%0 Journal Article %T Diving technique of cochlear implant electrode insertion for hearing preservation: how I do it. %A Zhang Z %A Si Y %A Guo J %J Eur Arch Otorhinolaryngol %V 0 %N 0 %D 2024 Jul 8 %M 38977480 %F 3.236 %R 10.1007/s00405-024-08800-z %X BACKGROUND: Preservation of intracochlear structures and residual hearing has become a major concern in modern cochlear implant. Consequently, many efforts have been made to minimize intraoperative trauma, especially while cochlear fenestration and electrode insertion.
METHODS: Building on the core concept of "soft surgery", a modified approach, described as diving technique for cochlear implant electrode array insertion is proposed. Steps and technical points are presented with figures, video and review of relevant anatomy.
CONCLUSIONS: This novel diving technique is operationally feasible and safe, promising to minimize intraoperative invasion and thus preserve residual hearing in cochlear implant.