A new treatment algorithm for advanced otosclerosis, based on the clinical experience of Dutch investigators and supported by a literature review they conducted, suggests that the window for successful cochlear implantation (CI) in patients with severe disease is narrower than some otolaryngologists may believe .
![](https://www.enttoday.org/wp-content/uploads/springboard/image/ENTT_2012_01_pp06_01.jpg)