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Encouraging results have been reported in implanted patients with cochlear malformations, but relevant information about results in the comon cavity is not enough. This case study is to report postimplantation performance in a boy with comon gical asessments using CT and MRI revealed bilateral comon cavity deformities. Twelve electrodes were inserted premedi-tatedly, and eleven electrodes were active in his pseudomonopolar mode map. A wide pulse width needed to be used because the T level was high, and facial twitching was present at the higher C level. Speech perception and speech-language evaluations were conducted at pre and postoperative 6-month intervals for up to 4 years. He showed limited sound response and could not ESP tests (low version) at 1 postoperative year and achieved the score of 80% for NU-CHIPS at 2 years after implantation. His open-set word recognition ability has shown continuous improvement over time. PBK score was 80% on phonemes and 50% on words at 2 years, Comon Phrases score was 90% at 3 years following implantation. He also developed age appropriate language skills after 3 years of implantation. This report demonstrates that this child could remarkably benefit from cochlear implant even with severe cochlear malformation. (Korean J Otolaryngol 2002;45:399-403)

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