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Cochlear remote assistant9/1/2023 ![]() ![]() A previous study has examined this concept by using a hospital intranet connection between 2 remote laptops, one in the OR connected to the other one in the audiologist’s clinic, and they concluded that this approach could replace the regular intraoperative monitoring while keeping in mind the difficulties that the audiologist might face in travelling from their clinic to the OR, especially if the 2 are located in different buildings. With this technique, the goal of measuring device-related parameters can be met without the need for the physical presence of a dedicated audiologist in the OR. The concept of remote intraoperative device testing is one of these developments. 3 In recent times, several technically advanced methodologies have been developed in the field of CI surgery with the following aims: to improve the quality of care, for the proper utilization of medical resources, and to maximize patient satisfaction. Measuring neural responses in order to create hearing profiles would be useful for CI candidates belonging to all the age groups however, it plays a role in the case of pediatric patients and CI users with difficulties in providing subjective feedback. 2 Further, ECAP threshold measurements are used postoperatively, such as during the audiological programming sessions for the CI system. 1 Recording the ECAP is noninvasive, and it is an objective measurement of the action potential of the cochlear nerve of CI users. An additional advantage of measuring the impedance is to examine the electrode’s overall function in order to detect potential problems, such as short circuits or breaks in the electrode. Impedance is a measurement of the resistance to the electrical current flow. In other words, it is recommended to perform diagnostic tests, including impedance testing and recording the electrically evoked compound action potentials (ECAP) to examine the cochlear implant before the patient leaves the operating room (OR). ![]() The evaluation of the impedances and neural response thresholds represent important possible tests to be performed during the intraoperative moment. ![]()
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