Soft cochlear implantation: rationale for the surgical approach. Trends Amplif 2009 Jun;13(2):124-38
Date
05/19/2009Pubmed ID
19447766Pubmed Central ID
PMC4111526DOI
10.1177/1084713809336422Scopus ID
2-s2.0-65649097622 (requires institutional sign-in at Scopus site) 113 CitationsAbstract
Recent advances in cochlear implant technology have focused renewed attention on the preservation of residual hearing. The focus on preservation of residual hearing is driven by the concept of electroacoustic stimulation. This option depends on the insertion of a short cochlear implant electrode into the basal region of the cochlea while preserving native function in the apical region. The desire to preserve residual hearing has led to the development of the soft-surgery cochlear implantation technique. Here, the authors evaluate its various components. Avoiding entry of blood into the cochlea and the use of hyaluronate seem to be reasonably supported, whereas the use of topical steroids is unlikely to be beneficial. The site of entry into the cochlea, the use of contoured or straight devices, and the depth of insertion are also evaluated. The authors highlight the importance of systematic recording of outcomes and surgical events.
Author List
Friedland DR, Runge-Samuelson CMESH terms used to index this publication - Major topics in bold
CochleaCochlear Implantation
Cochlear Implants
Correction of Hearing Impairment
Deafness
Equipment Design
Humans
Hyaluronic Acid
Ostomy
Practice Guidelines as Topic
Prosthesis Design
Steroids
Treatment Outcome
