Cochlear Implant Surgery by the Veria Technique: How and Why? Experience from 1400 Cases

Abstract

The Veria technique for Cochlear implantation is a non mastoidectomy technique which is done throught the endaural route for the cochleostomy with a transcanal tunnel drilled in the posterior canal wall. This technique has been used for implanting in more than 1400 cases. This technique uses a specially designed perforator to make the tunnel in the posterior canal wall. Though the conventional technique has been successful it is more time consuming and is prone to various complications especially in children with small facial recess, cochlear malformations and cochlear rotation. This technique is simple, helps in faster healing and earlier fitting of the processor, is precise thereby minimizing trauma to the facial nerve. The surgery can be performed in infants who have not yet developed the mastoid completely.