TY - JOUR
T1 - Minimum intraoperative testing battery for cochlear implantation
T2 - the international practice trend
AU - Aljazeeri, Isra
AU - Abdelsamad, Yassin
AU - Alsanosi, Abdulrahman
AU - Hagr, Abdulrahman
AU - Kim, Ana H
AU - Ramos-Macias, Angel
AU - de Miguel, Angel Ramos
AU - Kurz, Anja
AU - Lorens, Artur
AU - Gantz, Bruce
AU - Buchman, Craig A
AU - Távora-Vieira, Dayse
AU - Sprinzl, Georg
AU - Mertens, Griet
AU - Saunders, James E
AU - Kosaner, Julie
AU - Telmesani, Laila M
AU - Lassaletta, Luis
AU - Bance, Manohar
AU - Yousef, Medhat
AU - Holcomb, Meredith A
AU - Adunka, Oliver
AU - Cayé-Thomasen, Per
AU - Skarzynski, Piotr Henryk
AU - Rajeswaran, Ranjith
AU - Briggs, Robert J
AU - Oh, Seung-Ha
AU - Plontke, Stefan K
AU - O'Leary, Stephen J
AU - Agrawal, Sumit
AU - Yamasoba, Tatsuya
AU - Lenarz, Thomas
AU - Wesarg, Thomas
AU - Kutz, Walter
AU - Connolly, Patrick
AU - Anderson, Ilona
AU - Alzhrani, Farid
N1 - Publisher Copyright:
© The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature 2024.
PY - 2024/9/17
Y1 - 2024/9/17
N2 - 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.
AB - 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.
UR - http://www.scopus.com/inward/record.url?scp=85204455303&partnerID=8YFLogxK
U2 - 10.1007/s00405-024-08944-y
DO - 10.1007/s00405-024-08944-y
M3 - Journal article
C2 - 39287816
SN - 0937-4477
JO - European Archives of Oto-Rhino-Laryngology
JF - European Archives of Oto-Rhino-Laryngology
ER -