Electrocochleography Protocol

Components:

Cochlear Microphonic

-Generated by outer hair cells

Summating Potential

-Generated by outer and inner hair cells (mostly inner hair cells)

-Represents the net depolarization of the hair cells within

Action Potential (aka: compound action potential)

-Generated by the auditory nerve

-The synchronous firing of auditory nerve fibers in response to a transient auditory stimulus

-Wave I of ABR

Electrode Types

-Extratympanic Tip electrode

Pros:

Cons:

Tympanic membrane (TM)-Trode

Pros:

Cons:
Transtympanic needle

Pros:

Cons:

Electrode setup
Marking Waveforms

Stimulus Protocol

Type: Clicks (preferred) and Tone Bursts (500, 1000 Hz, and 2000 Hz)

Intensity: ~90 dB nHL

-Loud enough to elicit a well-defined SP-AP complex

-SP amplitude decreases with intensity; AP is stable

Polarity: Alternating

-For a better view of the CM, use condensation and rarefaction (suspected ANSD)

Stimulation Rate: <7.1/sec

-Larger AP with slower rates

-SP unaffected by faster rates

Analysis Window: ~5 ms

Sampling Rate: 256 or 512 per sec

Filters: Typically 10-1500 Hz

Sweeps:

-Transtympanic trode: 1000 sweeps

-Tympanic membrane-trode: 1500 sweeps

-TipTrode: 2000 sweeps

Clinical Applications
-Aiding in the assessment, diagnosis, and monitoring of Meniere’s disease

-Identification of Auditory Neuropathy Spectrum disorder