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Bilateral cochlear implantation in children: simultaneously or in consecutive sessions?

A Dalgic1, G Atsal2, O Yildirim1

  • 1Department of Otolaryngology Head and Neck Surgery, Health Sciences University, Izmir Teaching and Research Hospital, Turkey.

The Journal of Laryngology and Otology
|April 8, 2021
PubMed
Summary

Simultaneous bilateral cochlear implantation is safer and shorter than consecutive procedures. This method reduces anesthesia time and hospital stays for patients needing two cochlear implants.

Keywords:
Cochlear ImplantationCochlear ImplantsHearing LossSensorineural

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Area of Science:

  • Otolaryngology
  • Neurosurgery
  • Audiology

Background:

  • Bilateral cochlear implantation (BCI) is a common procedure for hearing restoration.
  • Simultaneous BCI (sBCI) and consecutive BCI (cBCI) are two surgical approaches.
  • Comparing outcomes of sBCI and cBCI is crucial for surgical decision-making.

Purpose of the Study:

  • To compare simultaneous and consecutive bilateral cochlear implantation.
  • To evaluate anesthesia duration, surgical complications, and hospitalization time.

Main Methods:

  • A comparative study involving 50 patients undergoing sBCI (Group 1) and 47 patients undergoing cBCI (Group 2).
  • Data collected included anesthesia duration, surgical time, radiological findings, complications, and post-operative hospital stay.
  • Statistical analysis was performed to compare outcomes between the two groups.

Main Results:

  • Group 1 (sBCI) demonstrated significantly shorter total operation times (mean 189 minutes) compared to Group 2 (cBCI) (mean 270 minutes).
  • Post-operative hospitalization duration was significantly shorter for sBCI patients than for cBCI patients.
  • No significant difference in radiological findings or complications was mentioned, implying safety for sBCI.

Conclusions:

  • Simultaneous bilateral cochlear implantation is a safe and efficient alternative to consecutive BCI.
  • sBCI leads to reduced anesthesia and hospitalisation times, benefiting patient recovery.
  • This approach is recommended when no anatomical contraindications or anesthesia risks are present.