Vestibular Implantation and the Feasibility of Fluoroscopy-Guided Electrode Insertion

Joost Johannes Antonius Stultiens, Alida Annechien Postma, Nils Guinand, Angélica Pérez Fornos, Hermanus Kingma, Raymond van de Berg, Joost Johannes Antonius Stultiens, Alida Annechien Postma, Nils Guinand, Angélica Pérez Fornos, Hermanus Kingma, Raymond van de Berg

Abstract

Recent research has shown promising results for the development of a clinically feasible vestibular implant in the near future. However, correct electrode placement remains a challenge. It was shown that fluoroscopy was able to visualize the semicircular canal ampullae and electrodes, and guide electrode insertion in real time. Ninety-four percent of the 18 electrodes were implanted correctly (<1.5 mm distance to target). The median distances were 0.60 mm, 0.85 mm, and 0.65 mm for the superior, lateral, and posterior semicircular canal, respectively. These findings suggest that fluoroscopy can significantly improve electrode placement during vestibular implantation.

Keywords: Bilateral vestibulopathy; Feasibility study; Fluoroscopy; Implanted; Implanted Electrodes; Proof of concept study; Radiography; Semicircular canals; Vestibular implant.

Copyright © 2019 The Author(s). Published by Elsevier Inc. All rights reserved.

Source: PubMed

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