Hostname: page-component-6766d58669-kl59c Total loading time: 0 Render date: 2026-05-20T00:49:31.704Z Has data issue: false hasContentIssue false
  • English
  • Français

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: sabim@bezeqint.net
Get access Rights & Permissions [Opens in a new window]

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

Information

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

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

Article purchase

Temporarily unavailable

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