ENT · Otologic Surgery and Implants (Tympanoplasty, Mastoidectomy, Cochlear/BAHA Implants)

For cochlear implantation, the electrode array is inserted through which opening?

  • A Oval window after stapedectomy
  • B Round window membrane (cochleostomy anterior to round window)
  • C Promontory cochleostomy at the apex of cochlea
  • D Through the stapes footplate
Correct answer: B. Round window membrane (cochleostomy anterior to round window)

Explanation

The standard electrode insertion for cochlear implantation is either through the round window membrane or through a cochleostomy drilled just anteroinferior to the round window niche, entering the scala tympani. The oval window approach would risk ossicular damage, and the apical cochleostomy is not a standard access point. The stapes footplate is not used.

Reference: Dhingra Diseases of Ear, Nose and Throat, 7th ed.

High-yield for: NEET PGINI-CETNExTFMGEUSMLEPLABMRCP

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