Sensitivity and Specificity of Intraoperative TransImpedance Matrix Recordings Compared With X-ray Imaging in Detecting Perimodiolar Cochlear Implant Tip Foldovers: A Multicenter Study
These results provide further support regarding the utility of TIM recordings to evaluate appropriate cochlear implant electrode array position. Despite the low tip foldover rate reported across the literature and within this study, this multicenter patient group provided a large sample size to calculate the sensitivity and specificity of TIM recordings in identifying tip foldovers. Compared with the reference-standard, x-ray imaging, TIM recordings show equivalent, and in some cases superior, performance in identification of tip foldovers. Thus, use of TIM can potentially preclude the need for routine intraoperative x-rays without compromising patient care.
Authors
- J. Eric Lupo
- Brian Kaplan (ORCID: https://orcid.org/0009-0005-0686-5544)
- Viral D. Tejani (ORCID: https://orcid.org/0000-0001-7585-9619)
- Sara Alvarez Menéndez
- Regina Presley
- Alejandro Rivas (ORCID: https://orcid.org/0000-0002-9613-3769)
- Sarah E. Mowry (ORCID: https://orcid.org/0000-0003-2366-3205)
- Alexandra Arambula (ORCID: https://orcid.org/0000-0002-5624-3613)
- Robin Piper
- Samantha Morgan
- Gail S. Murray
- Maroun T. Semaan
- Katrina R. Stidham (ORCID: https://orcid.org/0000-0003-0857-5725)
- Nauman F. Manzoor (ORCID: https://orcid.org/0000-0002-4299-0474)
- Allison Biever
- David C. Kelsall
- Regina Albinus
- Daniel E. Killeen (ORCID: https://orcid.org/0000-0002-7162-5863)
Institutions
- Greater Baltimore Medical Center (US)
- Westchester Medical Center (US)
- Virginia Commonwealth University (US)
- University Hospitals of Cleveland (US)
- Rocky Mountain MS Center (US)
- Case Western Reserve University (US)
Publication Details
- Journal
- Otology & Neurotology
- Published
- 2025-04-03
- DOI
- https://doi.org/10.1097/mao.0000000000004502
- Citations
- 4
- Primary Topic
- Hearing Loss and Rehabilitation
- Type
- article
- Field-Weighted Citation Impact
- 5.72