better responses in apical electrodes may lead to develope an effective coding strategy.