The Journal of International
Advanced Otology
Case Report

Endoscopy-Assisted Transmeatal Cochlear Implantation in Multiple Ear Deformities


Department of Otolaryngology, National Cheng Kung University Hospital, College of Medicine, National Cheng Kung University, Tainan, Taiwan


Institute of Clinical Medicine, College of Medicine, National Cheng Kung University, Tainan, Taiwan

J Int Adv Otol 2021; 17: 376-379
DOI: 10.5152/iao.2021.8885
Read: 1180 Downloads: 414 Published: 01 July 2021

To study congenitally deaf children with inner ear malformations that usually have comorbid anomalous facial nerves and middle ear deformities. To determine the feasibility of endoscopy-assisted transmeatal cochlear implantation with the purpose of reducing the risks of iatrogenic facial nerve injury. This report presents a unique technique in a pediatric case with multiple ear anomalies: microtia, cochlear hypoplasia with an aberrant facial nerve, a sigmoid sinus deformity leading to a narrow mastoid cavity, and a flat promontory wall without round window. A cochlear implant electrode array was successfully inserted endoscopically using the transmeatal approach in the present case. It caused no postoperative surgical complications, and the patient was then able to hear binaurally and functionally. For patients with comorbid multiple ear deformities, using endoscopy for cochlear implantation transmeatally is an alternative method providing a better visualization of the middle ear anatomy, an avoidance of injury of facial nerve, and an assurance of precise insertion of the electrode when the posterior tympanotomy approach is not applicable.

Cite this article as: Li Y, Lee W, Wu J. Endoscopy-assisted transmeatal cochlear implantation in multiple ear deformities. J Int Adv Otol. 2021; 17(4): 376-379.

EISSN 2148-3817