ENTtoday
  • Home
  • COVID-19
  • Practice Focus
    • Allergy
    • Facial Plastic/Reconstructive
    • Head and Neck
    • Laryngology
    • Otology/Neurotology
    • Pediatric
    • Rhinology
    • Sleep Medicine
  • Departments
    • Issue Archive
    • TRIO Best Practices
      • Allergy
      • Facial Plastic/Reconstructive
      • Head and Neck
      • Laryngology
      • Otology/Neurotology
      • Pediatric
      • Rhinology
      • Sleep Medicine
    • Career Development
    • Case of the Month
    • Everyday Ethics
    • Health Policy
    • Legal Matters
    • Letter From the Editor
    • Medical Education
    • Online Exclusives
    • Practice Management
    • Resident Focus
    • Rx: Wellness
    • Special Reports
    • Tech Talk
    • Viewpoint
    • What’s Your O.R. Playlist?
  • Literature Reviews
    • Allergy
    • Facial Plastic/Reconstructive
    • Head and Neck
    • Laryngology
    • Otology/Neurotology
    • Pediatric
    • Rhinology
    • Sleep Medicine
  • Events
    • Featured Events
    • TRIO Meetings
  • Contact Us
    • About Us
    • Editorial Board
    • Triological Society
    • Advertising Staff
    • Subscribe
  • Advertise
    • Place an Ad
    • Classifieds
    • Rate Card
  • Search

Innovation in Cochlear Impant Surgery

by David Bronstein • August 8, 2012

  • Tweet
  • Email
Print-Friendly Version

Twenty years ago, the use of bilateral implants would have headlined any conference on innovations in cochlear implantation. Today, the procedure has become routine for children and adults. Here’s a look at procedures that now represent the cutting edge of cochlear implant (CI) surgery.

You Might Also Like

  • Window of Opportunity: New time frame suggested for cochlear implant surgery in advanced otosclerosis
  • Cochlear Implant Surgery: How Young Is Too Young?
  • Computer Program May Predict Outcomes of Cochlear Implants in Children
  • The Need for Innovation in Otolaryngology
Explore This Issue
August 2012

Hybrid Devices

There are several candidates for top billing, but one of the more exciting advances involves hybrid implants and techniques that preserve residual hearing, according to Bruce Gantz, MD, professor and head of the department of otolaryngology-head and neck surgery at the University of Iowa Hospitals and Clinics in Iowa City.

“It isn’t all that long ago that implanting a cochlea of a patient with residual hearing would have been unthinkable,” said Dr. Gantz. That’s the case, he noted, because standard-length cochlear implant electrodes that extend more than 20 mm into the scala tympani can obliterate key structures and almost wipe out residual hearing (Acta Otolaryngol. 2004;124:272-280). Although “soft surgery” techniques with the standard-length electrode implants can prevent some of that damage (Otol Neurotol. 2006;27:1083-1088), Dr. Gantz noted, shorter-length hybrid devices offer a dual benefit: They preserve residual hearing in adults and children, while also sparing cells in the organ of Corti, which preliminary studies have shown may respond to future advances in molecular or genetic treatments of the inner ear (Nature. 2006;441:984-987).

Bruce Gantz, MD “Preserving residual hearing—regardless of variations in technique—is here to stay.”

—Craig A. Buchman, MD

“I realize the latter benefit is somewhat theoretical,” Dr. Gantz said. “And it’s most relevant to younger patients who have decades of life ahead, where they can eventually benefit from these advances. But our studies also have shown that significant clinical benefits are accruing now—in both young and older patients—who we’ve implanted with the hybrid device.”

A more recent study by Dr. Gantz and colleagues in profoundly deaf children (Otol Neurotol. 2010;31(8):1300-1309) evaluated another short-electrode (10 mm) device, the Nucleus Hybrid S12, which employs 10 active stimulating electrodes versus the six in the Hybrid S device used in the multicenter FDA trial. In the newer study, patients were implanted with the Nucleus S12 in one ear and a standard-length cochlear implant in the other ear. The results showed that both implants provide similar speech perception scores when tested separately, Dr. Gantz noted. “These results suggest that the brain can accommodate for a shorter, less damaging electrode with only 10 electrodes implanted into the base of the cochlea,” he said.

Pages: 1 2 3 | Single Page

Filed Under: Departments, Otology/Neurotology, Practice Focus, Tech Talk Tagged With: clinical, cochlear implant, inner ear, innovation, technologyIssue: August 2012

You Might Also Like:

  • Window of Opportunity: New time frame suggested for cochlear implant surgery in advanced otosclerosis
  • Cochlear Implant Surgery: How Young Is Too Young?
  • Computer Program May Predict Outcomes of Cochlear Implants in Children
  • The Need for Innovation in Otolaryngology

The Triological SocietyENTtoday is a publication of The Triological Society.

The Laryngoscope
Ensure you have all the latest research at your fingertips; Subscribe to The Laryngoscope today!

Laryngoscope Investigative Otolaryngology
Open access journal in otolaryngology – head and neck surgery is currently accepting submissions.

Classifieds

View the classified ads »

TRIO Best Practices

View the TRIO Best Practices »

Top Articles for Residents

  • Do Training Programs Give Otolaryngology Residents the Necessary Tools to Do Productive Research?
  • Why More MDs, Medical Residents Are Choosing to Pursue Additional Academic Degrees
  • What Physicians Need to Know about Investing Before Hiring a Financial Advisor
  • Tips to Help You Regain Your Sense of Self
  • Should USMLE Step 1 Change from Numeric Score to Pass/Fail?
  • Popular this Week
  • Most Popular
  • Most Recent
    • The Dramatic Rise in Tongue Tie and Lip Tie Treatment
    • Vertigo in the Elderly: What Does It Mean?
    • Experts Delve into Treatment Options for Laryngopharyngeal Reflux
    • Otolaryngologists Have a Major Role to Play in Treating COVID-19 Long-Haulers
    • Weaning Patients Off of PPIs
    • Vertigo in the Elderly: What Does It Mean?
    • New Developments in the Management of Eustachian Tube Dysfunction
    • Some Laryngopharyngeal Reflux Resists PPI Treatment
    • Eustachian Tuboplasty: A Potential New Option for Chronic Tube Dysfunction and Patulous Disease
    • The Dramatic Rise in Tongue Tie and Lip Tie Treatment
    • Podcasts Becoming More Popular Method of Education for Otolaryngologists
    • How to Embrace Optimism in the Midst of the COVID-19 Pandemic
    • Tips on How to Approach Conversations with Patients about the COVID-19 Vaccine
    • Steps You Should Take to Protect Your Voice and Hearing During Telemedicine Sessions
    • Routine Postoperative Adjunct Treatments Unnecessary for Idiopathic Cerebrospinal Fluid Leaks

Polls

Have you spoken with your patients about receiving the COVID-19 vaccine?

View Results

Loading ... Loading ...
  • Polls Archive
  • Home
  • Contact Us
  • Advertise
  • Privacy Policy
  • Terms of Use

Visit: The Triological Society • The Laryngoscope • Laryngoscope Investigative Otolaryngology

Wiley
© 2021 The Triological Society. All Rights Reserved.
ISSN 1559-4939

loading Cancel
Post was not sent - check your email addresses!
Email check failed, please try again
Sorry, your blog cannot share posts by email.
This site uses cookies: Find out more.