This research study is evaluating two different methods of cochlear implant (CI) insertion - robotic-assisted insertion and manual insertion - to better understand how they affect hearing outcomes. Participants in this study will be randomly assigned to receive their cochlear implant using one of these two techniques. Both methods are performed in a standard operating room by qualified surgeons, and both are considered safe and approved for use. The main goal is to compare how well participants hear one year after surgery based on the insertion method used. The study will also look at things like surgical time, inner ear health, and how the hearing nerve responds. All participants will receive the same type of cochlear implant device and follow-up care. This study may help guide future surgical techniques and improve outcomes for individuals receiving cochlear implants.
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Change in Low-Frequency Pure Tone Average (LFPTA)
Timeframe: Baseline (pre-op) to 12 months post-activation
Speech Recognition Using CNC Word Test
Timeframe: 3, 6, and 12 months post-activation
Speech Recognition Using AzBio Sentence Test
Timeframe: 3, 6, and 12 months post-activation
Degree of Low-Frequency Hearing Preservation
Timeframe: Baseline to 12 months post-activation
Petronio Senior Clinical Research Operations Manager, MHA