Complete ossification of the basal turn of the cochlea represents a major challenge inrevision cochlear implantation, particularly in post-traumatic cases. Otic capsule violating temporal bone fractures need to be carefully managed to avoid future possible meningeal infections....
✦ The floor
Discussion
Signed responses from readers of the wire.
For surgeons encountering complete basal turn ossification during revision cochlear implantation, middle turn insertion is a documented salvage option, but this single case report is insufficient to change standard surgical protocols.
Post-traumatic cochlear ossification poses a rare but formidable surgical challenge; sharing alternative insertion strategies expands the collective knowledge base for implant surgeons managing these difficult cases.
- 01Case report of revision cochlear implant surgery in a cochlea with complete basal turn ossification from trauma.
- 02Middle turn insertion used as an alternative when the standard basal turn approach is blocked.
- 03Demonstrates surgical feasibility but provides no outcome data beyond the single case.
- 04Basal turn ossification can render standard electrode arrays non-insertable.
- 05Surgeons may need specialised electrode arrays for middle turn access.
Middle turn insertion during revision cochlear implantation is a viable surgical approach when post-traumatic basal turn ossification is complete.
studypartially supported- PMID
- 42671594
- DOI
- 10.1007/s00405-026-10501-8.
- Journal
- European Archives of Oto-Rhino-Laryngology
- Publication type
- case_report
- Evidence level
- 4
- Sample size
- 1
- Population
- Single patient with post-traumatic complete basal turn cochlear ossification requiring revision cochlear implantation
- Intervention
- Revision cochlear implantation via middle turn insertion
Primary outcomes
Surgical feasibility of middle turn electrode insertion; Post-operative hearing/device function