Speech Recognition Outcomes in Adults With Slim Straight and Slim Modiolar Cochlear Implant Electrode Arrays

• Published in: Otolaryngology-head and neck surgery Vol. 166; no. 5; p. 943
• Main Authors: MacPhail, Margaret E, Connell, Nathan T, Totten, Douglas J, Gray, Mitchell T, Pisoni, David, Yates, Charles W, Nelson, Rick F
• Format: Journal Article
• Language: English
• Published: England 01.05.2022
• Subjects: Adolescent; Adult; Cochlea - surgery; Cochlear Implantation; Cochlear Implants; Humans; Retrospective Studies; Speech Perception; Treatment Outcome; slim modiolar; lateral wall; cochlear implant; slim straight; speech recognition outcomes; perimodiolar
• ISSN: 1097-6817
• DOI: 10.1177/01945998211036339

To compare differences in audiologic outcomes between slim modiolar electrode (SME) CI532 and slim lateral wall electrode (SLW) CI522 cochlear implant recipients. Retrospective cohort study. Tertiary academic hospital. Comparison of postoperative AzBio sentence scores in quiet (percentage correct) in adult cochlear implant recipients with SME or SLW matched for preoperative AzBio sentence scores in quiet and aided and unaided pure tone average. Patients with SLW (n = 52) and patients with SME (n = 37) had a similar mean (SD) age (62.0 [18.2] vs 62.6 [14.6] years, respectively), mean preoperative aided pure tone average (55.9 [20.4] vs 58.1 [16.4] dB; = .59), and mean AzBio score (percentage correct, 11.1% [13.3%] vs 8.0% [11.5%]; = .25). At last follow-up (SLW vs SME, 9.0 [2.9] vs 9.9 [2.6] months), postoperative mean AzBio scores in quiet were not significantly different (percentage correct, 70.8% [21.3%] vs 65.6% [24.5%]; = .29), and data log usage was similar (12.9 [4.0] vs 11.3 [4.1] hours; = .07). In patients with preoperative AzBio <10% correct, the 6-month mean AzBio scores were significantly better with SLW than SME (percentage correct, 70.6% [22.9%] vs 53.9% [30.3%]; = .02). The intraoperative tip rollover rate was 8% for SME and 0% for SLW. Cochlear implantation with SLW and SME provides comparable improvement in audiologic functioning. SME does not exhibit superior speech recognition outcomes when compared with SLW.