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Early Outcomes With a Slim, Modiolar Cochlear Implant Electrode Array.

Jonathan L McJunkin1, Nedim Durakovic1, Jacques Herzog1,2

  • 1Department of Otolaryngology, Washington University in St. Louis, St. Louis.

Otology & Neurotology : Official Publication of the American Otological Society, American Neurotology Society [And] European Academy of Otology and Neurotology
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Summary

The new CI532 cochlear implant electrode array shows good placement and speech outcomes. However, initial hearing preservation results are not as consistent as with other arrays.

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Area of Science:

  • Otolaryngology
  • Neurosurgery
  • Biomedical Engineering

Background:

  • Cochlear implantation is a key treatment for severe to profound hearing loss.
  • Advancements in electrode array design aim to improve surgical insertion and hearing outcomes.

Purpose of the Study:

  • To evaluate the outcomes of cochlear implantation using the new, slim modiolar CI532 electrode array.
  • To assess array placement, surgical complications, and audiological performance.

Main Methods:

  • A retrospective cohort study involving adult cochlear implant candidates.
  • Analysis of pre- and postoperative speech perception, operative details, and CT scans for array location.
  • Evaluation of 117 patients implanted with the CI532 array.

Main Results:

  • Eight intraoperative tip rollovers were resolved with reinsertion; one additional rollover was noted on postoperative CT.
  • CT scans confirmed complete scala tympani placement in most cases, with some instances of array translocation.
  • Speech perception scores improved significantly, with consonant-nucleus-consonant word scores increasing from 10% to 48% at 3 months postoperatively.

Conclusions:

  • The CI532 array insertion demonstrates consistent scala tympani location and provides expected audiologic performance.
  • Initial hearing preservation rates with the CI532 array are less consistent compared to current electro-acoustic arrays.