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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
PubMed

Insights

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.

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.
Abstract

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