Tonotopische Cochlea-Stimulation Und Der Einfluss Auf Das Vestibularorgan
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Deafness Unilateral
- Sponsor
- RWTH Aachen University
- Enrollment
- 10
- Locations
- 1
- Primary Endpoint
- Change of the subjective visual vertical (SVV) with tonotopic CI stimulation
- Status
- Completed
- Last Updated
- 4 years ago
Overview
Brief Summary
There is evidence that the sensor function of the utricle in patients with bilateral labyrinthine dysfunction (bilateral vestibulopathy) may improve balance under the influence of high frequency basal stimulation of the cochlea.
The aim of the study is to measure the possible co-stimulation of the utricle (which is determined by the SVV) by tonotopic (frequency-specific) cochlear stimulation and thus to objectify whether the stimulation of the auditory nerve in CI patients also leads to an unavoidable co-stimulation of the vestibular system.
Detailed Description
The cochlea is tonotopically structured, i.e. certain frequencies are mapped on a specific part of the cochlea from basal to apical. It is not yet known whether tonotopically differentiated stimulation of the cochlea has an unavoidable side effect on other body systems, such as the vestibular organ. If the labyrinthine dysfunction occurs as a consequence of a CI implantation, this could in the future lead to the possibility of reducing vestibular complications after CI surgery by switching certain electrodes on or off. In a first investigation phase, a conventional and already implanted CE-certified cochlear implant will be used. The aim of this project is to test certain tonotopic stimulus patterns that stimulate the cochlea by varying the volume within predefined settings. Thus, there is no misuse of the device and no change in performance attributes. Within the framework of the clinical project planned here, the testing of vestibular co-stimulation during normal cochlear stimulation via the basal, medial and apical electrodes of the CI electrode is planned. Under the influence of defined stimulation patterns, the assessment of the subjective visual vertical (SVV) in project participants will be investigated. The influence of tonotopic stimulation on the SVV result will have a high priority.
Investigators
Eligibility Criteria
Inclusion Criteria
- •uni- or bilaterally deafened and deaf patients with cochlear implants (one- or two- sided) from Advanced Bionics (AB), model HiRes 90K and newer
- •given informed consent
- •legally competent and mentally able to follow the instructions of the personnel
Exclusion Criteria
- •unsuccessful CI implantation (device or electrode defects, incomplete electrode array insertion, missing neuronal stimulus responses)
- •pregnant and/or breastfeeding women
- •severe pre- or concomitant disease or reduced general ground condition, so that an outpatient presentation in the ENT polyclinic is not possible
- •life expectancy of less than six months
- •the patient has received a study medication within the last 30 days within the framework of another study
- •simultaneous participation in another clinical intervention study
- •anticipated lack of compliance
- •alcohol or drug abuse
- •the patient is placed in an institution by order of the authorities or court
- •patients who are in a dependent or employed relationship with the sponsor, investigator, or their deputy
Outcomes
Primary Outcomes
Change of the subjective visual vertical (SVV) with tonotopic CI stimulation
Time Frame: 15 - 30 minutes
The SVV is determined by wearing a special mask that prevents patients from seeing their spatial position. Instead, they see a light bar in the mask. The head is now tilted to the left and right. After adjusting the body position, the examiner asks to be told when the light bar is perceived to be vertical.