Online ISSN: 2515-8260

Keywords : Cochlear implantation

Outcome of cases of cochlear implantation in children

Dr. Abhishek Mohan

European Journal of Molecular & Clinical Medicine, 2022, Volume 9, Issue 5, Pages 636-640

Background: Cochlear implantation (CI) in children was originally described in the 1970s. The present study was conducted to assess the incidence of co-morbidities in children undergoing cochlear implant.
Materials &Methods: 120 patients who had undergone cochlear implantation procedure were studied. Parameters such as unilateral/ bilateral surgery, cause of deafness, co-morbidities, premedication, PONV & peri-operative complications were recorded.
Results: Out of 120 patients, males were 80 and females were 60. Unilateral surgeries were seen in 100 and bilateral in 20. Anaesthesia maintenance involved inhalational sevoflurane in 20, propofol in 40 and thiopentone in 60 patients. Intra-operative anti-emetics used was iv ondansetron in 95 and iv ondansetron+ dexamethasone in 32 patients. Complications included was mortality in 1, flap necrosis in 2 and the procedure was abandoned in 3 patients. The cause of deafness was congenital in all 120 cases.  Co-morbidities found were 2 operated cases of PDA.  The mean duration of the implantation procedures was 2.4 hours. 2 patients received blood transfusion. PONV was observed in 10 patients. The difference was significant (P< 0.05).
Conclusion: Cochlear implantation in children is a relatively safe procedure. It involves few perioperative complications.