{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,14]],"date-time":"2026-05-14T09:45:27Z","timestamp":1778751927661,"version":"3.51.4"},"reference-count":42,"publisher":"Cambridge University Press (CUP)","issue":"8","license":[{"start":{"date-parts":[[2024,2,5]],"date-time":"2024-02-05T00:00:00Z","timestamp":1707091200000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J. Laryngol. Otol."],"published-print":{"date-parts":[[2024,8]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec id=\"S0022215124000227_sec_a1\"><jats:title>Objective<\/jats:title><jats:p>The study aimed to compare ipsilateral and contralateral electrically evoked stapedial reflex thresholds in children with a unilateral cochlear implant surgically implanted either through Veria or posterior tympanotomy approaches.<\/jats:p><\/jats:sec><jats:sec id=\"S0022215124000227_sec_a2\" sec-type=\"methods\"><jats:title>Methods<\/jats:title><jats:p>Forty-nine children using cochlear implants were studied, of whom 27 underwent the Veria approach and 22 underwent the posterior tympanotomy approach. The electrically evoked stapedius reflex thresholds were measured ipsilaterally and contralaterally by stimulating four equally spaced electrodes.<\/jats:p><\/jats:sec><jats:sec id=\"S0022215124000227_sec_a3\" sec-type=\"results\"><jats:title>Results<\/jats:title><jats:p>The ipsilateral electrically evoked stapedius reflex threshold was absent in all four electrodes in the children implanted using the Veria approach. However, the ipsilateral electrically evoked stapedius reflex threshold was present in 70 per cent of the children implanted using the posterior tympanotomy approach. The contralateral electrically evoked stapedius reflex threshold was present in most of the children for both surgical approaches.<\/jats:p><\/jats:sec><jats:sec id=\"S0022215124000227_sec_a4\" sec-type=\"conclusions\"><jats:title>Conclusion<\/jats:title><jats:p>The presence of the ipsilateral electrically evoked stapedius reflex threshold varies depending on the surgical technique used for cochlear implantation. However, contralateral reflexes are present in the majority of children using cochlear implants, irrespective of the surgical approach.<\/jats:p><\/jats:sec>","DOI":"10.1017\/s0022215124000227","type":"journal-article","created":{"date-parts":[[2024,2,5]],"date-time":"2024-02-05T00:35:34Z","timestamp":1707093334000},"page":"858-863","source":"Crossref","is-referenced-by-count":1,"title":["Comparison of electrically evoked stapedial reflexes in patients with cochlear implants surgically implanted using Veria and posterior tympanotomy approaches"],"prefix":"10.1017","volume":"138","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2825-3256","authenticated-orcid":false,"given":"A","family":"Yathiraj","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"P","family":"Manjula","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"C","family":"Geetha","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7918-1526","authenticated-orcid":false,"given":"P","family":"Jawahar Antony","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"family":"Megha","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"56","published-online":{"date-parts":[[2024,2,5]]},"reference":[{"key":"S0022215124000227_ref2","doi-asserted-by":"crossref","first-page":"335","DOI":"10.1159\/000066154","article-title":"Speech perception in Nucleus CI24M cochlear implant users with processor settings based on electrically evoked compound action potential thresholds","volume":"7","author":"Smoorenburg","year":"2002","journal-title":"Audiol Neurotol"},{"key":"S0022215124000227_ref38","first-page":"3","article-title":"Impedance measurements of middle ear acoustic reflex and its value for differential diagnosis of hearing disorders [in Russian]","volume":"2","author":"Sagalovich","year":"1977","journal-title":"Vestn Otorinolaringol"},{"key":"S0022215124000227_ref42","doi-asserted-by":"crossref","first-page":"238","DOI":"10.1016\/j.otorri.2009.01.001","article-title":"Inverted acoustic reflex: an analysis of its morphological characteristics in different physiological and pathological situations [in Spanish]","volume":"60","author":"Vallejo","year":"2009","journal-title":"Acta Otorrinolaringol Esp"},{"key":"S0022215124000227_ref1","doi-asserted-by":"crossref","first-page":"156","DOI":"10.1097\/00003446-199704000-00008","article-title":"The effect of loudness imbalance between electrodes in cochlear implant users","volume":"18","author":"Dawson","year":"1997","journal-title":"Ear Hear"},{"key":"S0022215124000227_ref15","doi-asserted-by":"crossref","first-page":"292","DOI":"10.3766\/jaaa.16117","article-title":"The value of electrically evoked stapedius reflex in determining the maximum comfort level of a cochlear implant","volume":"29","author":"de Andrade","year":"2018","journal-title":"J Am Acad Audiol"},{"key":"S0022215124000227_ref13","doi-asserted-by":"crossref","first-page":"184","DOI":"10.1097\/00003446-199404000-00008","article-title":"The relationship between electrical acoustic reflex thresholds and behavioral comfort levels in children and adult cochlear implant patients","volume":"15","author":"Spivak","year":"1994","journal-title":"Ear Hear"},{"key":"S0022215124000227_ref8","doi-asserted-by":"crossref","first-page":"151","DOI":"10.1177\/000348948609500208","article-title":"Stapedius reflex to electrical stimulation in a patient with a cochlear implant","volume":"95","author":"Jerger","year":"1986","journal-title":"Ann Otol Rhinol Laryngol"},{"key":"S0022215124000227_ref12","first-page":"13","article-title":"Post-operative stapedius reflex tests with simultaneous loudness scaling in patients supplied with cochlear implants","volume":"9","author":"Stephan","year":"2009","journal-title":"Audiology"},{"key":"S0022215124000227_ref33","doi-asserted-by":"crossref","first-page":"37","DOI":"10.3109\/00016480902998299","article-title":"Cochlear implantation surgery without posterior tympanotomy: can we still improve it","volume":"130","author":"Guevara","year":"2003","journal-title":"Acta Otolaryngol"},{"key":"S0022215124000227_ref28","doi-asserted-by":"crossref","first-page":"1571","DOI":"10.1002\/lary.20487","article-title":"Comparison of two approaches to the surgical management of cochlear implantation","volume":"119","author":"Postelmans","year":"2009","journal-title":"Laryngoscope"},{"key":"S0022215124000227_ref39","volume-title":"The Acoustic Reflex; 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