title: Surgical technique for implantation of the MED-EL SONATATI.
abstract: OBJECTIVE
  The objective of this study was to describe our surgical techniques following the general principles of cochlear implantation focusing on the small and thin design of the SONATATI(100) implant device.
  
  
  METHODS
  From May 2007 to December 2010, 97 patients were implanted with the SONATATI(100) device. Due to the titanium housing, a bony bed and a muscle-periost pocket were created to host the biggest part of the device with its magnet. For device fixation, suture-retaining holes were drilled at the end of the bed, and the electrode array was inserted deeply into the scala tympani via the round window or a cochleostomy.
  
  
  RESULTS
  Up to now, no case of device failure, migration or intracranial complication has been reported. However, one minor wound healing complication has occurred.
  
  
  CONCLUSIONS
  Following the principal rules of cochlear implantation using a 2-bed technique combined with sutures allows safe fixation of the SONATATI(100) device.
authors.affiliation: Department of Otorhinolaryngology, Head and Neck Surgery, Technical University Munich, Munich, Germany. t.stark@lrz.tum.de
authors.forename: Thomas
authors.initials: T
authors.lastname: Stark
authors.forename: Hans P
authors.initials: HP
authors.lastname: Niedermeyer
authors.forename: Andreas
authors.initials: A
authors.lastname: Knopf
authors.forename: Holger
authors.initials: H
authors.lastname: Sudhoff
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002648:Child; D003054:Cochlear Implants; D005260:Female; D005500:Follow-Up Studies; D006309:Hearing / Q000502:physiology*; D006319:Hearing Loss, Sensorineural / Q000503:physiopathology / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D011474:Prosthesis Design; D012189:Retrospective Studies; D013536:Suture Techniques; D016896:Treatment Outcome; D055815:Young Adult