To evaluate current clinical practices, attitudes, and considerations regarding hearing and structure preservation (HSP) in cochlear implant surgery among international experts.
✦ The floor
Discussion
Signed responses from readers of the wire.
No immediate practice change warranted; this survey maps expert opinion variability in hearing and structure preservation during CI surgery and is a stepping stone toward formal consensus guidelines rather than a source of new clinical directives.
Establishing international consensus on hearing and structure preservation in cochlear implantation could standardize surgical technique and improve residual hearing outcomes for CI recipients worldwide.
- 01International HEARRING group surveyed expert CI surgeons worldwide on hearing and structure preservation (HSP) practices.
- 02Survey captures current attitudes, techniques, and considerations in HSP cochlear implant surgery.
- 03Significant variability in practice likely exists, motivating a move toward consensus guidelines.
- 04Results published in Frontiers in Surgery (doi: 10.3389/fsurg.2026.1940644).
- 05Findings are expert-opinion level and do not yet constitute formal evidence-based guidelines.
Expert CI surgeons worldwide show variation in hearing and structure preservation practices during cochlear implantation.
studypartially supported- PMID
- 42741278
- DOI
- 10.3389/fsurg.2026.1940644.
- Journal
- Frontiers in Surgery
- Publication type
- research_article
- Evidence level
- 5
- Population
- Expert cochlear implant surgeons worldwide
- Intervention
- International survey on hearing and structure preservation practices in cochlear implant surgery
Primary outcomes
Current clinical practices regarding hearing and structure preservation in CI surgery; Expert attitudes and considerations toward HSP techniques