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1 results

  • Bilateral, simultaneous cochlear implantation in children: surgical considerations

  • L Migirov, J Kronenberg
  • Journal:
    The Journal of Laryngology & Otology / Volume 123 / Issue 8 / August 2009
    Published online by Cambridge University Press:
    08 March 2017, pp. 837-839
    Print publication:
    August 2009
  • Problem:

    The advantages of bilateral, simultaneous cochlear implantation include: the possibility to pre-empt cochlear calcification following meningitis; reduction of the intervention to only one procedure, general anaesthetic and course of clinical care (with obvious benefits for the patient); and greater cost-effectiveness. The disadvantages of such a procedure include: doubling the risk of associated complications; placing the patient on the implanted side during contralateral implantation; the possibility of vestibular alteration simultaneously in both ears; the need for precise planning of symmetrical incisions and implant sites; and longer surgery time.

    Methods:

    The study cohort included 10 children who underwent bilateral, simultaneous cochlear implantation using the suprameatal approach.

    Results:

    The overall operation time, inclusive of anaesthesia, was approximately three hours in all cases. None of the children had any intra- or post-operative complications.

    Conclusions:

    From a surgical perspective, bilateral, simultaneous cochlear implantation is a safe procedure. The use of a non-mastoidectomy approach is recommended.