Hearing Loss
Conditions
Brief summary
The research team will evaluate pupillary dilation from vagal nerve stimulation of Arnold's Nerve, a branch of the vagus nerve, during routine cochlear implantation surgery.
Detailed description
The objective of this study is to determine if electrical stimulation of Arnold's Nerve, a branch of the vagus nerve, can result in vagal nerve response through the measurement of pupillary dilation
Interventions
Electrical stimulation will be used to stimulate the Arnold's nerve and measure pupil dilation. The electrical stimulator is part of the standard facial nerve monitoring unit that we utilize in cochlear implantation and will be setup prior to surgery in standard fashion. The device allows for constant current stimulation, with stimulus range between 0-30 mA.
Sponsors
Study design
Eligibility
Inclusion criteria
Patients undergoing cochlear implantation: * will be undergoing surgery for a cochlear implant * is over the age of 18 * is willing to participate in the study Patients undergoing vagal nerve stimulator implantation: * will be undergoing implantable vagal nerve stimulation * is over the age of 18 * is willing to participate in the study
Exclusion criteria
Patients undergoing cochlear implantation: * is under the age of 18 * has history of prior ear surgery, congenital ear malformation, or cochlear implantation * pregnant or breastfeeding patients cannot undergo the standard-of-care implantation procedures required for participation in the study. * medical comorbidities resulting in exclusion are guided by the AANS
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Pupillary Dilation during Procedure | Day 1 (During procedure - typically 1 hour in duration) | Pupillary dilation (mm) measured via non-invasive pupillary measurement camera. |
Countries
United States
Contacts
NYU Langone Health