Hearing preservation after cochlear implantation using deeply inserted flex atraumatic electrode arrays

Audiol Neurootol. 2012;17(5):331-7. doi: 10.1159/000339894. Epub 2012 Jul 18.

Abstract

The aim of this study was to investigate hearing preservation in adults receiving cochlear implants with Flex arrays. Fifteen adults (19 ears) implanted with Flex EAS® (n = 4) or Flex Soft® (n = 15; MedEL, Innsbruck, Austria) were included in this retrospective study. The mean array insertion length was 25 ± 0.9 mm (n = 19), and the mean cochlear coverage was 435 ± 14.5° (n = 19), with no difference between EAS and Soft arrays. Residual low-frequency hearing was preserved in all implanted ears but deteriorated [pure-tone average (125-1000 Hz) 55.1 ± 2.90 dB before vs. 81.0 ± 3.02 dB after surgery (n = 19, p < 0.01)]. Both Flex arrays allow deep insertion with reproducible hearing preservation.

MeSH terms

  • Adult
  • Aged
  • Audiometry, Pure-Tone
  • Auditory Threshold
  • Cochlea / diagnostic imaging
  • Cochlea / surgery
  • Cochlear Implantation / instrumentation
  • Cochlear Implantation / methods*
  • Cochlear Implants*
  • Electrodes, Implanted
  • Female
  • Follow-Up Studies
  • Hearing / physiology*
  • Hearing Loss, Bilateral / diagnostic imaging
  • Hearing Loss, Bilateral / surgery*
  • Humans
  • Male
  • Middle Aged
  • Prosthesis Fitting / methods
  • Retrospective Studies
  • Speech
  • Temporal Bone / diagnostic imaging
  • Temporal Bone / surgery
  • Tomography, X-Ray Computed