{"title":"[Individualized implant selection for an anatomically normal cochlea : Cochlear implant surgery on the way to personalized medicine].","authors":"Rolf B Salcher, Riccardo Di Micco, Max E Timm","doi":"10.1007/s00106-025-01625-0","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Due to the anatomical variety of the human cochlea and the many factors that may determine the choice of the cochlear array, there is no one-size-fits-all method for determining the right implant. The cochlear size, preoperative residual hearing, anatomical variants, operative technique, and cause of deafness must be taken into consideration when making this decision.</p><p><strong>Objective: </strong>This work aims to spread awareness of precision surgery and provide an overview.</p><p><strong>Materials and techniques: </strong>Factors that contribute to individualization are explained, and future advances are outlined.</p><p><strong>Results: </strong>The optimum treatment, if possible, is electroacoustic stimulation. Cochlear coverage of approximately 80% should be the goal when using electrical stimulation alone.</p><p><strong>Conclusion: </strong>In order to maximize rehabilitation results, recent developments in cochlear implantation mark a paradigm shift away from standardized treatments and toward individualized therapy.</p>","PeriodicalId":55052,"journal":{"name":"Hno","volume":" ","pages":""},"PeriodicalIF":0.8000,"publicationDate":"2025-04-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Hno","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1007/s00106-025-01625-0","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"OTORHINOLARYNGOLOGY","Score":null,"Total":0}
引用次数: 0
Abstract
Background: Due to the anatomical variety of the human cochlea and the many factors that may determine the choice of the cochlear array, there is no one-size-fits-all method for determining the right implant. The cochlear size, preoperative residual hearing, anatomical variants, operative technique, and cause of deafness must be taken into consideration when making this decision.
Objective: This work aims to spread awareness of precision surgery and provide an overview.
Materials and techniques: Factors that contribute to individualization are explained, and future advances are outlined.
Results: The optimum treatment, if possible, is electroacoustic stimulation. Cochlear coverage of approximately 80% should be the goal when using electrical stimulation alone.
Conclusion: In order to maximize rehabilitation results, recent developments in cochlear implantation mark a paradigm shift away from standardized treatments and toward individualized therapy.
期刊介绍：
HNO is an internationally recognized journal and addresses all ENT specialists in practices and clinics dealing with all aspects of ENT medicine, e.g. prevention, diagnostic methods, complication management, modern therapy strategies and surgical procedures.
Review articles provide an overview on selected topics and offer the reader a summary of current findings from all fields of ENT medicine.
Freely submitted original papers allow the presentation of important clinical studies and serve the scientific exchange.
Case reports feature interesting cases and aim at optimizing diagnostic and therapeutic strategies.
Review articles under the rubric ''Continuing Medical Education'' present verified results of scientific research and their integration into daily practice.
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