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

Published online by Cambridge University Press:  08 April 2021

A Dalgic ,
G Atsal ,
O Yildirim ,
D T Edizer ,
MB Özay  and
L Olgun
A Dalgic*
Affiliation:
Department of Otolaryngology Head and Neck Surgery, Health Sciences University, Izmir Teaching and Research Hospital, Turkey
G Atsal
Affiliation:
Department of Otolaryngology Head and Neck Surgery, Siirt University, Siirt Teaching and Research Hospital, Turkey
O Yildirim
Affiliation:
Department of Otolaryngology Head and Neck Surgery, Health Sciences University, Izmir Teaching and Research Hospital, Turkey
D T Edizer
Affiliation:
Department of Otolaryngology Head and Neck Surgery, Health Sciences University, Izmir Teaching and Research Hospital, Turkey
MB Özay
Affiliation:
Department of Otorhinolaryngology, Baskent Zubeyde Hanım Training and Research Hospital, Izmir, Turkey
L Olgun
Affiliation:
Department of Otorhinolaryngology, Baskent Zubeyde Hanım Training and Research Hospital, Izmir, Turkey
*
Author for correspondence: Dr Abdullah Dalgic, Department of Otolaryngology Head and Neck Surgery, Health Sciences University, Izmir Teaching and Research Hospital, Saim Cikrikci Caddesi 59, Izmir35360, Turkey E-mail: dalgicabdullah@gmail.com Fax: +90 232 261 4444
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Abstract

Objective

This study aimed to evaluate and compare cases of simultaneous and consecutive bilateral cochlear implantation from the perspective of the duration of anaesthesia, surgical complications and hospitalisation.

Method

Fifty patients with simultaneous bilateral cochlear implantation (group 1) and 47 patients with consecutive bilateral cochlear implantation (group 2) were included in this study. The two groups were compared in terms of the duration of anaesthesia, the duration of surgery, radiological findings, the complications and the post-operative hospitalisation time.

Results

Group 1 had a significantly shorter operation time than group 2 (p < 0.01). The mean total operation time was 189 minutes in group 1. In group 2, the mean operation times for the first and second surgery were 134 minutes and 136 minutes, respectively, and the total operation time for both surgical procedures in group 2 was 270 minutes. The duration of post-operative hospitalisation of the patients in group 1 was significantly shorter than the total post-operative hospitalisation after both operations for the patients in group 2 (p < 0.01).

Conclusion

In conclusion, if there is no anatomical problem that may lead to a prolonged operation time or any risk regarding anaesthesia, simultaneous bilateral cochlear implantation can be performed safely.

Keywords

Cochlear ImplantsCochlear ImplantationHearing LossSensorineural
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 135 , Issue 4 , April 2021 , pp. 327 - 331
Copyright
Copyright © The Author(s), 2021. Published by Cambridge University Press

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Footnotes

Dr A Dalgic takes responsibility for the integrity of the content of the paper

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