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Cochlear implantation under local anaesthesia, the Belfast experience

Published online by Cambridge University Press:  29 June 2007

J. G. Toner ,
G. John  and
E. J. McNaboe
J. G. Toner*
Affiliation:
Northern Ireland Regional Cochlear Implant Centre, Middle Dufferin, Belfast City Hospital, Belfast, Northern Ireland.
G. John
Affiliation:
Northern Ireland Regional Cochlear Implant Centre, Middle Dufferin, Belfast City Hospital, Belfast, Northern Ireland.
E. J. McNaboe
Affiliation:
Northern Ireland Regional Cochlear Implant Centre, Middle Dufferin, Belfast City Hospital, Belfast, Northern Ireland.
*
Address for correspondence: Mr J. G. Toner, F.R.C.S., Consultant Otolaryngologist, Regional Cochlear Implant Centre, Middle Dufferin, Belfast City Hospital, Lisburn Road, Belfast BT9 7AB. Fax: 01232 263549
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Abstract

The profoundly deaf, who gain little or no benefit from conventional hearing aids and meet various criteria are potential candidates for cochlear implantation. The last two decades have witnessed remarkable progress in this field, and it is now a routine clinical procedure. A few adult patients who are potential candidates for cochlear implantation have an unacceptably high risk for hypotensive general anaesthesia due to other systemic conditions. This group has been successfully implanted under local anaesthesia in our centre. The post-implantation progress of these patients was comparable to those carried out under hypotensive general anaesthesia. Data regarding patient selection criteria, examination, anaesthesia, surgery and the outcome are discussed. It was concluded that cochlear implantation under local anaesthesia is a safe and effective procedure for those patients who otherwise may be denied an implant.

Keywords

Cochlear ImplantAnaesthesia, local
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 112 , Issue 6 , June 1998 , pp. 533 - 536
Copyright
Copyright © JLO (1984) Limited 1998

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