A musculoperiosteal flap cochlear implant device fixation technique: Our experience in one hundred and seventy nine patients

Safety and feasibility of initial frequency mapping within 24 hours after cochlear implantation

“…Some details of the surgical approach described here are slightly different from companies' instructions for use, in which suture-fixation of the device is recommended. In fact, many surgeons have documented good results through relying on a tight periosteal pocket to maintain placement and stability of the device in lieu of suture fixation [13][14][15][16][17][18]. Hence it is a common practice with reasonably safe outcomes.…”

Cochlear implant fixation using a subperiosteal tight pocket without either suture or bone‐recess technique

“…In this original description of the temporalis subperiosteal pocket, the use of a pericranial suture was described. Other surgeons have sought to avoid the need for suture fixation, but they utilize a bony recess or other modifications in an effort to secure the device …”

“…Other surgeons have sought to avoid the need for suture fixation, but they utilize a bony recess or other modifications in an effort to secure the device. [9][10][11][12] The tight temporalis pocket technique, including suture and/or bony recess, has been favorably compared to standard techniques. 13,14 Promising outcomes from authors eliminating either suture fixation or bony recess creation naturally proceeds to the question of whether a well-made tight pocket alone could properly secure a CI R/S.…”