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Navigating the challenges of misplaced electrode array in cochlear implant surgery: causes, consequences and solutions

Published online by Cambridge University Press:  02 April 2025

Mohnish Grover Open the ORCID record for Mohnish Grover [Opens in a new window] ,
Tanmaya Kataria Open the ORCID record for Tanmaya Kataria [Opens in a new window] ,
Sunil Samdani ,
Gaurav Gupta ,
Raghav Mehta  and
Mukesh Dagur
Mohnish Grover
Affiliation:
Department of Otorhinolaryngology, SMS Medical College, Jaipur, RJ, India
Tanmaya Kataria*
Affiliation:
Department of Otorhinolaryngology, Mahatma Gandhi Medical College, Jaipur, RJ, India
Sunil Samdani
Affiliation:
Department of Otorhinolaryngology, SMS Medical College, Jaipur, RJ, India
Gaurav Gupta
Affiliation:
Department of Otorhinolaryngology, SP Medical College, Bikaner, RJ, India
Raghav Mehta
Affiliation:
Department of Otorhinolaryngology, RUHS College of Medical Sciences, Jaipur, RJ, India
Mukesh Dagur
Affiliation:
Department of Otorhinolaryngology, RDBP Jaipuria Hospital, Jaipur, RJ, India
*
Corresponding author: Tanmaya Kataria; Email: tanmayakataria@gmail.com
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Abstract

Objectives

Cochlear implantation is a groundbreaking surgical procedure offering significant benefits to individuals with severe hearing impairments. Correct placement of the electrode array within the cochlea is crucial for optimal device functionality and auditory outcomes. Our study describes four cases of electrode misplacement along with the factors causing it and discusses solutions for the same.

Methods

Eight hundred cochlear implant cases were reviewed in three tertiary care centres in India, spanning 2011 to 2023.

Results

Four cases of electrode misplacement requiring reimplantation were identified.

Conclusion

This paper discusses the implications of electrode misplacement, the factors contributing to it and the critical role of multidisciplinary approaches in managing such complications. By addressing these issues, we aim to improve surgical techniques and outcomes in cochlear implant procedures.

Keywords

Cochlear ImplantationElectrode misplacementComplications
Type
Main Article
Information
The Journal of Laryngology & Otology , First View , pp. 1 - 7
Copyright
© The Author(s), 2025. Published by Cambridge University Press on behalf of J.L.O. (1984) LIMITED.

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