In the past, it was thought that hearing loss patients with residual low-frequency hearing would not be good candidates for cochlear implantation since insertion was expected to induce inner ear trauma. Recent advances in electrode design and surgical techniques have made the preservation of residual low-frequency hearing achievable and desirable. The importance of preserving residual low-frequ...

OBJECTIVE To investigate whether the residual hearing of severely hearing-impaired children and adults could be preserved using the soft surgery approach. PATIENTS AND METHODS This project employed a prospective study design. All testing and surgery took place in the Institute of Physiology and Pathology of Hearing, Warsaw, Poland. Twenty-six patients (7 children and 19 post-lingually deafene...

OBJECTIVES/HYPOTHESIS Cochlear implantation in patients with residual hearing has increased interest in hearing preservation. Two major surgical approaches to implantation have been devised: via the round window membrane and through cochleostomy. However, the advantages of either approach on hearing preservation have not been established. Due to the great inter- and intravariability among impla...

CONCLUSION Successful hearing preservation is possible in individuals with excellent low frequency hearing. This is possible due to the partial insertion of an atraumatic electrode using an atraumatic round window surgical technique. OBJECTIVES This paper describes the round window surgical technique used to preserve excellent low frequency hearing in patients receiving partially inserted MED...

Hearing preservation after cochlear implantation and combined electric acoustic stimulation (EAS) in the same ear has reduced the gap between prosthetic hearing rehabilitation with hearing aids and cochlear implants. This has increased the possibility of successful hearing rehabilitation for patients. This paper describes the history of hearing preservation after cochlear implantation. Indicati...

OBJECTIVES To ascertain the effect of age on hearing preservation, facial nerve outcome, and complication rates after acoustic neuroma surgery. STUDY DESIGN Retrospective chart review. Two study arms were used: a comparison of the authors' oldest patients with their youngest patients (extremes of age arm) and an analysis of all middle fossa surgical procedures (middle fossa arm). SETTING Te...