Preserved low-frequency hearing following 20-mm cochlear implantation.

Objective: To determine the preservation of pure tone thresholds for a series of cochlear implant patients who underwent atraumatic round window insertion with a new thin 22-mm electrode to a 20-mm depth.

Methods: Retrospective, within-subject repeated measures design. Methods: Tertiary care hospital. Methods: Nine sequential cochlear implant patients with functional preoperative acoustic hearing (defined as low-frequency pure tone average thresholds ≤90 dB). Methods: Therapeutic. Methods: Pure tone thresholds after cochlear implantation.

Results: Low-frequency hearing preservation was achieved in all cases. Less than 10 dB average change was seen for low-frequency pure tone average measures (125, 250, 500, and 1,000 Hz) at 6 and 12 months following cochlear implantation.

Conclusions: Atraumatic round window insertion with a thin 22-mm electrode to a 20-mm depth results in dramatically high levels of acoustic hearing preservation among CI patients.