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Abstract SUMMARY Cochlear implantation is a globally accepted treatment option for patients with severe to profound sensorineural hearing loss. Pre-operative imaging by CT, MRI or both modalities is essential for candidate selection and exclusion of contraindications. Post-operative imaging by radiography, or more recently by CT, is performed for confirmation of proper electrode placement or evaluation of suspected complications. Assessing the cochlear morphology is essential for non-traumatic electrode insertion and hearing preservation in individual surgery. The aim of this study to evaluate the role of MDCT in preoperative prediction of the best cochlear implant electrode length with detection of the variations in cochlear size that may influence the final maximum insertion depth angle achieved with cochlear implant electrode arrays. We enrolled in this study 40 patients (21 female and 19 male), the most common age group encountered in this study was between 4 and 10 years with mean age 24.63±17.30 years. All suffered from severe sensorineural hearing loss. All patients were evaluated by careful history taking, clinically evaluated, and then subjected for radiological examination included noncontrast CT examination of the petrous bone before and after cochlear implantation. In the majority of cases, the etiology of sensorineural hearing loss was unknown (72.5%), followed by post-febrile illness (7.5%). The other causes |