Comparison of simultaneous bilateral CI surgery vs. sequential CI surgery regarding operative time, perioperative morbidity, and anesthesia risk in children

The study underlines the benefits of simultaneous bilateral CI, regarded as the gold standard, particularly concerning reduced duration of surgery and anesthesia time. In an era of healthcare cost efficiency, simultaneous CI also enables shorter hospital stays. However, the absence of significant differences in perioperative morbidity, mortality, and anesthesia risks must be considered. This makes sequential CI a viable treatment alternative and allows for an individualized treatment approach that accounts for existing comorbidities and individual patient and parental factors.