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Published on: January 9, 2019
Pediatric Bilateral Cochlear Implantation: Simultaneous Versus Sequential Surgery
Florian Cornelius Uecker1, Agnieszka Szczepek, Heidi Olze
1Department of Otorhinolaryngology, Head and Neck Surgery, Charité University Hospital, Berlin, Germany.
Insights
Simultaneous bilateral cochlear implantation (CI) in children significantly reduces surgery and hospital time compared to sequential procedures. This approach is safe and effective for pediatric hearing restoration.
Area of Science:
- Otolaryngology
- Pediatric Surgery
- Audiology
Background:
- Bilateral cochlear implantation (CI) is a common procedure for pediatric hearing loss.
- Surgical approaches include simultaneous and sequential implantation.
Purpose of the Study:
- To compare surgical outcomes between simultaneous and sequential bilateral cochlear implantation in children.
Main Methods:
- Retrospective study of 54 children receiving bilateral CIs over five years.
- Comparison of outcomes between 32 children with simultaneous CIs and 22 with sequential CIs.
Main Results:
- Simultaneous bilateral CI surgery significantly reduced cumulative surgical time and operating room utilization.
- Total inpatient stay was shorter for children undergoing simultaneous implantation.
- No clinically significant adverse consequences were observed with simultaneous CI surgery.
Conclusions:
- Simultaneous bilateral cochlear implantation is a safe and efficient surgical option for pediatric patients.
- This approach offers benefits in terms of reduced surgical burden and shorter hospital stays.
Objective:
To compare outcomes of bilateral cochlear implantation between simultaneous and sequential surgeries.
Study Design:
Retrospective study of surgical outcome for 54 children who received bilateral cochlear implants (CIs) over a five-year period.
Setting:
Tertiary health care PATIENTS:: We analyze surgical outcomes for 54 children who received two CIs over a five-year period. Thirty-two of these children received these implants simultaneously and 22 of these children received their implants sequentially (76 CI operations and 108 CI).
Intervention:
One hundred and eight CIs; Group A-bilateral simultaneous CI; Group B- bilateral sequential CI.
Main Outcome Measures:
Measurement of body temperature; recording drug administration measurement of the total length of hospital stay, surgery time, and total operating room utilization; recording complications.
Results:
Simultaneous bilateral CI-implantation is associated with a significantly reduced cumulative surgical time and cumulative operating room time. It shortens the total in-patient stay for children in comparison to sequential implantations. There were no clinically significant, adverse consequences of simultaneous implant surgery. Further information include medical history including cochlear malformations as well as complications after the surgery, use of analgesic and antiemetic medication and length of hospital stay.
Conclusions:
Simultaneous bilateral surgery is a safe option of pediatric cochlear implantation.
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