Worldwide differences in surgeon intraoperative practices for cochlear implantation.
Cochlear Implants Int
; : 1-8, 2024 Jun 27.
Article
en En
| MEDLINE
| ID: mdl-38935802
ABSTRACT
OBJECTIVE:
To characterize practice patterns of intraoperative imaging and/or functional confirmation of cochlear implant electrode location worldwide.METHODS:
A cross-sectional survey of otolaryngologists performing cochlear implantation was conducted between March 1 and May 6, 2023. Participants were recruited worldwide using an international otologic society membership email list and at professional meetings. Ninety-seven of the 125 invited participants (78%) completed the survey. Participants were categorized by continent.RESULTS:
North American surgeons use intraoperative X-rays more frequently than surgeons in Europe and Asia (p < 0.001). Otolaryngologists in Europe and Asia more frequently use no intraoperative imaging (p = 0.02). There is no regional difference between the intraoperative use of electrophysiologic instruments. European and Asian surgeons implant MED-EL devices (p = 0.012) more frequently than North American surgeons, who more frequently use Cochlear Corporation devices (p = 0.003). MED-EL use is related to less frequent intraoperative X-ray use (p = 0.02). Advanced Bionics use is related to more frequent intraoperative CT use (p = 0.03). No significant association existed between years of practice, number of cochlear implantation surgeries performed yearly, volume of pediatric CI practice, and use of intraoperative tools.CONCLUSION:
Intraoperative practice for radiologic and functional verification of cochlear implant electrode positioning varies worldwide. Practice guidelines may help establish a standard of care for cochlear implantation.
Texto completo:
1
Colección:
01-internacional
Base de datos:
MEDLINE
Idioma:
En
Revista:
Cochlear Implants Int
Asunto de la revista:
AUDIOLOGIA
Año:
2024
Tipo del documento:
Article
País de afiliación:
Estados Unidos