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Cochlear implantation in different stages of otosclerosis: difficulties and outcomes

Published online by Cambridge University Press:  14 July 2025

Ossama Mustafa Mady ,
Lobna El Fiky ,
Badr Eldin Mostafa ,
Mina Fayez Saleeb  and
Ahmed Abdelmoneim Teaima Open the ORCID record for Ahmed Abdelmoneim Teaima [Opens in a new window]
Ossama Mustafa Mady
Affiliation:
Otorhinolaryngology Department, Faculty of Medicine, Ain Shams University, Cairo, Egypt
Lobna El Fiky
Affiliation:
Otorhinolaryngology Department, Faculty of Medicine, Ain Shams University, Cairo, Egypt
Badr Eldin Mostafa
Affiliation:
Department of ENT, Faculty of Medicine, Ain Shams University, Cairo, Egypt
Mina Fayez Saleeb
Affiliation:
Otorhinolaryngology Department, Faculty of Medicine, Ain Shams University, Cairo, Egypt
Ahmed Abdelmoneim Teaima*
Affiliation:
Otorhinolaryngology Department, Faculty of Medicine, Ain Shams University, Cairo, Egypt
*
Corresponding author : Ahmed Abdelmoneim Teaima; Email: a.teaima@med.asu.edu.eg
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Abstract

Objective

This study is to evaluate the results obtained in a group of implanted otosclerotic patients and compare them with a matching group of non- otosclerosis cochlear implant patients.

Methods

Pre-operative computed tomographic scans, intra-operative findings, type of electrode used and difficulties of 17 patients with otosclerosis were documented. Post-operative complications, facial nerve stimulation, electrode dislocation and audiological and speech outcomes were documented and the data analysed.

Results

Surgical difficulties were directly related to the advanced stage of the disease. No major complications were reported in this cohort. No significant difference was found between both groups one year after surgery; the mean pure tone average was 35 dB ± 4.43, speech reception threshold was 40 ± 4.96 and speech discrimination score was 80 per cent ± 12.55 in the otosclerotic group.

Conclusion

Cochlear implantation is a safe and effective management for advanced otosclerosis patients even after stapes surgery.

Keywords

otosclerosiscochlear implantationcochlear implantstreatment outcome

Information

Type
Main Article
Information
The Journal of Laryngology & Otology , Volume 139 , Issue 10 , October 2025 , pp. 983 - 989
Copyright
© The Author(s), 2025. Published by Cambridge University Press on behalf of J.L.O. (1984) LIMITED.

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Footnotes

Ahmed Abdelmoneim Teaima takes responsibility for the integrity of the content of the paper

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