Cochlear implantation under conscious sedation with local anesthesia; Safety, Efficacy, Costs, and Satisfaction

Shabashev, Samion; Fouad, Yasser Ahmed; Huncke, Tessa; Roland, J. Thomas

doi:10.1080/14670100.2017.1376423

Cited by 29 publications

(37 citation statements)

References 26 publications

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“…Cochlear implantation is usually performed under general anesthesia without muscle relaxation to allow for facial nerve monitoring. Selected elderly patients have also been safely implanted under conscious sedation [13]. Patients should be preoperatively vaccinated according to Centers for Disease Control and Prevention (CDC) guidelines for meningitis prophylaxis [14].…”

Section: Discussionmentioning

confidence: 99%

Rehabilitation of hearing by cochlear implantation

Raji¹,

Mounji²,

Rochdi³

et al. 2019

J Nov Physiother Rehabil

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Section: Discussionmentioning

confidence: 99%

Rehabilitation of hearing by cochlear implantation

Raji¹,

Mounji²,

Rochdi³

et al. 2019

J Nov Physiother Rehabil

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“…Dexmedetomidine can make "cooperative sedation," in which the patient remains arousable and cooperative without causing delirium and unnecessary movements associated with delirium [63]. CI under CS-LA achieved comparable results with general anesthesia (GA) regarding perioperative comorbidities and achieved better results than GA regarding patient satisfaction in elderly patient [63].…”

Section: Advances Of the Anesthetic Techniques 41 CI Under Consciousmentioning

confidence: 99%

“…Toner et al [58] reported a case series of cochlear implantation under local anesthesia; however, using local anesthesia in CI was not widely used till the last 10 years [59][60][61][62][63], especially after the introduction and widespread usage of dexmedetomidine as a sedative drug for cases of CS-LA. Dexmedetomidine can make "cooperative sedation," in which the patient remains arousable and cooperative without causing delirium and unnecessary movements associated with delirium [63]. CI under CS-LA achieved comparable results with general anesthesia (GA) regarding perioperative comorbidities and achieved better results than GA regarding patient satisfaction in elderly patient [63].…”

Section: Advances Of the Anesthetic Techniques 41 CI Under Consciousmentioning

confidence: 99%

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Advances in Surgical and Anesthetic Techniques for Cochlear Implantation

Fouad¹

2020

Advances in Rehabilitation of Hearing Loss

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Cochlear implantation (CI) is usually performed under general anesthesia using the classic surgical approach, the mastoidectomy posterior tympanotomy approach (MPTA), which was originally described by William House in 1961. Many alternative surgical approaches have been described for CI. Robotic image-guided cochlear implantation has also been described as a new advance in CI. Also, in some situations, CI can be performed under conscious sedation with local anesthesia (CS-LA) instead of general anesthesia (GA). With the ongoing advance in CI devices and surgical techniques, CI surgery nowadays could preserve hearing in ears with preoperative residual hearing. This chapter describes different approaches and techniques in CI surgery, whether classic or alternative technique, with special attention to advantages and disadvantages of each approach or technique. Also this chapter describes, in surgical points of view, the anesthetic techniques in CI, whether GA or CS-LA, with focus on indications, advantages, and disadvantages of CS-LA in CI.

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“…Selected elderly patients have also been safely implanted under conscious sedation. 18 Patients should be preoperatively vaccinated according to Centers for Disease Control and Prevention (CDC) guidelines for meningitis prophylaxis. 19 A 3 to 4 cm postauricular skin incision is designed to provide adequate exposure to the mastoid and place the receiver-stimulator device.…”

Section: Operative Techniquementioning

confidence: 99%

Cochlear Implantation: An Overview

et al. 2018

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A cochlear implant (CI) is a surgically implanted device for the treatment of severe to profound sensorineural hearing loss in children and adults. It works by transducing acoustic energy into an electrical signal, which is used to stimulate surviving spiral ganglion cells of the auditory nerve. The past 2 decades have witnessed an exponential rise in the number of CI surgeries performed. Continual developments in programming strategies, device design, and minimally traumatic surgical technique have demonstrated the safety and efficacy of CI surgery. As a result, candidacy guidelines have expanded to include both pre and postlingually deaf children as young as 1 year of age, and those with greater degrees of residual hearing. A growing proportion of patients are undergoing CI for off-label or nontraditional indications including single-sided deafness, retrocochlear hearing loss, asymmetrical sensorineural hearing loss (SNHL) in adults and children with at least 1 ear that is better than performance cut-off for age, and children less than 12 months of age. Herein, we review CI design, clinical evaluation, indications, operative technique, and outcomes. We also discuss the expanding indications for CI surgery as it relates to lateral skull base pathology, comparing CI to auditory brainstem implants, and address the concerns with obtaining magnetic resonance imaging (MRI) in CI recipients.

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Cochlear implantation under conscious sedation with local anesthesia; Safety, Efficacy, Costs, and Satisfaction

Cited by 29 publications

References 26 publications

Rehabilitation of hearing by cochlear implantation

Rehabilitation of hearing by cochlear implantation

Advances in Surgical and Anesthetic Techniques for Cochlear Implantation

Cochlear Implantation: An Overview

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