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Updated: Apr 27, 2026

Robotic Cochlear Implantation for Direct Cochlear Access
Published on: June 16, 2022
Spontaneous bone bed formation in cochlear implantation using the subperiosteal pocket technique
Kadir Serkan Orhan1, Beldan Polat, Necati Enver
1*Istanbul University, Istanbul Medical Faculty, Department of ORL, Istanbul; and †Amasya University S.S. Education and Research Hospital, Department of ORL, Amasya, Turkey.
Objective:
To show evidence of spontaneous bone pocket formation using the subperiosteal pocket technique for cochlear implantation surgery.
Study Design:
Clinical capsule report.
Setting:
University hospital.
Patients:
We evaluated 8 pediatric revision cochlear implant patients who had previously undergone cochlear implantation using the subperiosteal pocket technique. The time between primary and revision surgery varied between 5 and 54 months.
Results:
Spontaneous bone bed formation for the internal receiver stimulator and its electrodes was observed during revision surgeries in all patients.
Conclusion:
The subperiosteal pocket technique for cochlear implantation does not require pockets to be drilled in the skull, unlike the standard technique, because bone beds form spontaneously.

