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Electrically Evoked Stapedius Reflex Measurements in Cochlear Implantation and Its Application in the Postoperative Fitting Process

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Bilateral, simultaneous cochlear implantation in children: surgical considerations.

Lela Migirov¹, J Kronenberg

¹Department of Otolaryngology and Head and Neck Surgery, Sheba Medical Center, Tel Hashomer, Israel. sabim@bezeqint.net

The Journal of Laryngology and Otology

|March 4, 2009

Summary

Bilateral, simultaneous cochlear implantation in children is a safe surgical procedure. This approach offers benefits like reduced interventions and cost-effectiveness, with no reported complications in the study.

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Area of Science:

Otolaryngology
Pediatric Surgery
Neurosurgery

Background:

Bilateral, simultaneous cochlear implantation (BSCI) presents potential advantages including preventing cochlear calcification post-meningitis, reducing procedures and anesthesia, and improving cost-effectiveness.
However, BSCI also carries risks such as doubled complication rates, potential vestibular alteration, and the need for meticulous surgical planning.

Purpose of the Study:

To evaluate the safety and efficacy of bilateral, simultaneous cochlear implantation in pediatric patients.
To assess the feasibility of a non-mastoidectomy approach for BSCI.

Main Methods:

A cohort of 10 children underwent bilateral, simultaneous cochlear implantation.
The suprameatal approach, a non-mastoidectomy technique, was utilized for all implantations.

Main Results:

The average operative time, including anesthesia, was approximately three hours.
No intra-operative or post-operative complications were observed in any of the participating children.

Conclusions:

Bilateral, simultaneous cochlear implantation is a surgically safe procedure in pediatric patients.
The suprameatal approach is recommended for its safety and efficiency in BSCI procedures.