Bilateral simultaneous cochlear implantation is a safe method of hearing rehabilitation in adults.
Eur Arch Otorhinolaryngol
; 280(10): 4445-4454, 2023 Oct.
Article
en En
| MEDLINE
| ID: mdl-37191916
ABSTRACT
PURPOSE:
Bilateral cochlear implantation is an effective treatment for patients with bilateral profound hearing loss. In contrast to children, adults mostly choose a sequential surgery. This study addresses whether simultaneous bilateral CI is associated with higher rates of complications compared to sequential implantation.METHODS:
169 bilateral CI surgeries were analyzed retrospectively. 34 of the patients were implanted simultaneously (group 1), whereas 135 patients were implanted sequentially (group 2). The duration of surgery, the incidence of minor and major complications and the duration of hospitalization of both groups were compared.RESULTS:
In group 1, the total operating room time was significantly shorter. The incidences of minor and major surgical complications showed no statistically significant differences. A fatal non-surgical complication in group 1 was particularly extensively reappraised without evidence of a causal relationship to the chosen mode of care. The duration of hospitalization was 0.7 days longer than in unilateral implantation but 2.8 days shorter than the combined two hospital stays in group 2.CONCLUSION:
In the synopsis of all considered complications and complication-relevant factors, equivalence of simultaneous and sequential cochlear implantation in adults in terms of safety was found. However, potential side effects related to longer surgical time in simultaneous surgery must be considered individually. Careful patient selection with special consideration to existing comorbidities and preoperative anesthesiologic evaluation is essential.Palabras clave
Texto completo:
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Base de datos:
MEDLINE
Asunto principal:
Percepción del Habla
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Implantes Cocleares
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Implantación Coclear
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Pérdida Auditiva Sensorineural
Tipo de estudio:
Observational_studies
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Risk_factors_studies
Idioma:
En
Revista:
Eur Arch Otorhinolaryngol
Asunto de la revista:
OTORRINOLARINGOLOGIA
Año:
2023
Tipo del documento:
Article