Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Research on Speed Estimation Method for Distributed Electric-Drive Loaders Based on Finite-State Machine.

Sensors (Basel, Switzerland)·2026
Same author

Perception-first digital twin for augmented reality microsurgery.

International journal of computer assisted radiology and surgery·2026
Same author

Development of a Digital Health Literacy Assessment Framework for Older Adults: Delphi-Based Study.

Journal of medical Internet research·2026
Same author

Patient Perspectives on Episodic Dizziness and a Hypothetical At-Home Diagnostic Tool.

Journal of patient experience·2026
Same author

Intraoperative Label-free Detection of Cholesteatoma Using Autofluorescence: A Feasibility Study.

Otology & neurotology : official publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology·2026
Same author

Perilymphatic Fistula Revisited: A Histopathologic Study of Inner Ear Dehiscence and Possible Third Window Syndrome.

Otology & neurotology : official publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology·2026

Related Experiment Video

Updated: Apr 23, 2026

Author Spotlight: Optimizing EAS with Long Electrodes for Enhanced Cochlear Coverage and Hearing Preservation
03:49

Author Spotlight: Optimizing EAS with Long Electrodes for Enhanced Cochlear Coverage and Hearing Preservation

Published on: October 11, 2024

1.3K

Hearing preservation surgery for cochlear implantation: a meta-analysis.

Peter Luke Santa Maria1, Michael Brian Gluth, Yongqing Yuan

  • 1*Department of Otolaryngology, Head and Neck Surgery, Stanford University Hospital and Clinics, Stanford, California; and †Section of Otolaryngology-Head and Neck Surgery, University of Chicago Medical Center, Chicago, Illinois, U.S.A.; ‡Ear Sciences Centre, School of Surgery, The University of Western Australia, Perth, Western Australia, Australia; §Department of Statistics, Stanford University, Stanford, California, U.S.A.; and ∥Ear Science Institute Australia, Perth, Western Australia, Australia.

Otology & Neurotology : Official Publication of the American Otological Society, American Neurotology Society [And] European Academy of Otology and Neurotology
|September 19, 2014
PubMed
Summary

Surgical techniques like round window cochleostomy and slow electrode insertion, along with postoperative systemic steroids, improve hearing preservation in cochlear implantation surgery. Longer electrode arrays do not offer an advantage.

More Related Videos

Author Spotlight: Advancements in Impedance Monitoring for Cochlear Implant Surgery
06:54

Author Spotlight: Advancements in Impedance Monitoring for Cochlear Implant Surgery

Published on: August 4, 2023

2.1K
Systematic Hearing Performance Evaluation Process for Adolescents with Cochlear Implantation at Early Ages
06:04

Systematic Hearing Performance Evaluation Process for Adolescents with Cochlear Implantation at Early Ages

Published on: March 24, 2023

3.0K

Related Experiment Videos

Last Updated: Apr 23, 2026

Author Spotlight: Optimizing EAS with Long Electrodes for Enhanced Cochlear Coverage and Hearing Preservation
03:49

Author Spotlight: Optimizing EAS with Long Electrodes for Enhanced Cochlear Coverage and Hearing Preservation

Published on: October 11, 2024

1.3K
Author Spotlight: Advancements in Impedance Monitoring for Cochlear Implant Surgery
06:54

Author Spotlight: Advancements in Impedance Monitoring for Cochlear Implant Surgery

Published on: August 4, 2023

2.1K
Systematic Hearing Performance Evaluation Process for Adolescents with Cochlear Implantation at Early Ages
06:04

Systematic Hearing Performance Evaluation Process for Adolescents with Cochlear Implantation at Early Ages

Published on: March 24, 2023

3.0K

Area of Science:

  • Otolaryngology
  • Neurosurgery
  • Audiology

Background:

  • Cochlear implantation aims to restore hearing in individuals with severe to profound hearing loss.
  • Preserving residual low-frequency hearing is crucial for electric-acoustic stimulation (EAS) and bimodal hearing benefits.
  • Identifying factors influencing hearing preservation is essential for optimizing surgical outcomes.

Purpose of the Study:

  • To identify surgical technical factors, electrode array design, and steroid use associated with better low-frequency hearing preservation during cochlear implantation.
  • To synthesize evidence from existing literature through a meta-analysis.

Main Methods:

  • A comprehensive meta-analysis of English-language studies published between 1995 and 2013 was conducted.
  • Studies were included if hearing preservation was the primary outcome, with 24 studies meeting the criteria.
  • Data were extracted from audiograms, analyzing patient populations and explanatory variables.

Main Results:

  • Cochleostomy via the round window approach was linked to superior hearing preservation compared to other methods.
  • Posterior tympanotomy and slow electrode array insertion (over 30 seconds) showed positive associations with hearing preservation.
  • Soft tissue cochleostomy seal and postoperative systemic steroid use were also correlated with better outcomes.

Conclusions:

  • Specific surgical techniques, including round window cochleostomy and posterior tympanotomy, are critical for hearing preservation.
  • A slow insertion technique and the use of postoperative systemic steroids significantly enhance the chances of preserving low-frequency hearing.
  • Factors such as longer electrode arrays, topical steroid use, and lubricants did not demonstrate a significant benefit for hearing preservation.