Hearing preservation and hearing improvement after reimplantation of pediatric and adult patients with partial deafness: a retrospective case series review.

OBJECTIVE

To report and review the clinical experiences of patients who required reimplantation from an ongoing trial of patients with partial deafness who were treated with electroacoustic stimulation (EAS) cochlear implantation.

STUDY DESIGN

Retrospective case series review.

SETTING

Tertiary referral center.

PATIENTS

Two patients with partial deafness, 1 child and 1 adult, who required reimplantation because of device failure occurring 12 to 18 months after hearing preservation cochlear implantation with a Med-El Sonata Flex-EAS electrode array.

INTERVENTION

Reimplantation (with full insertion) of a Med-El Sonata Flex-EAS array (child) and the new complete cochlear coverage Med-El Sonata Flex-28 electrode array (adult). Surgical techniques used include round window insertion with slow insertion speed and the use of preoperative systemic steroids and preoperative, perioperative, and postimplantation intratympanic steroids.

MAIN OUTCOME MEASURE

Preservation of residual hearing.

RESULTS

Both patients had complete preservation of residual hearing after reimplantation. The adult patient had stable improvement in hearing from 750 to 2,000 Hz of 5 to 10 dB. Both patients reported increased benefit after reimplantation.

CONCLUSION

We report a case series of successful pediatric and adult EAS reimplantation, in the adult hearing improvement after reimplantation with a deep insertion electrode was observed. Reimplantation with preservation of residual hearing in patients with EAS is possible with current surgical hearing preserving techniques and atraumatic electrode arrays of variable length.