Long-term Hearing Preservation in Electric Acoustic Cochlear Implant Candidates

Objectives:To evaluate long-term stability and residual hearing preservation after cochlear implantation with electric acoustic stimulation (EAS).Study Design:Retrospective chart-analysis.Setting:University clinic.Methods:Long- and short-term hearing preservation (HP) of 18 EAS subjects (21 ears) was evaluated. Short-term was defined as follow-ups less than 12 months after surgery versus long-term outcomes longer than 12 months postsurgery.Results:Mean period of observation in the short-term group was 43.0 months (range 0-7). In the long-term group the mean follow-up was 28.4 +/- 15.0 months (range 12-58). Full insertion was possible in all 18 implanted subjects. In the short-term group, complete HP was achieved in 50%, partial HP in 33.3%, and minimal HP in 8.3% of the investigated subjects. One subject lost hearing completely. In the long-term group, complete HP was achieved in 50%, partial HP was observed in 40%, and minimal HP in 10% of the ears. No subject lost hearing completely. Subjects using EAS showed better word recognition scores after surgery (mean at 65dB 55.3 +/- 18.4; mean at 80dB 68.1 +/- 12.2) than subjects using electric stimulation only (mean at 65dB 38.3 +/- 18.1; mean at 80dB 60.0 +/- 16.4) with nonfunctional low-frequency hearing.Conclusion:The study confirms that hearing can be preserved to a large extent. As a result, most subjects benefitted from EAS. Subjects with postoperative functional low-frequency hearing showed greater benefit in word speech tests. Furthermore, the outcomes show that EAS implantation is a safe, effective, and most importantly stable treatment option (longest follow-up with 58 mo).