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Table of contents
INTRODUCTION
1 ANATOMY
1.1 EXTERNAL AND MIDDLE EAR
1.2 THE INNER EAR: COCHLEA AND POSTERIOR LABYRINTH
1.3 THE COCHLEA
1.4 IMPLICATION OF COCHLEAR ANATOMY ON COCHLEAR IMPLANTATION
1.5 BLOOD SUPPLY TO INNER EAR
2 PHYSIOLOGY AND PATHOPHYSIOLOGY OF THE HEARING
2.1 TRASDUCTION OF THE SIGNAL: FROM THE SOUNDWAVE TO THE ELECTRIC STIMULUS
2.2 TONOTOPIC REPRESENTATION IN THE AUDITORY SYSTEM
2.3 BINAURAL HEARING PROCESSING OF SIGNAL
2.4 SENSORINEURAL DEAFNESS
2.4.1 Genetic hearing loss
2.4.2 Presbycusis
2.4.3 Ototoxic agents
2.4.4 Menière disease
2.3.5 Noise exposure
3 THE COCHLEAR IMPLANTS
3.1 PROCESSING OF THE SIGNAL IN COCHLEAR IMPLANTS
3.2 CODING STRATEGIES OF THE SIGNAL
3.3 INDICATIONS FOR COCHLEAR IMPLANTATIONS
3.4 HEARING PRESERVATION IN COCHLEAR IMPLANTS
3.5 VARIABILITY OF HEARING RESULTS IN COCHLEAR IMPLANTED PATIENTS
4 CONE BEAM CT FOR IDENTIFICATION OF SCALAR POSITIONING OF THE ELECTRODES
4.1 CONE BEAM COMPUTED TOMOGRAPHY (CBCT)
4.2 CONE BEAM CT SCAN FOR ELECTRODE POSITION ASSESSMENT IN TEMPORAL BONE AND IN IMPLANTED PATIENTS
4.2.1 Introduction
4.2.2 Materials and methods
4.2.2 Results
4.2.3 Discussion
5 RELATIONSHIP BETWEEN HEARING OUTCOMES AND THE POSITION OF THE ELECTRODES ARRAY
5.1 DEPTH OF INSERTION AND PROXIMITY TO THE MODIOLUS: SHORT AND LONG TERM INFLUENCE IN BILATERAL COCHLEAR IMPLANTED PATIENTS .
5.1.1 Introduction
5.1.2 Materials and methods
5.1.3 Results
5.1.4 Discussion
5.2 INFLUENCE OF SCALAR TRANSLOCATION ON THE AUDITORY PERFORMANCE
5.2.1 Introduction
5.2.2 Material and methods
5.2.3 Results
5.2.4 Discussion and conclusion
5.3 DISCUSSION
6 INSERTION FORCES AND ARRAY TRANSLOCATION: A TEMPORAL BONE STUDY
6.1 MEASURING THE INSERTION FORCES IN COCHLEAR IMPLANTATION .
6.2 IS THE INSERTION FORCE RELATED TO TRAUMATISM?
6.2.1 Introduction
6.2.2 Material and methods
6.2.3 Results
6.2.3 Discussion
6.3 DISCUSSION
7 Discussion and perspectives
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