{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T00:14:37Z","timestamp":1777421677301,"version":"3.51.4"},"reference-count":10,"publisher":"SAGE Publications","issue":"4_suppl","license":[{"start":{"date-parts":[[1999,4,1]],"date-time":"1999-04-01T00:00:00Z","timestamp":922924800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Ann Otol Rhinol Laryngol"],"published-print":{"date-parts":[[1999,4]]},"abstract":"<jats:p>This paper is a retrospective review of 5 patients with various degrees of cochlear ossification who were implanted with the CLARION\u00ae Multi-Strategy\u2122 Cochlear Implant. Preoperative computed tomography scans, intraoperative findings, surgical technique, and hearing outcomes are discussed in a case report format. Full implantation was achieved in all cases by a systematic approach that included drill-through of proximal obstruction (2 cases), scala vestibuli insertion (2 cases), and complete drill-out (1 case). The only complication was delayed wound healing in a patient with sickle cell disease, chronic active hepatitis, and steroid dependency on antimetabolite therapy. Early results show that the 4 patients with at least 3 months of experience have a mean open-set sentence recognition score of 55% and a mean open-set word recognition score of 24%. The conclusion is that implantation of the Clarion device in ossified cochleas can be successful in all degrees of ossification and can provide significant hearing benefit.<\/jats:p>","DOI":"10.1177\/00034894991080s407","type":"journal-article","created":{"date-parts":[[2017,1,6]],"date-time":"2017-01-06T14:39:35Z","timestamp":1483713575000},"page":"31-34","source":"Crossref","is-referenced-by-count":11,"title":["Using the Clarion\u00ae Cochlear Implant in Cochlear Ossification"],"prefix":"10.1177","volume":"108","author":[{"given":"Philip A.","family":"Bird","sequence":"first","affiliation":[{"name":"Miami, Florida"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Stacy","family":"Butts","sequence":"additional","affiliation":[{"name":"Miami, Florida"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Thomas J.","family":"Balkany","sequence":"additional","affiliation":[{"name":"Miami, Florida"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Orlando","family":"Gomez","sequence":"additional","affiliation":[{"name":"Miami, Florida"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Annelle V.","family":"Hodges","sequence":"additional","affiliation":[{"name":"Miami, Florida"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"David","family":"Lee","sequence":"additional","affiliation":[{"name":"Miami, Florida"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[1999,4,1]]},"reference":[{"key":"bibr1-00034894991080S407","doi-asserted-by":"publisher","DOI":"10.1177\/00034894880975S201"},{"key":"bibr2-00034894991080S407","doi-asserted-by":"publisher","DOI":"10.1177\/019459988809800113"},{"key":"bibr3-00034894991080S407","doi-asserted-by":"crossref","first-page":"357","DOI":"10.1016\/0196-0709(93)90029-7","volume":"14","author":"Cohen NC","year":"1993","journal-title":"Am J Otol"},{"key":"bibr4-00034894991080S407","first-page":"360","volume":"11","author":"Steenerson RL","year":"1990","journal-title":"Am J Otol"},{"key":"bibr5-00034894991080S407","doi-asserted-by":"publisher","DOI":"10.1016\/S0194-59989670275-9"},{"key":"bibr6-00034894991080S407","volume-title":"CLARION\u00ae Multi-Strategy\u2122 Cochlear Implant","author":"Surgeons' Manual","year":"1996"},{"key":"bibr7-00034894991080S407","doi-asserted-by":"publisher","DOI":"10.1288\/00005537-199502000-00022"},{"key":"bibr8-00034894991080S407","first-page":"58","volume":"18","author":"Balkany T","year":"1997","journal-title":"Am J Otol"},{"key":"bibr9-00034894991080S407","doi-asserted-by":"publisher","DOI":"10.1288\/00005537-198707000-00004"},{"key":"bibr10-00034894991080S407","doi-asserted-by":"publisher","DOI":"10.1016\/S0194-59989670281-4"}],"container-title":["Annals of Otology, Rhinology &amp; Laryngology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/00034894991080S407","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/00034894991080S407","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T11:17:48Z","timestamp":1777375068000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/00034894991080S407"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[1999,4]]},"references-count":10,"journal-issue":{"issue":"4_suppl","published-print":{"date-parts":[[1999,4]]}},"alternative-id":["10.1177\/00034894991080S407"],"URL":"https:\/\/doi.org\/10.1177\/00034894991080s407","relation":{},"ISSN":["0003-4894","1943-572X"],"issn-type":[{"value":"0003-4894","type":"print"},{"value":"1943-572X","type":"electronic"}],"subject":[],"published":{"date-parts":[[1999,4]]}}}