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Comparison Between the Effect of Intra-Scalar Methylprednisolone and Sodium Hyaluronate in Impedance and Electrically Evoked Compound Action Potentials in Cochlear Implant Patients

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Abstract

To evaluate and compare the effect of intra-scalar methylprednisolone and sodium hyaluronate on cochlear implants’ impedance and electrically evoked compound action potentials thresholds. In a prospective randomized clinical trial, 103 children with pre-lingual hearing loss candidates for cochlear implantation at a tertiary hospital were divided into three groups based on intervention. Intraoperatively, one group received intra-scalar methylprednisolone, the second sodium hyaluronate, and the third group was the control group. Impedance and electrically evoked compound action potentials (e-ECAP) thresholds on long-term follow-up were evaluated and compared in these three groups. Significant decrease in impedance and e-ECAP thresholds were observed in all groups in a 4-year follow-up. No statistically significant difference was observed among all mentioned groups. Impedance and e-ECAP thresholds decrease in the long term, and using topical intra-scalar Healon or methylprednisolone may not significantly affect these parameters.

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Correspondence to Kourosh Eftekharian.

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The authors declare that they have no conflicts of interest. The authors have no relevant financial or non-financial interests to disclose.

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This study was approved by the Human Research Ethics committee of our institution (IR.SBMU.RETECH.REC.1400.860). The procedures used in this study adhere to the tenets of the Declaration of Helsinki.

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Eftekharian, A., Khajavi, M., Moghadam, S. et al. Comparison Between the Effect of Intra-Scalar Methylprednisolone and Sodium Hyaluronate in Impedance and Electrically Evoked Compound Action Potentials in Cochlear Implant Patients. Indian J Otolaryngol Head Neck Surg 75 (Suppl 1), 285–290 (2023). https://doi.org/10.1007/s12070-022-03429-y

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