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Years of implantation, surgical insertion approach, and electrode length will impact the volume of new tissue formation secondary to cochlear implantation. New tissue formation, fibrosis, and osteoneogenesis after cochlear implantation have been implicated in increasing impedance and affecting performance of the cochlear implant. 3-D reconstructions of 15 archival human temporal bones from patients with a history of cochlear implantation (CI) were generated from HE histopathologic slides to study factors which affect volume of tissu