学术文献库

In traditional cochlear implant surgery, physical trauma may occur during electrode array insertion. Magnetic guidance of the electrode array has been proposed to mitigate this medical complication. After insertion, the guiding magnet attached to the tip of the electrode array must be detached via a heating process and removed. This heating process may, however, cause thermal trauma within the cochlea. In this study, a validated three-dimensional finite element heat transfer model of the human cochlea is applied to perform an intracochlear thermal analysis necessary to ensure the safety of the magnet removal phase. Specifically, the maximum safe input power density to detach the magnet is determined as a function of the boundary conditions, heating duration, cochlea size, implant electrode array radius and insertion depth, magnet size, and cochlear fluid. A dimensional analysis and numerical simulations reveal that the maximum safe input power density increases with increasing cochlea size and the radius of the electrode array, whereas it decreases with increasing electrode array insertion depth and magnet size. The best cochlear fluids from the thermal perspective are perilymph and a soap solution. Even for the worst case scenario in which the cochlear walls are assumed to be adiabatic except at the round window, the maximum safe input power density is larger than that required to melt 1 $\rm{mm^3}$ of paraffin bonding the magnet to the implant electrode array. By combining the outcome of this work with other aspects of the design of the magnetic insertion process, namely the magnetic guidance procedure and medical requirements, it will be possible to implement a thermally safe patient-specific surgical procedure.