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The aim of this study is to assess the auditory nerve functionality with an intraoperative approach following a surgical removal of acoustic neuroma in patients with severe to profound sensorineural hearing disabilities.
Whatever the acoustic neuroma treatments, the patient risks a hearing loss. The global strategy of hearing care aims to preserve the quality of life and patient hearing. For severe to profound hearing loss and anatomical auditory nerve preservation, the cochlear implant is put forward compared to the auditory brainstem implant. Indeed, cochlear implant provides better speech outcomes. If cochlear implantation is not possible or no benefit for the patient, the brainstem implant is the most widely used. The Neuristim device is used to investigate the auditory nerve integrity following neuroma surgery or on an affected auditory nerve. The Neuristim is an intra-cochlear stimulator used in an intraoperative way. The intra-cochlear electrodes provide an electrical stimulation to auditory nerve fibers, and auditory nerve response measurements to these electrical stimulation are recorded and evaluated to determine the auditory nerve functionality. The Neuristim is a device for helping surgeons to choose the most appropriate implantable solution. 2 groups of patients will be involved in this study:
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Neuristim | Experimental | Electrical stimulation with the Neuristim and auditory nerve electrical response measurements (wave V). |
|
| Digisonic SP EVO cochlear implant | Active Comparator | Electrical stimulation with the patient's cochlear implant and auditory nerve electrical response measurements (wave V). |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Neuristim | Device | Stimulation at high, medium and low intensity on apical, medial and basal Neuristim electrode |
|
| Measure | Description | Time Frame |
|---|---|---|
| Wave V latency | perioperatively |
| Measure | Description | Time Frame |
|---|---|---|
| Complications | perioperatively, 15 days postoperatively | |
| Impedance measurement | perioperatively | |
| ergonomics of the Neuristim |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Christophe Vincent, MD | Hospital University Lille-Roger Salengro | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| University Hospital Bordeaux - Pellegrin | Bordeaux | France | ||||
| University Hospital Grenoble - A. Michallon |
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| Label | URL |
|---|---|
| oticon medical website | View source |
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| ID | Term |
|---|---|
| D006319 | Hearing Loss, Sensorineural |
| D009464 | Neuroma, Acoustic |
| ID | Term |
|---|---|
| D034381 | Hearing Loss |
| D006311 | Hearing Disorders |
| D004427 | Ear Diseases |
| D010038 | Otorhinolaryngologic Diseases |
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| ID | Term |
|---|---|
| D003054 | Cochlear Implants |
| ID | Term |
|---|---|
| D058117 | Neural Prostheses |
| D058542 | Implantable Neurostimulators |
| D004567 | Electrodes, Implanted |
| D004566 | Electrodes |
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| Cochlear implant | Device | Stimulation at high, medium and low intensity on apical, medial and basal Cochlear implant electrode |
|
|
satisfaction questionnaire |
| perioperatively |
| Speech audiometry | in quiet and in noise | 3 months postoperatively |
| Pure tone audiometry | 3 months postoperatively |
| Grenoble |
| France |
| University Hospital Lyon - Edouard Herriot | Lyon | France |
| University Hospital Pitié Salpétrière | Paris | France |
| D012678 |
| Sensation Disorders |
| D009461 | Neurologic Manifestations |
| D009422 | Nervous System Diseases |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D009442 | Neurilemmoma |
| D018358 | Neuroendocrine Tumors |
| D017599 | Neuroectodermal Tumors |
| D009373 | Neoplasms, Germ Cell and Embryonal |
| D009370 | Neoplasms by Histologic Type |
| D009369 | Neoplasms |
| D009463 | Neuroma |
| D018317 | Nerve Sheath Neoplasms |
| D009380 | Neoplasms, Nerve Tissue |
| D003390 | Cranial Nerve Neoplasms |
| D009423 | Nervous System Neoplasms |
| D009371 | Neoplasms by Site |
| D010524 | Peripheral Nervous System Neoplasms |
| D000160 | Vestibulocochlear Nerve Diseases |
| D012181 | Retrocochlear Diseases |
| D010039 | Otorhinolaryngologic Neoplasms |
| D003389 | Cranial Nerve Diseases |
| D055615 |
| Electrical Equipment and Supplies |
| D004864 | Equipment and Supplies |
| D019736 | Prostheses and Implants |
| D006310 | Hearing Aids |
| D012682 | Sensory Aids |