Endoscopic-assisted epitympanic approach: a feasible technique for cochlear implantation

Abstract Background The aim of this study is to discuss the detailed surgical steps endoscopic-assisted epi-tympanic approach (EAEA) round window (RW) as a safe, precise, and reliable for cochlear implantation (CI) also evaluate possible problems limitations faced, their management strategies, how overcome. Results This was carried on 40 patients admitted (CI). were divided into two equal groups; first group underwent CI via epitympanic (EAEA), while second comparison classic posterior tympanotomy. There statistical significant difference regards scalar location electrodes; all EAEA cases inserted through ST in 45% conventional cases. no linear angular insertion depth between groups. needed shorter time finish procedure taking from 90 195 min, whereas consumed longer ranging 120 185 min; that found be statistically significant. No facial nerve injury reported endoscopic approach. Conclusions Endoscope-assisted safe soft surgery CI. Visualization RW electrode under control significantly successful