CC BY-NC-ND 4.0 · Laryngorhinootologie 2021; 100(S 02): S251-S252
DOI: 10.1055/s-0041-1728542
Abstracts
Pediatric ENT

Comparison of complications in sequential versus simultaneous bilateral cochlear implantation in children

P Della Janna
1   Klinikum der Johann Wolfgang Goethe-Universität Frankfurt am Main, Klinik für Hals-Nasen-Ohren-Heilkunde Abteilung für Phoniatrie und Pädaudiologie, Frankfurt am Main
,
T Stöver
2   Klinikum der Johann Wolfgang Goethe-Universität Frankfurt am Main, Klinik für Hals-Nasen-Ohren-Heilkunde, Frankfurt am Main
,
S Kramer
1   Klinikum der Johann Wolfgang Goethe-Universität Frankfurt am Main, Klinik für Hals-Nasen-Ohren-Heilkunde Abteilung für Phoniatrie und Pädaudiologie, Frankfurt am Main
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    Introduction Cochlear implants (CI) enable hearing and auditory rehabilitation and thus allow primary speech acquisition in children with severe hearing loss or deafness. Best results regarding speech development are achieved by giving children binaural access to sound at an early age. In the past, bilateral CI-implantation has usually been carried out sequentially, today, simultaneously surgical from infancy onwards. Arguments against simultaneous bilateral implantation include economic aspects as well as the additional risks of anesthesia and surgery. The aim of our study was to compare the peri- and early postoperative complications in simultaneous and sequential bilateral implantation.

    Methods We collected retrospective data from children supplied with bilateral CI between 2015-2019. 109 children between 6-63 months at the time of implantation were included. 55 received bilateral CI simultaneously and 54 only one CI or sequentially. In addition to the occurrence of postoperative complications, various parameters such as the child’s age at implantation, pre-existing conditions, cut-suture time, operating room time, duration of the inpatient stay, pre- and intraoperative HB-value and other reasons for an early termination in cases of simultaneous bilateral procedures were recorded

    Results Children with simultaneous bilateral implantation had an overall shorter surgical time and a shorter total inpatient stay compared to children with sequential bilateral implantation. The only recorded complication in our study was a relevant HB drop during a planned simultaneous surgery leading to an early termination after one side.

    Conclusions Together with precise indication and intraoperative HB control, simultaneous bilateral surgery is a safe option for pediatric cochlear implantation

    Poster-PDF A-1115.pdf


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    Conflict of interest

    Der Erstautor gibt keinen Interessenskonflikt an.

    Address for correspondence

    Della Janna Patrizia
    Klinikum der Johann Wolfgang Goethe-Universität Frankfurt am Main, Klinik für Hals-Nasen-Ohren-Heilkunde Abteilung für Phoniatrie und Pädaudiologie
    Frankfurt am Main

    Publication History

    Article published online:
    13 May 2021

    © 2021. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/).

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