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We are reporting, for the first time, two patients with ROs who underwent CI. Two patients, 18 months and 2 years old, presenting with bilateral congenital hearing loss, received a diagnosis of ROs. The CI process was initiated and finished. Customized MED-EL electrode arrays were the instrumental part of the transmastoid slotted labyrinthotomy procedure. The speech intelligibility rating, categorized auditory performance, infant-toddler meaningful auditory integration, and a scale for meaningful u