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Use of a mid-scala and a lateral wall electrode in children: insertion depth and hearing preservation

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Abstract Conclusions: Atraumatic insertion of the HiFocusTM Mid-Scala (HFMS) electrode via the round window was successfully achieved in seven children. Residual hearing 6 months post-operatively was preserved to within 10 dB… Click to show full abstract

Abstract Conclusions: Atraumatic insertion of the HiFocusTM Mid-Scala (HFMS) electrode via the round window was successfully achieved in seven children. Residual hearing 6 months post-operatively was preserved to within 10 dB HL of the pre-operative audiogram at 500 Hz for six children, indicating minimal initial insertion trauma to the cochlea. Objectives: The objectives were to document the clinical experience and evaluate differences between HFMS and HiFocusTM 1j (HF1j) by means of insertion depth and hearing preservation results. Method: Nineteen children were prospectively recruited and consecutively implanted with the HF1j electrode (n = 12) or the HFMS electrode (n = 7) via the round window. Average median angular insertion depths and the amount of residual hearing preserved at 6 months post-operatively were compared between the two electrode groups. Results: The median angular insertion depth for the HF1j was 439° and for the HFMS 435°. Preservation of residual hearing at 500 Hz was assessed in seven HFMS subjects and 11 HF1j subjects. Based on the Skarzynski formula, three out of seven subjects (42%) in the HFMS group had their residual hearing completely preserved at 500 Hz. In the control group, no subjects had complete hearing preservation and five subjects had a complete loss of residual hearing.

Keywords: insertion; hearing preservation; electrode; insertion depth; residual hearing

Journal Title: Acta Oto-Laryngologica
Year Published: 2017

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