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DOI: 10.1055/s-0042-1742332
Evaluation of the Electrically-Evoked Stapedial Reflex Threshold in Pediatric Cochlear Implant Users with High-Frequency Probe Tones
Abstract
Introduction Measurement of the electrically-evoked stapedial reflex threshold (ESRT) is an objective tool used to set the comfort levels in pediatric cochlear implant (PCI) users. The levels of ESRT have a strong correlation with comfort levels. However, the clinical utility of ESRT is limited because the ESRT response is not observed in all cochlear implant users.
Objective To assess the effects of probe-tone frequency on ESRT and its relationship with the behavioral comfort levels in PCI users.
Methods A total of 14 PCI users aged between 5 and 8 years participated in the study. The ESRT levels were measured using high-frequency probe tones (678 Hz and 1,000 Hz), and the default 226 Hz probe tone. The ESRT was measured with single-electrode stimulation across the three electrode locations (basal [E01]; middle [E11]; and apical [E22]). The ESRT levels measured with different probe tone frequencies were compared with the behavioral comfort levels.
Results The mean ESRT levels using 1,000Hz and 678 Hz were lower than those measured using 226 Hz, but there was no main effect of probe-tone frequency (p > 0.05). A significantly high incidence of successful ESRT measurements occurred with higher-frequency probe tone (p < 0.039). Additionally, ESRT using higher probe tones significantly correlated with comfort levels.
Conclusion The ESRT with higher probe tones was correlated with behavioral comfort levels and increased the success rate of the measurements. Higher-frequency probe tones may be useful whenever ESRT with 226 Hz is not measurable.
Publication History
Received: 09 December 2020
Accepted: 17 October 2021
Article published online:
08 February 2022
© 2022. Fundação Otorrinolaringologia. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commecial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)
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References
- 1 Hodges AV, Balkany TJ, Ruth RA, Lambert PR, Dolan-Ash S, Schloffman JJ. Electrical middle ear muscle reflex: use in cochlear implant programming. Otolaryngol Head Neck Surg 1997; 117 (3 Pt 1): 255-261
- 2 Bresnihan M, Norman G, Scott F, Viani L. Measurement of comfort levels by means of electrical stapedial reflex in children. Arch Otolaryngol Head Neck Surg 2001; 127 (08) 963-966
- 3 Gordon KA, Papsin BC, Harrison RV. Toward a battery of behavioral and objective measures to achieve optimal cochlear implant stimulation levels in children. Ear Hear 2004; 25 (05) 447-463
- 4 Walkowiak A, Lorens A, Polak M. et al. Evoked stapedius reflex and compound action potential thresholds versus most comfortable loudness level: assessment of their relation for charge-based fitting strategies in implant users. ORL J Otorhinolaryngol Relat Spec 2011; 73 (04) 189-195
- 5 Asal S, Sobhy OA, Nooman M. The relationship between the electrical stapedial muscle reflex threshold and electrical and behavioral measures in cochlear implant patients. Egypt J Otolaryngol 2016; 32 (01) 49-52
- 6 Raghunandhan S, Ravikumar A, Kameswaran M, Mandke K, Ranjith R. A clinical study of electrophysiological correlates of behavioural comfort levels in cochlear implantees. Cochlear Implants International 2014; May 1; 15 (03) 145-160
- 7 Vaerenberg B, Smits C, De Ceulaer G. et al. Cochlear implant programming: a global survey on the state of the art. ScientificWorldJournal 2014; 2014: 501738
- 8 Spivak LG, Chute PM. The relationship between electrical acoustic reflex thresholds and behavioral comfort levels in children and adult cochlear implant patients. Ear Hear 1994; 15 (02) 184-192
- 9 Wolfe J, Schafer EC. Programming cochlear implants, second ed. Plural publishing; San Diego: 2015
- 10 Hunter L, Shahnaz N. Acoustic immittance measures: Basic and advanced practice. Plural Publishing; San Diego: 2014
- 11 Wolfe J, Gilbert M, Schafer E. et al. Optimizations for the electrically-evoked stapedial reflex threshold measurement in cochlear implant recipients. Ear Hear 2017; 38 (02) 255-261
- 12 Carranco Hernandez L, Cristerna Sánchez L, Camacho Olivares M, Rodríguez C, Finley CC, Saoji AA. Effect of probe-tone frequency on Ipsilateral and contralateral electrical Stapedius reflex measurement in children with Cochlear implants. Ear Hear 2019; 40 (03) 732-740
- 13 Mishra SK, Dinger Z, Renken L. Maturation of middle ear transmission in children. Hear Res 2017; 344: 62-67
- 14 Wolfe J, Gifford R, Schafer E. Measurement of the electrically evoked stapedial reflex response with wideband acoustic reflectance measurement. J Am Acad Audiol 2018; 29 (04) 337-347
- 15 Feeney MP, Keefe DH, Marryott LP. Contralateral acoustic reflex thresholds for tonal activators using wideband energy reflectance and admittance. J Speech Lang Hear Res 2003; 46 (01) 128-136
- 16 Scheperle RA, Hajicek JJ. Wideband acoustic immittance in cochlear implant recipients: Reflectance and stapedial reflexes. Ear Hear 2020; 41 (04) 883-895
- 17 Bennett MJ, Weatherby LA. Multiple probe frequency acoustic reflex measurements. Scand Audiol 1979; 8 (04) 233-239
- 18 Hanks WD, Rose KJ. Middle ear resonance and acoustic immittance measures in children. J Speech Hear Res 1993; 36 (01) 218-222
- 19 Lorens A, Walkowiak A, Piotrowska A, Skarzynski H, Anderson I. ESRT and MCL correlations in experienced paediatric cochlear implant users. Cochlear Implants Int 2004; 5 (01) 28-37