Anatomy-Based Fitting in Cochlear Implants: Potential for Optimizing Postoperative Outcomes: A Pilot Study

Research output: Contribution to journalArticlepeer-review

Abstract

OBJECTIVES: To investigate whether there is a difference in frequency parameters between anatomy-based fitting (ABF) using a preoperative CT scan and clinically based fitting (CBF).

STUDY DESIGN: Monocentric retrospective registry study.

SETTING: Tertiary academic medical center.

PATIENTS: 23 CI recipients between 2004 and 2021.

INTERVENTIONS: CI.

MAIN OUTCOME MEASURES: Comparison between frequency maps: CBF versus ABF. The frequency parameters used for ABF were estimated based on preoperative CT scans and implanted electrodes.

RESULTS: All electrode contact frequencies were significantly different between ABF and CBF maps. When the dataset was manually analyzed, 84% (n = 233) of the predicted electrode location frequencies were outside their allocated frequency band in the clinical fitting map.

CONCLUSIONS: Setting the CI filter bank frequencies based on preoperative electrode location estimates could be a useful alternative when postoperative CT or DVT imaging is not feasible or unavailable. This can serve as a good starting point when trying to reduce frequency-to-place mismatch between frequency allocations of the fitting filter bank and the tonotopy of the cochlea.

Original languageGerman (Austria)
Pages (from-to)1095-1100
Number of pages6
JournalOtology & neurotology : official publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology
Volume46
Issue number9
DOIs
Publication statusPublished - 01 Oct 2025

Fields of science

  • 302 Clinical Medicine

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