Electrode Interaction in Cochlear Implant Recipients: Comparison of Straight and Contour Electrode Arrays

The degree of overlap among cochlear nerve fibers stimulated by different electrodes results in electrode interaction, which has been shown to have a significantly deleterious effect on speech recognition performance in multi-electrode cochlear implant users. The Nucleus CI24R(CS) Contour array, which lies substantially closer to the modiolus than the CI24M straight array, is expected to exhibit narrower excitation patterns. The neural response telemetry (NRT) 3.0 software provides a method of measuring the spread of neural excitation by presenting the masker and probe pulses on different intra-cochlear electrode bands. Nine pairs of children, using Nucleus CI24M/CI24R(CS) cochlear implants with a similar etiology and duration of deafness, insertion depth, age of implantation and loudest acceptable presentation level (LAPL) in NRT sessions, participated in the study. Profiles of the spread of neural excitation stimulated at the LAPL at 3 probe locations were examined for each pair of the 2 types of electrode array. The spread of neural excitation with respect to array type and location revealed significant effects (p < 0.001; p = 0.002) and no interaction between array type and probe location (p = 0.559). The results demonstrated that the Contour array improved electrode discrimination, especially for the electrodes at the basal end of the cochlea. The findings have implications for future electrode array design and current implant mapping strategies.