Objective: This study was conducted to evaluate the insertion properties and intracochlear trajectories of three perimodiolar electrode array designs and to compare these designs with the standard CochlearlMelbourne array. Background: Advantages to be expected of a perimodiolar electrode array inclu<;le both a reduction in stimulus thresholds and an increase in dynamic range, resulting in a more localized stimulation pattern of the spiral ganglion cells, reduced power consumption, and, therefore, longer speech processor battery life. Methods: The test arrays were implanted into human temporal bones. Image analysis was performed on a radiograph taken after the insertion. The cochleas were then histologically processed with the electrode array in situ, and the resulting sections were subsequently assessed for position of the electrode array as well as insertion-related intracochlear damage. Intracochlear multichannel cochlear implants have successfully provided auditory information for profoundly deaf patients by electrically stimulating discrete populations of auditory nerve fibers via a scala tympani electrode array. The straight, yet flexible, tapered Melbourne/Cochlear electrode array can be safely implanted into the human cochlea. However, histologic and radiologic examination of implanted temporal bones showed that the electrode array is usually positioned along the outer wall of the scala tympani (1-5). The array is, therefore, some distance from the spiral ganglion cells in the Rosenthal canal and their peripheral processes. However,
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