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Outcomes in adults implanted with the FLEXsoft electrode.

Wolf-Dieter Baumgartner1, Alexandra Jappel, Constantino Morera

  • 1AKH Wien, Vienna, Austria. wolf-dieter.baumgartner@univie.ac.at

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The FLEXsoft electrode array enables deep cochlear implant insertion while preserving low-frequency hearing in some patients. This innovation shows promise for future advancements in electrode design and hearing preservation.

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Area of Science:

  • Otorhinolaryngology
  • Biomedical Engineering
  • Neuroscience

Background:

  • The FLEXsoft electrode array is engineered for atraumatic insertion into the cochlea during cochlear implantation.
  • Deep insertion is crucial for optimal electrode placement and function.

Purpose of the Study:

  • To evaluate the surgical and functional outcomes of cochlear implantations using the FLEXsoft electrode array.
  • To assess the impact of the FLEXsoft electrode on hearing preservation and speech perception.

Main Methods:

  • Twenty-three adult subjects received FLEXsoft electrode arrays.
  • Outcomes were assessed using speech perception tests, the Nijmegen Cochlear Implant Questionnaire, and pure-tone audiometry at multiple time points post-implantation.

Main Results:

  • Surgery was uneventful with successful electrode placement in all cases.
  • Hearing preservation was observed in 50% of subjects at 1 month and 25% at 12 months post-implantation.
  • Significant improvements in speech perception and quality of life scores were noted, comparable to standard electrode arrays.

Conclusions:

  • The FLEXsoft electrode array facilitates deep insertion and achieves good speech perception outcomes.
  • It allows for some preservation of low-frequency hearing over time, indicating potential for future research in electrode design, hearing preservation, and drug delivery systems.