RESUMEN
OBJECTIVE: Cochlear implantation is a standard procedure for rehabilitation of profound hearing loss and single sided deafness. Audiologic criteria for implantation have been extended with the growing experience. Less traumatic access has been developed at the same time. METHODS AND PATIENTS: This study reports first experiences with a minimaltraumatic cochlear implantation (MiCI) approach in a series of 31 consecutive patients (9-79 yrs.) in our department. The approach combines a short retroauricular incision of 25mm with a minimized mastoidectomy, a round window approach and a temporal well for the implant. RESULTS: Retroauricular incision could be reduced to 29, 7 mm, the size of the mastoid cavity to 20 mm2 and the stay in hospital for 0,55 days in average. Main postoperative complaint was dizziness. Overall complication rate was comparable to conventional surgery. CONCLUSION: Minimal-invasive cochlear implantation is a safe and reliable procedure in experienced hands for children and adults.