Slim Perimodiolar Arrays Are as Effective as Slim Lateral Wall Arrays for Functional Hearing Preservation After Cochlear Implantation.

Objective:To compare functional hearing preservation (HP) with a slim perimodiolar array (SPA) and a slim lateral wall array (SLW) in cochlear implantation (CI).Study Design:Retrospective chart review.Setting:Tertiary referral center.Patients:All adult, post-lingual CI recipients with serviceable preoperative hearing serially implanted with SPA or SLW electrodes from July 2015 through July 2018.Interventions:Cochlear implantation.Main Outcome Measures:Hearing preservation (HP). Patients with a low frequency pure-tone average (LFPTA) (125, 250, 500Hz) threshold less than 80dB were considered HP candidates based on preoperative audiograms. Postoperative audiograms were obtained before activation. Successful HP was defined as retention of LFPTA less than 80dB. The change in LFPTA (Delta LFPTA) was also calculated.Results:One hundred twenty one patients were implanted with either the SPA or SLW electrodes, 82 (42,40) of whom were HP candidates with postoperative audiograms. Average (standard deviation, SD) preoperative LFPTA was 54.86 [19.38] and 54.38 [13.58]dB for SLW and SPA respectively, with a mean Delta LFPTA of 24.6 [15.94] and 24.92 [16.66]dB. Successful HP was achieved in 21 (50%) and 22 (55%). Preoperative LFTPA, Delta LFPTA, and postoperative LFPTA were not significantly different (p=0.89, 0.75, 0.93) between electrodes.Conclusions:The SPA is as effective at immediate functional HP after CI as a SLW.