Cochlear nucleus monitoring predicts hearing after schwannoma surgery; fully implanted cochlear implant trial passes six-month mark

A round head mirror with a small central hole on an adjustable headband, lying beside an otoscope.

A Journal of Neurosurgery study of 153 adults found that dorsal cochlear nucleus monitoring during retrosigmoid vestibular schwannoma surgery was the most consistent predictor of postoperative hearing. Envoy Medical said its U.S. pivotal trial of the fully implanted Acclaim cochlear implant passed the six-month follow-up mark.

  • Technology Oct 23, 2026
    A retrospective Journal of Neurosurgery study of 153 adults who had hearing preservation retrosigmoid vestibular schwannoma surgery monitored the dorsal cochlear nucleus action potential (DNAP) with a four-contact depth electrode. Serviceable hearing was achieved in 41.2% at five to seven days and in 40.9% of 137 patients at six months. DNAP preservation was the most consistent independent predictor of hearing outcomes, and DNAP showed consistently higher sensitivity than auditory brainstem response (ABR) monitoring at six months, the authors said.
  • Technology Oct 20, 2026
    Envoy Medical said Oct. 20 that its U.S. pivotal trial of the investigational, fully implanted Acclaim cochlear implant passed the six-month follow-up visit, the halfway point of the final data-collection stage, in which each participant is followed for 12 months. The device received Food and Drug Administration (FDA) breakthrough device designation in 2019, and the company has submitted two of four planned modules of its premarket approval application. Envoy said a potential FDA decision could come by the end of 2027 or early 2028; no results were reported.

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