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H N O Electrocochleography (ECochG) has received increased interest in the recent years, especially during cochlear implant (CI) electrode insertion and postoperative predictions of outcome. The Advanced Bionics (AB) system is capable of measuring ECochGs via the intra-cochlear electrode array for an acoustically delivered low-frequency sinusoidal stimulus. This information is used as feedback to the surgeon during insertion of the electrode array. Furthermore, these measurements can be performed post-operatively. ECochG signals in 10 subjects with residual hearing receiving either the AB HiResUltra SlimJ or Mid-Scala electrode arrays was measured during insertion. After complete insertion, ECochG responses to tone bursts at 125, 250, 500, 1 kHz and 2 kHz were recorded and an assumption of threshold was made via an implemented algorithm. The threshold estimation procedure was repeated at 1, 3 & 6 months post activation.

Initial Experience with Electrocochleography Used in Clinical Routine: Correlations with Speech Perception Outcomes in Adults