Morphometric Analysis of Temporal Bone Radiology for Cochlear Implant Candidacy

Indian J Otolaryngol Head Neck Surg. 2024 Feb;76(1):702-711. doi: 10.1007/s12070-023-04257-4. Epub 2023 Oct 29.

Abstract

Cochlear Implantation (CI) is a well-accepted treatment for severe-to-profound sensorineural hearing loss, refractory to conventional hearing amplification. Pre-operative Computed Tomography (CT) and Magnetic Resonance Imaging (MRI) play pivotal roles in patient selection to rule out findings that preclude surgery or identify conditions that may impact the surgical procedure. A prospective study was carried out in a tertiary care center over three years, from January 2020 to January 2023. One hundred and ninety (380 ears) patients' High-Resolution Computed Tomography (HRCT) studies of the temporal bone and MRI scans of the auditory pathways were analyzed. A reporting format was followed which was devised by a team of senior implant surgeons and senior neuro-radiologists. Our study aims to provide a comprehensive radiologic protocol for CI candidacy including normative data for the essential morphometrics in the Indian setting.

Keywords: Cochlear implant; Morphometrics; Radiologic protocol.