Objectives/hypothesis: To reassess cochleostomy techniques among North American cochlear implant surgeons after a 6-year period of widespread education and research on the topic.
Study Design: Prospective cohort study.
Methods: A multiple-choice survey of cochlear implant techniques was distributed to surgeons attending the William House Cochlear Implant Study Group in 2006 and 2012. This survey contained questions regarding routine surgical access and cochleostomy techniques. Responses were anonymous, and >50% were repeat respondents. Statistical analysis sought changes in technique in the past 6 years.
Results: Comparisons between 2006 and 2012 responses revealed no significant changes in the proportion of surgeons identifying the facial nerve or chorda tympani. By contrast, respondents in 2012 were more likely to drill off the round window niche overhang (P < .001), use a round window insertion (P < .001), or make a smaller cochleostomy (P = .003). In two images of a transfacial recess approach, there was a significant increase in the proportion choosing an inferior or anterior cochleostomy site over a superior location (image 1, 76% in 2006 to 92% in 2012, P = .003; image 3, 78% to 90%, respectively, P = .044).
Conclusions: This repeat survey documents a change in practice among cochlear implant surgeons. Specifically, scala tympani access techniques now appear to be more consistent with known anatomical relationships in the round window region. These findings may have resulted from the concerted education and research efforts over the past 6 years.
Download full-text PDF |
Source |
|---|---|
| http://dx.doi.org/10.1002/lary.24609 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
Unilateral Versus Bilateral Cochlear Implants in Adults: A Cross-Sectional Questionnaire Study Across Multiple Hearing Domains.
Audiol Res
January 2025
Otolaryngology Unit, Department of Traslational Medicine and Neuroscience-DiBrain, University of Bari, 70124 Bari, Italy.
Aim: The aim of this study was to assess the subjective experiences of adults with different cochlear implant (CI) configurations-unilateral cochlear implant (UCI), bilateral cochlear implant (BCI), and bimodal stimulation (BM)-focusing on their perception of speech in quiet and noisy environments, music, environmental sounds, people's voices and tinnitus.
Methods: A cross-sectional survey of 130 adults who had undergone UCI, BCI, or BM was conducted. Participants completed a six-item online questionnaire, assessing difficulty levels and psychological impact across auditory domains, with responses measured on a 10-point scale.
Visual Reliance in Severe Hearing Loss: Visual Evoked Potentials (VEPs) Study.
Audiol Res
January 2025
Neurology Department, Kafrelsheikh University Hospitals, Kafr Elsheikh 33516, Egypt.
Unlabelled: Peripheral hearing loss is associated with the cross-modal re-organization of the auditory cortex, which can occur in both pre- and post-lingual deaf cases.
Background/objectives: Whether to rely on the visual cues in cases with severe hearing loss with adequate amplification is a matter of debate. So, this study aims to study visual evoked potentials (VEPs) in children with severe or profound HL, whether fitted with HAs or CIs.
Parental Stress, Learned Helplessness, and Perceived Social Support in Mothers of Children with Hearing Loss and Mothers of Typically Developing Children.
Audiol Res
December 2024
Department of Audiology and Speech Language Pathology, Kasturba Medical College Mangalore, Manipal Academy of Higher Education, Manipal 576104, Karnataka, India.
Hearing loss in children can have a detrimental impact on their development, thus lowering the psychological well-being of parents. This study examined the amount of parental stress, learned helplessness, and perceived social support in mothers of children with hearing loss (MCHL) and mothers of typically developing children (MTDC), as well as the relationship between various possible contributing factors to parental stress such as learned helplessness and perceived social support. Three questionnaires measured parental stress (Parental Stress Scale; PSS), learned helplessness (Learned Helplessness Scale; LHS), and perceived social support (Perceived Social Support-Friends PSS-Fr and Perceived Social Support-Family PSS-Fa Scale) in 100 MCHL and 90 MTDC.
View Article and Find Full Text PDFNewborn screening for common genetic variants associated with permanent hearing loss: Implementation in Ontario and a review of the first 3 years.
Genet Med
January 2025
Newborn Screening Ontario, Children's Hospital of Eastern Ontario, Ottawa, ON, Canada; Children's Hospital of Eastern Ontario Research Institute, University of Ottawa, Ottawa. Electronic address:
Purpose: Universal newborn hearing screening (UNHS) programs using audiometric techniques alone are limited in ability to detect non-congenital childhood permanent hearing loss (PHL). In 2019, Ontario launched universal newborn screening (NBS) for PHL risk factors: congenital cytomegalovirus (cCMV) and 22 common variants in GJB2 and SLC26A4. Here we describe our experience with genetic risk factor screening.
View Article and Find Full Text PDFComparison of Auditory Perception Scores Following Unilateral Cochlear Implantation in Children From Different Regions Using Neubio's Full-Spectrum Continuous Stimulation.
Cureus
December 2024
Department of Otolaryngology, Manipal Hospital, Gurugram, IND.
Aims And Objectives: The study aimed to compare the auditory perception status of children from different socioeconomic backgrounds, specifically urban versus rural. It also examined the correlation between outcome measures and the frequency of auditory verbal therapy sessions attended, as well as the impact of continuous electric analog stimulation on the age of implantation.
Material And Methods: A retrospective cohort study was carried out on 30 children who have received unilateral cochlear implantation in rural versus urban backgrounds.
Want AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!