Normal hearing and synaptic transmission at afferent auditory inner hair cell (IHC) synapses require otoferlin. Deafness DFNB9, caused by mutations in the OTOF gene encoding otoferlin, might be treated by transferring wildâtype otoferlin cDNA into IHCs, which is difficult due to the large size of this transgene. In this study, we generated two adenoâassociated viruses (AAVs), each containing half of the otoferlin cDNA. Coâinjecting these dualâAAV2/6 halfâvectors into the cochleae of 6â to 7âdayâold otoferlin knockâout (Otof
â/â) mice led to the expression of fullâlength otoferlin in up to 50% of IHCs. In the cochlea, otoferlin was selectively expressed in auditory hair cells. DualâAAV transduction of Otof
â/â
IHCs fully restored fast exocytosis, while otoferlinâdependent vesicle replenishment reached 35â50% of wildâtype levels. The loss of 40% of synaptic ribbons in these IHCs could not be prevented, indicating a role of otoferlin in early synapse maturation. Acoustic clicks evoked auditory brainstem responses with thresholds of 40â60Â dB. Therefore, we propose that gene delivery mediated by dualâAAV vectors might be suitable to treat deafness forms caused by mutations in large genes such as OTOF.