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Updated: May 29, 2026

Enhanced Cochlear Coverage and Hearing Preservation in High-Frequency Hearing Loss via Electric Acoustic Stimulation with Longer Electrode

Enhanced Cochlear Coverage and Hearing Preservation in High-Frequency Hearing Loss via Electric Acoustic Stimulation with Longer Electrode

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Delayed cochlear implantation after surgical labyrinthectomy.

H A Osborn¹, R Yeung, V Y W Lin

¹Schulich School of Medicine, University of Western Ontario, London, Ontario, Canada.

The Journal of Laryngology and Otology

|September 15, 2011

Summary

Delayed cochlear implantation (CI) after surgical labyrinthectomy is a viable option for hearing rehabilitation. This case study shows successful CI outcomes even 21 years post-labyrinthectomy, improving patient quality of life.

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Area of Science:

Otolaryngology
Neuroscience
Audiology

Background:

Cochlear implantation (CI) is a standard treatment for profound deafness.
Surgical labyrinthectomy is traditionally a contraindication for CI due to cochlear changes.
The expanding role of CI necessitates re-evaluating contraindications.

Observation:

A 59-year-old patient with bilateral surgical labyrinthectomies 21 years prior presented for CI.
The patient had intractable Ménière's disease.
A significant delay existed between labyrinthectomy and the CI procedure.

Findings:

The patient underwent successful cochlear implantation despite the 21-year delay.
Good audiological outcomes were achieved post-implantation.

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Last Updated: May 29, 2026

Enhanced Cochlear Coverage and Hearing Preservation in High-Frequency Hearing Loss via Electric Acoustic Stimulation with Longer Electrode

Enhanced Cochlear Coverage and Hearing Preservation in High-Frequency Hearing Loss via Electric Acoustic Stimulation with Longer Electrode

Published on: October 11, 2024

The patient reported an improved quality of life.

Implications:

Delayed CI, even decades after labyrinthectomy, is a feasible treatment.
Cochlear ossification and vestibular obliteration do not preclude successful CI.
Selected patients can benefit from CI long after labyrinthectomy.