{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,5]],"date-time":"2026-06-05T06:06:19Z","timestamp":1780639579085,"version":"3.54.1"},"reference-count":17,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2012,5,30]],"date-time":"2012-05-30T00:00:00Z","timestamp":1338336000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["The Laryngoscope"],"published-print":{"date-parts":[[2012,9]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objectives\/Hypothesis:<\/jats:title><jats:p>Postmeningitic basal turn ossification is a challenge for successful cochlear implantation despite the availability of sophisticated implants and advanced drill\u2010out procedures. A less complex concept consisting of a cochleostomy near the apex with retrograde array insertion is evaluated clinically and experimentally with emphasis on imaging of intracochlear array morphology.<\/jats:p><\/jats:sec><jats:sec><jats:title>Study Design:<\/jats:title><jats:p>Retrospective case\u2013control study.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods:<\/jats:title><jats:p>Outcome, hearing performance, and radiological findings including three\u2010dimensional (3D) reconstructions were assessed in the long term in eight retrograde implanted ears of seven postmeningitic deaf patients and compared to an etiology\u2010 and device\u2010matched control group of 17 basal turn implanted ears of 14 patients. Experimental insertions into three autopsy\u2010derived human temporal bones were evaluated using high\u2010resolution microtomography, 3D reconstruction, and histology.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results:<\/jats:title><jats:p>No complications occurred. At the long\u2010term follow\u2010up, the average monosyllabic word test scores were 41% for the study group and 67% for the control group (<jats:italic>P<\/jats:italic> = .03). Radiological follow\u2010up revealed insertion sites into either the apical or middle turn and frequent intracochlear array direction changes (n = 5). Experimental implantations in temporal bones resulted in folding\u2010free, retrograde, middle turn insertions (n = 3).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions:<\/jats:title><jats:p>The retrograde cochlear implantation is a safe and efficient alternative approach in basal turn ossification. Despite a high occurrence of intracochlear array direction changes, open set speech discrimination was achieved in all patients. Postoperative computed tomography is recommended for fitting the speech processor according to intracochlear array positions. The experimental insertion in temporal bones helped to optimize the approach.<\/jats:p><\/jats:sec>","DOI":"10.1002\/lary.23397","type":"journal-article","created":{"date-parts":[[2012,5,30]],"date-time":"2012-05-30T18:18:16Z","timestamp":1338401896000},"page":"2043-2050","source":"Crossref","is-referenced-by-count":22,"title":["Retrograde cochlear implantation in postmeningitic basal turn ossification"],"prefix":"10.1002","volume":"122","author":[{"given":"Pascal","family":"Senn","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Claudio","family":"Rostetter","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andreas","family":"Arnold","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Martin","family":"Kompis","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mattheus","family":"Vischer","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rudolf","family":"H\u00e4usler","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christoph","family":"Ozdoba","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Georgios","family":"Mantokoudis","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marco","family":"Caversaccio","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2012,5,30]]},"reference":[{"key":"e_1_2_7_2_2","doi-asserted-by":"publisher","DOI":"10.1046\/j.1365-2273.2000.00325.x"},{"key":"e_1_2_7_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0194-5998(00)70236-1"},{"key":"e_1_2_7_4_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0194-59989670275-9"},{"key":"e_1_2_7_5_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.otot.2010.10.005"},{"key":"e_1_2_7_6_2","doi-asserted-by":"publisher","DOI":"10.1097\/01.MLG.0000181494.21654.5E"},{"key":"e_1_2_7_7_2","doi-asserted-by":"publisher","DOI":"10.1097\/MAO.0b013e318188e8ea"},{"key":"e_1_2_7_8_2","doi-asserted-by":"publisher","DOI":"10.1177\/019459988809800113"},{"key":"e_1_2_7_9_2","doi-asserted-by":"publisher","DOI":"10.1097\/00005537-200403000-00009"},{"key":"e_1_2_7_10_2","first-page":"S42","article-title":"Electrodes for ossified cochleas","volume":"18","author":"Bredberg G","year":"1997","journal-title":"Am J Otol"},{"key":"e_1_2_7_11_2","first-page":"S39","article-title":"Nucleus double electrode array: a new approach for ossified cochleae","volume":"18","author":"Lenarz T","year":"1997","journal-title":"Am J Otol"},{"key":"e_1_2_7_12_2","doi-asserted-by":"crossref","first-page":"127","DOI":"10.1177\/00034894021110S525","article-title":"Rehabilitation factors contributing to implant benefit in children","volume":"189","author":"Geers A","year":"2002","journal-title":"Ann Otol Rhinol Laryngol Suppl"},{"key":"e_1_2_7_13_2","doi-asserted-by":"publisher","DOI":"10.1097\/MLG.0b013e318182ee1c"},{"key":"e_1_2_7_14_2","first-page":"748","article-title":"Ineraid cochlear implant in the ossified cochlea: surgical techniques and results","volume":"15","author":"Montandon PB","year":"1994","journal-title":"Am J Otol"},{"key":"e_1_2_7_15_2","doi-asserted-by":"publisher","DOI":"10.1177\/000348949110000904"},{"key":"e_1_2_7_16_2","doi-asserted-by":"publisher","DOI":"10.1097\/01.mlg.0000161335.62139.80"},{"key":"e_1_2_7_17_2","doi-asserted-by":"publisher","DOI":"10.1097\/MAO.0b013e3181845827"},{"key":"e_1_2_7_18_2","doi-asserted-by":"publisher","DOI":"10.1002\/lary.20979"}],"container-title":["The Laryngoscope"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1002%2Flary.23397","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/lary.23397","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,10,8]],"date-time":"2023-10-08T19:23:44Z","timestamp":1696793024000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/lary.23397"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2012,5,30]]},"references-count":17,"journal-issue":{"issue":"9","published-print":{"date-parts":[[2012,9]]}},"alternative-id":["10.1002\/lary.23397"],"URL":"https:\/\/doi.org\/10.1002\/lary.23397","archive":["Portico"],"relation":{},"ISSN":["0023-852X","1531-4995"],"issn-type":[{"value":"0023-852X","type":"print"},{"value":"1531-4995","type":"electronic"}],"subject":[],"published":{"date-parts":[[2012,5,30]]}}}