{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T14:16:18Z","timestamp":1790777778039,"version":"4.1.0"},"reference-count":53,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2024,11,22]],"date-time":"2024-11-22T00:00:00Z","timestamp":1732233600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2024,11,22]],"date-time":"2024-11-22T00:00:00Z","timestamp":1732233600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["The Laryngoscope"],"published-print":{"date-parts":[[2025,5]]},"abstract":"<jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>To examine the effects of scala tympani (ST) volume, cochlear duct length (CDL), and angular insertion depth (AID) on low\u2010frequency hearing preservation for cochlear implant (CI) recipients of lateral wall electrode arrays.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A retrospective review identified 45 adult CI recipients of 24\u2010, 28\u2010, or 31.5\u2010mm lateral wall electrode arrays with preoperative unaided hearing thresholds \u226445 decibel hearing level (dB HL) at 250\u2009Hz. All patients underwent preoperative and postoperative computed tomography to evaluate cochlear morphology and electrode array position. A linear mixed effects model evaluated effects of ST volume, CDL, AID, preoperative low\u2010frequency pure\u2010tone average (LFPTA; 125, 250, and 500\u2009Hz), age at surgery, and biological sex on the postoperative change in LFPTA at activation and 6 months post\u2010activation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      There were significant main effects of ST volume (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.044), age (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.028), and biological sex (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.003), indicating better low\u2010frequency hearing preservation for CI recipients with larger ST volumes, younger age at surgery, and female biological sex. Although CDL positively correlated with ST volume (\n                      <jats:italic>r<\/jats:italic>\n                      \u2009=\u20090.74,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001), there was no significant main effect of CDL (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.367). A broad range in AID of the most apical electrode contact was observed (301.4\u00b0\u2013681.8\u00b0); however, there was no significant main effect of AID on low\u2010frequency hearing preservation (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.700).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>During the initial 6\u2009months following implantation, intrinsic factors such as cochlear morphology may have a greater impact on low\u2010frequency hearing preservation than apical positioning of a flexible lateral wall electrode array when using soft surgical techniques.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of Evidence<\/jats:title>\n                    <jats:p>\n                      3\n                      <jats:italic>Laryngoscope<\/jats:italic>\n                      , 135:1781\u20131787, 2025\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/lary.31917","type":"journal-article","created":{"date-parts":[[2024,11,22]],"date-time":"2024-11-22T07:54:33Z","timestamp":1732262073000},"page":"1781-1787","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":11,"title":["Scala Tympani Volume Influences Initial 6\u2010Month Hearing Preservation With Lateral Wall Electrode Arrays"],"prefix":"10.1002","volume":"135","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1895-318X","authenticated-orcid":false,"given":"Michael W.","family":"Canfarotta","sequence":"first","affiliation":[{"name":"Department of Otolaryngology\/Head and Neck Surgery University of North Carolina at Chapel Hill  Chapel Hill North Carolina U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4344-283X","authenticated-orcid":false,"given":"Margaret T.","family":"Dillon","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\/Head and Neck Surgery University of North Carolina at Chapel Hill  Chapel Hill North Carolina U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5957-9545","authenticated-orcid":false,"given":"A. Morgan","family":"Selleck","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\/Head and Neck Surgery University of North Carolina at Chapel Hill  Chapel Hill North Carolina U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5709-8702","authenticated-orcid":false,"given":"Kevin D.","family":"Brown","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\/Head and Neck Surgery University of North Carolina at Chapel Hill  Chapel Hill North Carolina 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