{"title":"人工耳蜗患儿术中电诱发镫骨反射和神经反应遥测与最大舒适程度的相关性研究。","authors":"Priya Dogra, Prem Singh Jat, Sunita Agarwal, Payal Kumbhat","doi":"10.1007/s12070-025-05611-4","DOIUrl":null,"url":null,"abstract":"<p><p>Psychophysical measurements of T and C-levels are difficult in children. Electrically evoked Stapedial Reflex (eSRT) and Neural Response Telemetry (NRT) is an objective method to measure the same. This study aims to correlate intraoperative eSRT and NRT levels with Maximum Comfort Level (MCL) in children and ascertain its usefulness in programming a cochlear implant. Thirty children undergoing cochlear implant surgery were included. Intra-operative eSRT and NRT was measured using single electrode stimulation on third electrode. After three weeks, implant was switched on and MCL were documented. We observed a statistically significant positive correlation of eSRT (r<sup>2</sup>-0.755) and NRT (r<sup>2</sup>-0.698) with maximum comfort level. Intra-operative eSRT and NRT testing can reliably predict the behavioural MCL, and can be useful for evaluating patients who are difficult to test.</p>","PeriodicalId":49190,"journal":{"name":"Indian Journal of Otolaryngology and Head and Neck Surgery","volume":"77 8","pages":"2952-2956"},"PeriodicalIF":0.4000,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12297066/pdf/","citationCount":"0","resultStr":"{\"title\":\"A Study of Correlation Between Intra-operative Electrically Evoked Stapedial Reflex and Neural Response Telemetry with Maximum Comfort Level in Children with Cochlear Implant.\",\"authors\":\"Priya Dogra, Prem Singh Jat, Sunita Agarwal, Payal Kumbhat\",\"doi\":\"10.1007/s12070-025-05611-4\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><p>Psychophysical measurements of T and C-levels are difficult in children. Electrically evoked Stapedial Reflex (eSRT) and Neural Response Telemetry (NRT) is an objective method to measure the same. This study aims to correlate intraoperative eSRT and NRT levels with Maximum Comfort Level (MCL) in children and ascertain its usefulness in programming a cochlear implant. Thirty children undergoing cochlear implant surgery were included. Intra-operative eSRT and NRT was measured using single electrode stimulation on third electrode. After three weeks, implant was switched on and MCL were documented. We observed a statistically significant positive correlation of eSRT (r<sup>2</sup>-0.755) and NRT (r<sup>2</sup>-0.698) with maximum comfort level. Intra-operative eSRT and NRT testing can reliably predict the behavioural MCL, and can be useful for evaluating patients who are difficult to test.</p>\",\"PeriodicalId\":49190,\"journal\":{\"name\":\"Indian Journal of Otolaryngology and Head and Neck Surgery\",\"volume\":\"77 8\",\"pages\":\"2952-2956\"},\"PeriodicalIF\":0.4000,\"publicationDate\":\"2025-08-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12297066/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Indian Journal of Otolaryngology and Head and Neck Surgery\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.1007/s12070-025-05611-4\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2025/6/11 0:00:00\",\"PubModel\":\"Epub\",\"JCR\":\"Q4\",\"JCRName\":\"SURGERY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Indian Journal of Otolaryngology and Head and Neck Surgery","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1007/s12070-025-05611-4","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2025/6/11 0:00:00","PubModel":"Epub","JCR":"Q4","JCRName":"SURGERY","Score":null,"Total":0}
A Study of Correlation Between Intra-operative Electrically Evoked Stapedial Reflex and Neural Response Telemetry with Maximum Comfort Level in Children with Cochlear Implant.
Psychophysical measurements of T and C-levels are difficult in children. Electrically evoked Stapedial Reflex (eSRT) and Neural Response Telemetry (NRT) is an objective method to measure the same. This study aims to correlate intraoperative eSRT and NRT levels with Maximum Comfort Level (MCL) in children and ascertain its usefulness in programming a cochlear implant. Thirty children undergoing cochlear implant surgery were included. Intra-operative eSRT and NRT was measured using single electrode stimulation on third electrode. After three weeks, implant was switched on and MCL were documented. We observed a statistically significant positive correlation of eSRT (r2-0.755) and NRT (r2-0.698) with maximum comfort level. Intra-operative eSRT and NRT testing can reliably predict the behavioural MCL, and can be useful for evaluating patients who are difficult to test.
期刊介绍：
Indian Journal of Otolaryngology and Head & Neck Surgery was founded as Indian Journal of Otolaryngology in 1949 as a scientific Journal published by the Association of Otolaryngologists of India and was later rechristened as IJOHNS to incorporate the changes and progress.
IJOHNS, undoubtedly one of the oldest Journals in India, is the official publication of the Association of Otolaryngologists of India and is about to publish it is 67th Volume in 2015. The Journal published quarterly accepts articles in general Oto-Rhino-Laryngology and various subspecialities such as Otology, Rhinology, Laryngology and Phonosurgery, Neurotology, Head and Neck Surgery etc.
The Journal acts as a window to showcase and project the clinical and research work done by Otolaryngologists community in India and around the world. It is a continued source of useful clinical information with peer review by eminent Otolaryngologists of repute in their respective fields. The Journal accepts articles pertaining to clinical reports, Clinical studies, Research articles in basic and applied Otolaryngology, short Communications, Clinical records reporting unusual presentations or lesions and new surgical techniques. The journal acts as a catalyst and mirrors the Indian Otolaryngologist’s active interests and pursuits. The Journal also invites articles from senior and experienced authors on interesting topics in Otolaryngology and allied sciences from all over the world.
The print version is distributed free to about 4000 members of Association of Otolaryngologists of India and the e-Journal shortly going to make its appearance on the Springer Board can be accessed by all the members.
Association of Otolaryngologists of India and M/s Springer India group have come together to co-publish IJOHNS from January 2007 and this bondage is going to provide an impetus to the Journal in terms of international presence and global exposure.
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