Minimum intraoperative testing battery for cochlear implantation: the international practice trend

期刊论文
发表日期：

2024年9月17日

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Isra Aljazeeri,
Yassin Abdelsamad,
Abdulrahman Alsanosi,
Abdulrahman Hagr,
Ana H. Kim,
Angel Ramos-Macias,
Angel Ramos de Miguel,
Anja Kurz,
Artur Lorens,
Bruce Gantz,
Craig A. Buchman,
Dayse Távora-Vieira,
Georg Sprinzl,
Griet Mertens,
James E. Saunders,
Julie Kosaner,
Laila M. Telmesani,
Luis Lassaletta,
Manohar Bance,
Medhat Yousef,
Meredith A. Holcomb,
Oliver Adunka,
Per Cayé-Thomasen,
Piotr Henryk Skarzynski,
Ranjith Rajeswaran,
Robert J. Briggs,
Seung-Ha Oh,
Stefan K. Plontke,
Stephen J. O’Leary,
Sumit Agrawal,
Tatsuya Yamasoba,
Thomas Lenarz,
Thomas Wesarg,
Walter Kutz,
Patrick Connolly,
Ilona Anderson,
Farid Alzhrani

摘要

Purpose

In cochlear implantation (CI) surgery, there are a wide variety of intraoperative tests available. However, no clear guide exists on which tests must be performed as the minimum intraoperative testing battery. Toward this end, we studied the usage patterns, recommendations, and attitudes of practitioners toward intraoperative testing.

Methods

This study is a multicentric international survey of tertiary referral CI centers. A survey was developed and administered to a group of CI practitioners (n = 34) including otologists, audiologists and biomedical engineers. Thirty six participants were invited to participate in this study based on a their scientific outputs to the literature on the intraoperative testing in CI field and based on their high load of CI surgeries. Thirty four, from 15 countries have accepted the invitation to participate. The participants were asked to indicate the usage trends, perceived value, influence on decision making and duration of each intraoperative test. They were also asked to indicate which tests they believe should be included in a minimum test battery for routine cases.

Results

Thirty-two (94%) experts provided responses. The most frequently recommended tests for a minimum battery were facial nerve monitoring, electrode impedance measurements, and measurements of electrically evoked compound action potentials (ECAPs). The perceived value and influence on surgical decision-making also varied, with high-resolution CT being rated the highest on both measures.

Conclusion

Facial nerve monitoring, electrode impedance measurements, and ECAP measurements are currently the core tests of the intraoperative test battery for CI surgery.