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Simultaneous Bilateral Cochlear Implantation in Adults

The objective of this study is to review our experience with simultaneous bilateral cochlear implantation (BiCI) in adults, and assess its feasibility. This could shorten the time required to regain binaural hearing, prevent social isolation, and potentially eliminate the need for hearing aids, as s...

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Autores principales: Fatani, Nawaf, Hamed, Nezar, Hagr, Abdulrahman
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10607989/
https://www.ncbi.nlm.nih.gov/pubmed/37888073
http://dx.doi.org/10.3390/jpm13101462
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author Fatani, Nawaf
Hamed, Nezar
Hagr, Abdulrahman
author_facet Fatani, Nawaf
Hamed, Nezar
Hagr, Abdulrahman
author_sort Fatani, Nawaf
collection PubMed
description The objective of this study is to review our experience with simultaneous bilateral cochlear implantation (BiCI) in adults, and assess its feasibility. This could shorten the time required to regain binaural hearing, prevent social isolation, and potentially eliminate the need for hearing aids, as seen with sequential BiCI. A retrospective study was conducted involving adult patients who received simultaneous BiCI at our center between 2010 and 2023. The feasibility of simultaneous BiCI was assessed through postoperative clinical evaluations, outpatient visits, discharge status, and the acceptance of device fitting. Twenty-seven patients underwent simultaneous BiCIs. Their mean age was 37 years, comprising 59.3% males and 40.7% females. Out of the included patients, 51.9% had childhood-onset hearing loss, while 29.6% developed hearing loss later in life. Causes of hearing loss included meningitis 7.4%, trauma 11.1%, non-specific high-grade fever 11.1%, and Brucellosis infection 3.7%. Labyrinthine ossificans (LO) was present in 7.4%, and retrofenestral otospongiosis in 3.7%. The post-operative period and initial outpatient visit were uneventful for 88.8% and 81.5% of patients, respectively. Intraoperative complications were absent in 96.2% of cases. Simultaneous BiCI is feasible in adults without major intraoperative complications or troublesome recovery periods, offering potential benefits by reducing the number of surgeries and hospital admissions compared to the sequential method.
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spelling pubmed-106079892023-10-28 Simultaneous Bilateral Cochlear Implantation in Adults Fatani, Nawaf Hamed, Nezar Hagr, Abdulrahman J Pers Med Article The objective of this study is to review our experience with simultaneous bilateral cochlear implantation (BiCI) in adults, and assess its feasibility. This could shorten the time required to regain binaural hearing, prevent social isolation, and potentially eliminate the need for hearing aids, as seen with sequential BiCI. A retrospective study was conducted involving adult patients who received simultaneous BiCI at our center between 2010 and 2023. The feasibility of simultaneous BiCI was assessed through postoperative clinical evaluations, outpatient visits, discharge status, and the acceptance of device fitting. Twenty-seven patients underwent simultaneous BiCIs. Their mean age was 37 years, comprising 59.3% males and 40.7% females. Out of the included patients, 51.9% had childhood-onset hearing loss, while 29.6% developed hearing loss later in life. Causes of hearing loss included meningitis 7.4%, trauma 11.1%, non-specific high-grade fever 11.1%, and Brucellosis infection 3.7%. Labyrinthine ossificans (LO) was present in 7.4%, and retrofenestral otospongiosis in 3.7%. The post-operative period and initial outpatient visit were uneventful for 88.8% and 81.5% of patients, respectively. Intraoperative complications were absent in 96.2% of cases. Simultaneous BiCI is feasible in adults without major intraoperative complications or troublesome recovery periods, offering potential benefits by reducing the number of surgeries and hospital admissions compared to the sequential method. MDPI 2023-10-04 /pmc/articles/PMC10607989/ /pubmed/37888073 http://dx.doi.org/10.3390/jpm13101462 Text en © 2023 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Fatani, Nawaf
Hamed, Nezar
Hagr, Abdulrahman
Simultaneous Bilateral Cochlear Implantation in Adults
title Simultaneous Bilateral Cochlear Implantation in Adults
title_full Simultaneous Bilateral Cochlear Implantation in Adults
title_fullStr Simultaneous Bilateral Cochlear Implantation in Adults
title_full_unstemmed Simultaneous Bilateral Cochlear Implantation in Adults
title_short Simultaneous Bilateral Cochlear Implantation in Adults
title_sort simultaneous bilateral cochlear implantation in adults
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10607989/
https://www.ncbi.nlm.nih.gov/pubmed/37888073
http://dx.doi.org/10.3390/jpm13101462
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