Cochlear implantation under local anesthesia: a possible alternative for elderly patients

Nóra Kecskeméti, Magdolna Szőnyi, Marianna Küstel, Anita Gáborján, László Tamás, G. Répássy

Research output: Contribution to journalArticle

Abstract

Introduction: As average life-expectancy increases, a sufficient hearing rehabilitation for elderly patients with severe-to-profound sensorineural hearing loss becomes more important. Cochlear implantation is a relatively safe surgical procedure also for elderly patients, the higher risk is caused by general anesthesia. We report on four patients who underwent cochlear implantation under local anesthesia. Methods: After detailed preoperative examinations (audiological tests, imaging, genetic tests, evaluation of motivation and compliance of the patient), four patient with severe-to-profound hearing loss were selected for cochlear implantation under local anesthesia. For the electrode insertion, we used the posterior suprameatal approach technique. Pre- and postoperative pure tone audiometry and speech-perception tests were conducted to prove the success of the procedure. Results: The mentioned technique was applied; the average length of the operation was 52 min. The intraoperative measurements showed normal impedance and normal neuronal response telemetry, all the patients had sound experience during the intraoperative examination of the engineer. No complications were observed. The postoperative audiological tests showed a significant increase in the hearing perception. Conclusion: Cochlear implantation under local anesthesia is a safe and fast procedure for elderly patients. The intraoperative sound experience can give an extra motivation in the postoperative rehabilitation. Our results prove that by carefully selected elderly patients cochlear implantation can assure a significant increase in speech perception. We can establish that the new posterior suprameatal approach technique combined with local anesthesia presents a viable future option for those patients who were inoperable beforehand because of high risks of general anesthesia.

Original languageEnglish
JournalEuropean Archives of Oto-Rhino-Laryngology
DOIs
Publication statusPublished - Jan 1 2019

Fingerprint

Cochlear Implantation
Local Anesthesia
Speech Perception
General Anesthesia
Hearing
Motivation
Rehabilitation
Pure-Tone Audiometry
Telemetry
Sensorineural Hearing Loss
Patient Compliance
Life Expectancy
Electric Impedance
Hearing Loss
Electrodes

Keywords

  • Ageing
  • Cochlear implantation
  • Elderly patients
  • Local anesthesia
  • Posteriorsuprameatal approach

ASJC Scopus subject areas

  • Otorhinolaryngology

Cite this

Cochlear implantation under local anesthesia : a possible alternative for elderly patients. / Kecskeméti, Nóra; Szőnyi, Magdolna; Küstel, Marianna; Gáborján, Anita; Tamás, László; Répássy, G.

In: European Archives of Oto-Rhino-Laryngology, 01.01.2019.

Research output: Contribution to journalArticle

Kecskeméti, Nóra ; Szőnyi, Magdolna ; Küstel, Marianna ; Gáborján, Anita ; Tamás, László ; Répássy, G. / Cochlear implantation under local anesthesia : a possible alternative for elderly patients. In: European Archives of Oto-Rhino-Laryngology. 2019.
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