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Bilateral, simultaneous cochlear implantation in children: surgical considerations

Published online by Cambridge University Press:  08 March 2017

L Migirov  and
J Kronenberg
L Migirov*
Affiliation:
Department of Otolaryngology and Head and Neck Surgery, Sheba Medical Center, Tel Hashomer, and the Sackler Faculty of Medicine, Tel Aviv University, Israel
J Kronenberg
Affiliation:
Department of Otolaryngology and Head and Neck Surgery, Sheba Medical Center, Tel Hashomer, and the Sackler Faculty of Medicine, Tel Aviv University, Israel
*
Address for correspondence: Dr Lela Migirov, Dept of Otolaryngology and Head and Neck Surgery, Sheba Medical Center, Tel Hashomer, 5262l, Israel. Fax: (972) 3 530 5387 E-mail: [email protected]
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Abstract

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.

Keywords

Cochlear ImplantsSensorineural Deafness, BilateralOtologic Surgical Procedures
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 123 , Issue 8 , August 2009 , pp. 837 - 839
Copyright
Copyright © JLO (1984) Limited 2009

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References

1 Litovsky, R, Parkinson, A, Arcaroli, J, Sammeth, C. Simultaneous bilateral cochlear implantation in adults: a multicenter clinical study. Ear Hear 2006;27:714–31CrossRefGoogle ScholarPubMed
2 Litovsky, RY, Parkinson, A, Arcaroli, J, Peters, R, Lake, J, Johnstone, P et al. Bilateral cochlear implants in adults and children. Arch Otolaryngol Head Neck Surg 2007;26:648–55Google Scholar
3 Bauer, PW, Sharma, A, Martin, K, Dorman, M. Central auditory development in children with bilateral cochlear implants. Arch Otolaryngol Head Neck Surg 2007;26:1133–6Google Scholar
4 Peters, R, Litovsky, RY, Parkinson, A, Lake, J. Importance of age and postimplantation experience on speech perception measures in children with sequential bilateral cochlear implants. Otol Neurotol 2007;28:649–57CrossRefGoogle ScholarPubMed
5 Laszig, R, Aschendorff, A, Stecker, M, Müller-Diele, J, Maune, S, Dillier, N et al. Benefits of bilateral electrical stimulation with the Nucleus cochlear implant in adults: 6-month postoperative results. Otol Neurotol 2004;25:958–68CrossRefGoogle ScholarPubMed
6 Das, S, Buchman, CA. Bilateral cochlear implantation: current concepts. Curr Opin Otolaryngol Head Neck Surg 2005;13:290–3Google Scholar
7 Ramsden, R, Greenman, P, O'Driscoll, M, Mawman, D, Proops, D, Craddock, L et al. Evaluation of bilaterally implanted adult subjects with the Nucleus 24 cochlear implant system. Otol Neurotol 2005;26:988–98Google Scholar
8 Kronenberg, J, Migirov, L. How we do it? The suprameatal approach – an alternative surgical technique for cochlear implantation. Cochlear Implants Int 2006;7:142–7Google Scholar
9 Migirov, L, Yakirevitch, A, Kronenberg, J. Surgical and medical complications following cochlear implantation: comparison of two surgical approaches. ORL J Otorhinolaryngol Relat Spec 2006;68:213–19Google Scholar