Cochlear implantation under local anesthesia with conscious sedation in the elderly patient: Focus on surgical technique
- Resource Type
- Authors
- Nicholas L. Deep; J. Thomas Roland; Joseph Connors
- Source
- Operative Techniques in Otolaryngology-Head and Neck Surgery. 31:231-237
- Subject
- medicine.medical_specialty
Rehabilitation
business.industry
Sedation
General surgery
medicine.medical_treatment
Cognition
03 medical and health sciences
0302 clinical medicine
Otorhinolaryngology
Geriatric population
030220 oncology & carcinogenesis
Elderly population
medicine
Surgery
Local anesthesia
medicine.symptom
030223 otorhinolaryngology
Cochlear implantation
Elderly patient
business
- Language
- ISSN
- 1043-1810
As the world's geriatric population continues to grow at an unprecedented rate, an increasing number of elderly patients are seeking hearing rehabilitation strategies, including cochlear implantation (CI). However, CI surgery in elderly patients has been met with trepidation given fears of physical and cognitive complications associated with general anesthesia. Cochlear implant surgery under local anesthesia with conscious sedation (LA-CS) in the elderly population is a safe and feasible alternative to general anesthesia. Elderly patients who are too infirm for general anesthesia or who choose not to pursue CI due to fears of the cognitive or medical consequences of general anesthesia should be counseled on the option of doing it under LA-CS by experienced CI surgeons. This article provides an overview of the surgical technique and technical nuances of performing CI surgery under LA-CS.