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Kissing Cochlea: An Extreme Inner Ear Malformation, Novel Surgical Approach via Cystic Vestibule
Secaattin Gülşen1, Sercan Çikrikci1, Halit Vicdan2
1Department of Otolaryngology, Head and Neck Surgery, Gaziantep City Hospital, Gaziantep, Türkiye.
The Laryngoscope
|December 10, 2025
Summary
Endoscopic cochlear implantation is a viable solution for severe inner ear anomalies, enabling hearing restoration where traditional surgery fails. This technique utilizes the cystic vestibule approach for complex cases.
Area of Science:
- Otolaryngology
- Neurosurgery
- Medical Engineering
Background:
- Extreme inner ear anomalies, including fused cochleas and aberrant neurovascular structures, pose significant challenges for conventional cochlear implantation.
- Dehiscence of the internal carotid artery and facial nerve in the middle ear further complicates surgical access and increases risks.

