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Updated: Feb 28, 2026
Robotic Cochlear Implantation for Direct Cochlear Access
Published on: June 16, 2022
A novel surgical technique in pediatric simultaneous bilateral cochlear implantation
Said Sönmez1, Furkan Olgun1, Mehmet Çelik1
1Istanbul Faculty of Medicine, Department of Otorhinolaryngology, Istanbul University, Istanbul, Türkiye.
Backround:
Simultaneous bilateral cochlear implantation in children offers auditory and developmental advantages but can be limited by longer operative times and increased intraoperative risks.
Aims And Objectives:
To describe and evaluate the safety and efficiency a modified surgical technique for simultaneous bilateral cochlear implantation in children.
Materials And Methods:
This prospective study included 27 pediatric patients (<4 years) who underwent simultaneous bilateral implantation at a tertiary referral center. All surgeries were performed using a modified subperiosteal pocket technique specifically designed to shorten operative duration and minimize intraoperative risks. Surgical times, perioperative complications, and postoperative outcomes were recorded and compared with data reported in the literature.
Results:
The mean bilateral surgical time was 79.2 ± 18.0 min, and the mean total operative time was 106.2 ± 19.3 min and substantially shorter than previously reported series. No major or minor complications were observed. Importantly, no cases of internal receiver-stimulator migration occurred. The technique allowed safe use of monopolar cautery before device placement in the contralateral ear.
Conclusion And Significance:
The modified technique significantly reduced operative duration while avoiding complications. This method may provide a safe and efficient alternative for simultaneous bilateral cochlear implantation in pediatric patients.
