| DONG-MIN KANG,
DONG-MIN KANG ©ö, GOUN CHOE ©ø, DOO-HEE KIM ©ö,©÷, TAE-SOO NOH ©ö, YU-JUNG HWANG©ö, SOO-WON SHIN©÷, GWANG-JIN CHOI©÷, JUNG-U LIM©÷, HO-SEUNG LEE©÷, KYOU-SIK MIN ©÷, AND MYUNG-WHAN SUH ©ö
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¸ñÀû: Research indicates that increasing the number of cochlear implant
channels enhances auditory performance, improves sound quality
perception, and reduces the cognitive effort required for sound
recognition, leading to a more comfortable auditory experience. To
evaluate the performance and biocompatibility of a newly developed 32-
channel cochlear implant, we implanted the device in a minipig model.
We measured the Electrically Evoked Auditory Brainstem Response (EABR)
to verify functionality and predict auditory performance.
Additionally, histological analysis is being conducted to assess
tissue response and biocompatibility. This study aims to
comprehensively evaluate the properties of the 32-channel system. ¹æ¹ý:The cochlear implant channels, ranging from 16 to 26, were inserted
using the round window approach, with the internal device coil and
body placed at the apex of the minipig's head. EABR measurements were
conducted over a three-month period following implantation, at
intervals of approximately two weeks to one month. For these
measurements, the external device was attached to the head. The
measurement parameters included a pulse rate of 40 Hz, pulse widths of
25 and 50 µs/ph, and pulse amplitude levels ranging from 0 to 255
current levels. After EABR measurements, the cochlea was explanted,
and Hematoxylin and Eosin (H&E) staining was performed to examine
spiral ganglion neurons. Additionally, epoxy embedding was conducted
to analyze the electrode's position within the cochlea and assess any
potential traumatic response. °á°ú:After the cochlear implant, we measured the EABR to observe how the
response amplitude changed with stimulation pulse width, current level
(CL), and over time. The EABR Amplitude was 1.78 times larger when
stimulus pulse width increased from 25 µs/pulse to 50
µs/pulse(p<0.001) 0.738 ¡¾ 0.498 µA and 1.314 ¡¾ 1.26 µA. Inversely,
the EABR Threshold was 1.615 times larger when stimulus pulse width
increased from 25 µs/pulse to 50 µs/pulse (p<0.004): 822 ¡¾ 178 µA and
509 ¡¾ 105 µA. The input-output growth was fitted into a sigmoid
exponential function (amplitude=max/(1+exp(-k*(CL-CL0)))). The
slope(CL0) of this exponential function was significantly greater in
channel15 compared to that of channel1 which deeper electrode channel
in the cochlear. The maximum value (max) of EABR gradually increased
with time during the first two months after implantation (p=
0.00015)0.552¡¾0.377 µV on 1st, and 1.080¡¾ 0.647 on 2nd month, (pulse
width 25us/ph), (p= 0.0095)0.988¡¾0.58 µV on 1st, and 1.588¡¾ 1.121 on
2nd month, (pulse width 50us/ph). °á·Ð:Our study on the 32-channel cochlear implant system in minipigs
remains ongoing, with key observations highlighting the relationship
between stimulation parameters and auditory response. Specifically, we
found that EABR amplitude increased with a wider stimulus pulse width
and prolonged implantation time, particularly within the first two
months Notably, the growth pattern of EABR amplitude was more
pronounced in the electrodes positioned deeper within the cochlea
compared to those located more peripherally. Given their anatomical
resemblance to the human cochlea, minipigs are more clinically
relevant models than rodents, enabling a more accurate translation of
findings to human applications. These results provide valuable
insights into the electrophysiological behavior of the cochlea in
response to artificial current stimulation, further informing cochlear
implant optimization and potential improvements in auditory
prostheses. |