Vestibular Implantation and the Feasibility of Fluoroscopy-Guided Electrode Insertion

Joost Johannes Antonius Stultiens, Alida Annechien Postma, Nils Guinand, Angélica Pérez Fornos, Hermanus Kingma, Raymond van de Berg*

*Corresponding author for this work

Research output: Contribution to journal(Systematic) Review article peer-review

Abstract

Recent research has shown promising results for the development of a clinically feasible vestibular implant in the near future. However, correct electrode placement remains a challenge. It was shown that fluoroscopy was able to visualize the semicircular canal ampullae and electrodes, and guide electrode insertion in real time. Ninety-four percent of the 18 electrodes were implanted correctly (<1.5 mm distance to target). The median distances were 0.60 mm, 0.85 mm, and 0.65 mm for the superior, lateral, and posterior semicircular canal, respectively. These findings suggest that fluoroscopy can significantly improve electrode placement during vestibular implantation.

Original languageEnglish
Pages (from-to)115-126
Number of pages12
JournalOtolaryngologic Clinics of North America
Volume53
Issue number1
DOIs
Publication statusPublished - Feb 2020

Keywords

  • Bilateral vestibulopathy
  • ELECTRICAL-STIMULATION
  • EYE-MOVEMENTS
  • Feasibility study
  • Fluoroscopy
  • HEARING
  • HYPOFUNCTION
  • Implanted
  • Implanted Electrodes
  • Proof of concept study
  • QUALITY-OF-LIFE
  • Radiography
  • Semicircular canals
  • Vestibular implant

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