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Cochlear implantation: minimal hair removal technique
J B Roberson1, K R Stidham, K M Scott
1California Ear Institute at Stanford, Palo Alto 94304, USA.
Summary
Minimal hair removal during cochlear implantation is safe and preferred by patients. This technique enhances cosmetic and psychological outcomes without increasing surgical risks for cochlear implant surgery.
Area of Science:
- Otolaryngology
- Neurosurgery
- Medical Devices
Background:
- Cochlear implantation is a surgical procedure to treat severe to profound hearing loss.
- Traditional surgical approaches often involve complete hair removal, which can cause patient distress.
Purpose of the Study:
- To evaluate the safety and patient acceptance of a minimal hair removal technique during cochlear implantation.
- To compare this technique with complete hair removal regarding surgical risk and patient satisfaction.
Main Methods:
- A prospective study involving 46 patients (17 adults, 29 children) undergoing cochlear implantation.
- A minimal hair removal technique was employed.
- Patient acceptance was assessed using a questionnaire for the first 15 patients and their parents.
- Postoperative follow-up included examinations at 1 and 4 weeks to monitor for complications.
Main Results:
- No wound infections were documented.
- Minor complications included transient seroma (3 cases), transient dysequilibrium (2 cases), electrode failures (2 cases), and facial nerve stimulation (1 case).
- The minimal hair removal technique did not increase surgical risk.
Conclusions:
- Minimal hair removal is a safe and effective technique for cochlear implantation.
- This approach is cosmetically and psychologically more desirable for patients and their families compared to complete hair removal.
- The technique offers a better patient experience without compromising surgical outcomes.