¸ñÀû: Common cavity deformity is a rare congenital bony labyrinth
malformation associated with profound hearing loss. Cochlear
implants are widely used for hearing rehabilitation for common
cavity deformities; however, the reported prognosis is poor. As a
result of the deformed anatomical structure, it is important to
consider the position of the electrodes to maximize the
performance of the cochlear implant. The present study aimed to
discuss the impact of electrode placement on hearing outcomes ¹æ¹ý:A retrospective medical chart review of 8 common cavity deformity
patients (10 cochlear implants) who received cochlear implants was
performed in a single university hospital. All implant surgery used
single-slit labyrinthotomy methods. Electrodes were manually bent
before insertion to prevent misplacement and to reduce physical
damage to the neuroepithelium. °á°ú:Four of 10 electrodes were misplaced with their tips placed in the anterior semicircular canal or internal auditory canal. However, all patients after implant surgery including misplace electrodes gained auditory perception and improved hearing functions. One patient who has electrodes that did not contact the inner wall of the cavity showed limited active electrodes (27%) compared to others (64 – 100%). °á·Ð:Proper contact of the electrode with the inner wall was more likely
important for cochlear implant success for common cavity deformity
than the appropriate placement of the electrode tip. |