Abstract

OBJECTIVE: The understanding of speech is the most important outcome parameter after cochlear implantation. However, due to the excellent functional results of cochlear implantation in most patients, there is recently also a growing focus on patient comfort issues, e.g., aesthetic results.

MATERIALS and METHODS: This study evaluated 34 skin scars after cochlear implant surgery in adults using the Stony Brook Scar Evaluation Scale, a well-validated instrument with a high interrater reliability and construct validity for evaluating the aesthetic outcome of skin scars.

RESULTS: The mean follow-up time was 62 months. Using a retroauricular incision, the scars had an excellent to good aesthetic appearance in 85% of the cases. Revision surgery was the main factor for aesthetically unsatisfactory scars.

CONCLUSION: The aesthetic outcome of skin scars after cochlear implant surgery is excellent or good for the majority of the patients. The most important risk factor for an unsatisfactory aesthetic outcome is revision surgery, an issue that should be communicated in preoperative counselling.