Alternative approaches to cochlear implantation

Despite the fact that the transmastoid facial recess approach continues to be the gold standard and most commonly utilized worldwide for cochlear implant (CI) surgery, a number of other techniques have been developed and described in the literature. While many of these alternative techniques are employed when anatomical constraints require nontraditional approaches, others are used depending on the preference, comfort level, and specific training of the surgeon. While these alternative techniques are important additions to any otologist's armamentarium, it is paramount that CI surgery remain safe and effective while minimizing complications.