title: Preliminary experience using a cochlear implant with a novel linear pedestal design.
abstract: OBJECTIVE
  To assess the safety and efficiency of cochlear implantation using a novel device with a linear silastic pedestal (2 mm wide, 2 mm deep, 10 mm long) on the flat undersurface.
  
  
  METHODS
  Operative times required to drill a linear groove (LG) for the new linear pedestal design were prospectively accrued for 46 implantations in 30 children (median age 3). Intra-operative safety was assessed during each case. Instances of dural exposure in the base of the LG were noted. Length of stay was also recorded as a secondary measure of efficiency.
  
  
  RESULTS
  Across all surgeons, the mean time needed to create the LG was 1.9 ± 1.5 min (±SD) with a median time of 1.5 min (95% Cl: 1-2 min). The range in time was 1-10 min. No intraoperative complications occurred. Intended device positioning was confirmed with on-table post-operative x-rays in all cases. 43% of patients were discharged on the day of surgery.
  
  
  CONCLUSIONS
  The novel linear pedestal design allows for deliberate device placement while adding little additional operative time and complexity, an improvement on our current standard of care.
authors.affiliation: Archie's Cochlear Implant Laboratory, Department of Otolaryngology, The Hospital for Sick Children, Toronto, Ontario, Canada; Department of Otolaryngology - Head and Neck Surgery, University of Toronto, Toronto, Ontario, Canada. Electronic address: wjparkes@gmail.com.
authors.forename: William J
authors.initials: WJ
authors.lastname: Parkes
authors.affiliation: Archie's Cochlear Implant Laboratory, Department of Otolaryngology, The Hospital for Sick Children, Toronto, Ontario, Canada; The Institute of Medical Science, University of Toronto, Toronto, Ontario, Canada.
authors.forename: Joshua J
authors.initials: JJ
authors.lastname: Gnanasegaram
authors.affiliation: Archie's Cochlear Implant Laboratory, Department of Otolaryngology, The Hospital for Sick Children, Toronto, Ontario, Canada; Department of Otolaryngology - Head and Neck Surgery, University of Toronto, Toronto, Ontario, Canada.
authors.forename: Sharon L
authors.initials: SL
authors.lastname: Cushing
authors.affiliation: Archie's Cochlear Implant Laboratory, Department of Otolaryngology, The Hospital for Sick Children, Toronto, Ontario, Canada; Department of Otolaryngology - Head and Neck Surgery, University of Toronto, Toronto, Ontario, Canada.
authors.forename: Adrian L
authors.initials: AL
authors.lastname: James
authors.affiliation: Archie's Cochlear Implant Laboratory, Department of Otolaryngology, The Hospital for Sick Children, Toronto, Ontario, Canada; The Institute of Medical Science, University of Toronto, Toronto, Ontario, Canada.
authors.forename: Karen A
authors.initials: KA
authors.lastname: Gordon
authors.affiliation: Archie's Cochlear Implant Laboratory, Department of Otolaryngology, The Hospital for Sick Children, Toronto, Ontario, Canada; The Institute of Medical Science, University of Toronto, Toronto, Ontario, Canada; Department of Otolaryngology - Head and Neck Surgery, University of Toronto, Toronto, Ontario, Canada.
authors.forename: Blake C
authors.initials: BC
authors.lastname: Papsin
mesh_terms: D000293:Adolescent; D002648:Child; D002675:Child, Preschool; D019929:Cochlear Implantation / Q000009:adverse effects / Q000295:instrumentation* / Q000379:methods; D003054:Cochlear Implants; D003638:Deafness / Q000534:rehabilitation*; D004867:Equipment Design; D005260:Female; D006801:Humans; D007223:Infant; D007431:Intraoperative Complications; D007902:Length of Stay; D008297:Male; D061646:Operative Time; D011446:Prospective Studies
keywords: Child; Cochlear implant; Complications; Deafness; Hearing loss; Pediatrics