The Journal of International
Advanced Otology
Original Article

Feasibility of Day Surgery for Cochlear Implantation under Conscious Sedation with Same-Day Fitting

1.

Department of Otolaryngology, Hafr Albaten Central Hospital, Hafr Albaten, Saudi Arabia

2.

King Abdullah Ear Specialist Centre, King Saud University Medical City, King Saud University, Riyadh, Saudi Arabia

J Int Adv Otol 2020; 16: 303-308
DOI: 10.5152/iao.2020.8208
Read: 71 Downloads: 23 Published: 16 October 2020

OBJECTIVES: To evaluate the feasibility of performing cochlear implantation under conscious sedation (CS) as day surgery with same-day fitting.

MATERIALS and METHODS: All patients underwent cochlear implantation under CS between November 2017 and April 2018. The data collected included demographic information, preoperative clinical characteristics, surgical details, postoperative fitting information, and side effects, if any.

RESULTS: Nine patients had 11 cochlear implants (CIs) placed under CS (2 patients received bilateral CIs). One patient’s data were excluded from the audiological results because conversion to general anesthesia (GA) was necessary. One patient (11%) vomited just before the end of the procedure. Seven patients had uneventful procedures. Eight (88%) patients were discharged home the same day. There was a statistically significant difference in recovery time between the CS group and the GA group (t=-2.26, df=12, p<0.05). In the CS group, there was no statistically significant change in the maximum comfortable loudness level for all electrodes from the day of the surgery to the following day. However, there was a statistically significant difference in the threshold levels of all electrodes from the day of the surgery to the following day (Z=-2.04, N=120, p<0.05). Further analysis revealed a statistically significant difference in the four most apical electrodes (Z=-3.496, N=40, p<0.0001), but not in the middle or basal electrodes.

CONCLUSION: Cochlear implantation can be performed under CS with careful patient selection. This approach facilitates same-day fitting and day surgery by minimizing comorbidity.

Cite this article as: Aldhafeeri AM, Saleh S, Almuhawas F, Hagr A. Feasibility of Day Surgery for Cochlear Implantation under Conscious Sedation with Same-Day Fitting. J Int Adv Otol 2020; 16(3): 303-8.

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ISSN1308-7649 EISSN 2148-3817