Emilio Avallone
I am a board-certified otolaryngologist with a subspecialty focus in otology and cochlear implantation. My clinical practice is based in Italy, where I work as a consultant ENT surgeon, with a strong interest in the anatomical and technological aspects of cochlear implant surgery.
After completing my medical study in Italy, I pursued further specialization at Hannover Medical School in Germany, absolving also a doctorate and a fellowship. There, I had the opportunity to collaborate with experts such as Prof. Thomas Lenarz, Prof. Anke Lesinki-Schiedat, Prof. Waldo Nogueira and Dr. Daniel Schurzig. My research during this time focused on cochlear duct length (CDL) measurement, anatomical variability of the cochlea, and how these parameters influence electrode selection and surgical outcomes.
In recent years, I have been involved in several multidisciplinary projects integrating radiology, biomedical engineering, and audiology. My scientific work has explored the use of artificial intelligence and CT-based morphometric tools for individualized cochlear implant planning.
My goal is to promote a patient-centered approach to cochlear implantation, grounded in anatomical precision and supported by data-driven decision-making. I regularly present at national and international conferences, and I enjoy participating in collaborative discussions that bridge surgical technique, imaging, and audiological outcomes
I believe that understanding cochlear anatomy is key to improving outcomes in cochlear implantation, and I am committed to contributing to the scientific community’s growing knowledge in this field.
Session
Cochlear implantation has evolved from a standardized surgical procedure to a highly individualized intervention, where anatomical variability plays a critical role in surgical planning and outcomes. Among the key anatomical features, cochlear duct length (CDL), cochlear shape, scalar anatomy, and modiolar proximity have emerged as pivotal factors influencing electrode selection, insertion trajectory, and auditory performance.
This round table will bring together clinicians and researchers from diverse backgrounds — including otologic surgery, neuroradiology, biomedical engineering, and audiology — to discuss how a deeper understanding of cochlear anatomy can translate into more effective and personalized cochlear implantation strategies.
We will begin by discussing how advanced imaging techniques, including high-resolution CT and MRI, can be used to assess individual cochlear morphology preoperatively. The use of multiplanar reconstructions and oblique views will be addressed, along with semi-automated and AI-assisted tools for CDL estimation and cochlear segmentation. Participants will examine the strengths and limitations of these tools in clinical settings, and how they are currently being integrated into surgical planning.
Next, we will explore the implications of cochlear anatomy for electrode array selection. Comparative evidence and expert opinions will help attendees refine their surgical choices according to the patient’s anatomy.
Finally, we will highlight future perspectives, including the use of machine learning to predict outcomes based on anatomical data and the role of patient-specific 3D models and virtual reality in surgical training and planning.
By fostering a multidisciplinary exchange, this session aims to equip participants with the tools and knowledge to better understand, respect, and leverage cochlear anatomy in their clinical practice.