To assess the efficacy of three intraoperative auditory monitoring techniques: auditory brainstem response (ABR), electrocochleography (ECoG), and direct eight nerve monitoring (DENM).
A retrospective review of the intraoperative recordings of ABR, ECoG, and DENM was performed.
A private, neurotologic practice.
Sixty-six patients with usable preoperative hearing underwent intraoperative auditory monitoring with ABR, ECoG, or DENM.
Intraoperative auditory monitoring.
Postoperative pure-tone hearing threshold and word recognition scores.
Of the 66 patients, 16 (24%) had postoperative serviceable hearing. Five (18%) of the 28 with ABR monitoring, 3 (17%) of the 18 with ECoG monitoring, and 8 (40%) of the 20 with DENM monitoring had serviceable hearing after surgery.
This study suggests that DENM may be more effective than ABR or ECoG, although the differences in hearing preservation rates are not statistically significant.
*Department of Otolaryngology, Northwestern University Medical School, Chicago; and †Department of Neurophysiology and Sleep Disorders, Hinsdale Hospital, Hinsdale, Illinois, U.S.A.
Address correspondence to Dr. Robert A. Battista, Chicago Otology Group, 950 N. York Road, Suite 102, Hinsdale, Illinois 60521-8608, U.S.A.