TY  - JOUR
A1  - Gröger, Maximilian
A1  - Loth, Andreas German
A1  - Helbig, Silke
A1  - Stöver, Timo
A1  - Leinung, Martin
T1  - Bilateral simultaneous cochlear implantation is a safe method of hearing rehabilitation in adults
T2  - European archives of oto-rhino-laryngology and head & neck
N2  - 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.
KW  - Bilateral cochlear implant
KW  - Adults
KW  - Simultaneous
KW  - Sequential
KW  - Complication
KW  - Total operating room time
Y1  - 2023
UR  - http://publikationen.ub.uni-frankfurt.de/frontdoor/index/index/docId/75038
UR  - https://nbn-resolving.org/urn:nbn:de:hebis:30:3-750386
SN  - 1434-4726
VL  - 280
SP  - 4445
EP  - 4454
PB  - Springer
CY  - Berlin ; Heidelberg [u.a.]
ER  -