European Archives of Oto-Rhino-Laryngology

, Volume 275, Issue 6, pp 1385–1394 | Cite as

Imaging evaluation of electrode placement and effect on electrode discrimination on different cochlear implant electrode arrays

  • Ángel Ramos de MiguelEmail author
  • Andrea A. Argudo
  • Silvia A. Borkoski Barreiro
  • Juan Carlos Falcón González
  • Angel Ramos Macías



The aim of the present study is to evaluate the effect of electrode discrimination based on electrode to modiolus distance in different cochlear implant models, using image information to estimate the outcomes after an implantation on electrode discrimination


A descriptive prospective randomized study performed during 16 months. A psychoacoustic platform was used to evaluate patients’ electrode discrimination capabilities of patients. For the acquisition of the images, a cone beam computed tomography was used to assess postcochlear implantation of electrodes’ position. We considered two other new measurements: the intracochlear position index, which indicates how far is the electrode from the modiolar wall, and the homogeneity factor (HF), which provides us with information about the distance between the electrodes and the modiolus


21 postlingually deaf adults showing different CI models [CI522 (n = 7), CI512 (n = 7), and CI532 (n = 7)] that corresponded to the lateral and perimodiolar array electrodes. The average success rate of the CI522 group was 47%, of the CI512 group was 48%, and of the CI532 group was 77%. There is statistically significant difference between groups CI532–CI522 (p = 0.0033) and CI532–CI512 (p = 0.0027)


The Nucleus CI532 offers a better perimodiolar placement. HF and IPI measurements provide information about the electrodes location inside the cochlea, being related to electrode discrimination.


Cochlear implant Electrode discrimination test Intracochlear position index 



This study was not funded.

Compliance with ethical standards

Conflict of interest

The Nucleus Interface Communicator (NIC) toolbox was provided by Cochlear AG for this study. No other conflict of interest or funding was used for this study.

Ethical approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.


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Copyright information

© Springer-Verlag GmbH Germany, part of Springer Nature 2018

Authors and Affiliations

  1. 1.Otorhinolaryngology, Head and Neck DepartmentComplejo Hospitalario Universitario Insular Materno InfantilLas Palmas de Gran CanariaSpain

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