Article
Health Care Sciences & Services
Noura Alothman, Fida Almuhawas, Reem Badghaish, Al Hanouf Alotaibi, Salman F. Alhabib, Farid Alzhrani, Abdulrahman Hagr
Summary: This study aimed to investigate the impact of insertion depth and position of cochlear implant (CI) electrode arrays on speech perception. The results showed that cochlear coverage was related to speech performance, with higher coverage associated with better speech discrimination score (SDS). The findings of this study are of significant importance for the outcomes of CI recipients.
JOURNAL OF PERSONALIZED MEDICINE
(2023)
Article
Clinical Neurology
Andrew R. Mangan, Kyle P. Davis, C. Lane Anzalone, Robert A. Saadi, John L. Dornhoffer, Deanne L. King
Summary: In the study of barriers to cochlear implantation, 66.3% of candidates underwent surgery while 33.6% deferred. Those who deferred were more likely to not live independently at the time of surgery evaluation. The greatest concern among patients was the fear of losing residual hearing.
OTOLOGY & NEUROTOLOGY
(2022)
Article
Clinical Neurology
Rolf Salcher, Samuel John, Jan Stieghorst, Marcel Kluge, Felix Repp, Max Froehlich, Thomas Lenarz
Summary: This study presents a novel minimally-invasive surgical approach for cochlear implantation, using patient-specific drilling templates and high-precision parallel kinematics to individualize the procedure, aiming to replace conventional surgical methods.
FRONTIERS IN NEUROLOGY
(2022)
Article
Health Care Sciences & Services
Nawaf Fatani, Nezar Hamed, Abdulrahman Hagr
Summary: This study reviewed the experience of simultaneous bilateral cochlear implantation (BiCI) in adults and assessed its feasibility. It found that simultaneous BiCI is feasible in adults without major complications, offering potential benefits by reducing the number of surgeries and hospital admissions compared to the sequential method.
JOURNAL OF PERSONALIZED MEDICINE
(2023)
Article
Otorhinolaryngology
Kevin Yu, Sarek Shen, Steve Bowditch, Daniel Sun
Summary: This study estimated the number of candidates in the United States who meet the expanded criteria for cochlear implantation set by the Center for Medicare Services. The study found that changing the criteria from <= 40% to <= 60% is expected to more than double the number of candidates aged 65 and older, with the greatest increase seen in the 80+ age group.
OTOLARYNGOLOGY-HEAD AND NECK SURGERY
(2023)
Article
Multidisciplinary Sciences
Marco Caversaccio, Georgios Mantokoudis, Franca Wagner, Philipp Aebischer, Stefan Weder, Wilhelm Wimmer
Summary: This article provides a comprehensive overview of the clinical workflow for robotic cochlear implantation. It covers various steps such as patient assessment, surgical preparation, preoperative planning, drilling, intraoperative imaging, milling, electrode insertion, and implant management. The procedure requires collaboration among experts from different disciplines and training to ensure a smooth and safe surgery.
JOVE-JOURNAL OF VISUALIZED EXPERIMENTS
(2022)
Article
Medicine, Research & Experimental
Tayla Razmovski, Kate M. Brody, Dimitra Stathopoulos, Dongcheng Zhang, Ellie Cho, Amy J. Hampson, Aaron Collins, Christofer Bester, Stephen O'Leary
Summary: Intraoperative trauma leading to bleeding during cochlear implantation negatively impacts residual hearing of cochlear implant recipients. This preclinical study investigated the implementation of an intra-cochlear flushing protocol for the removal of blood, which resulted in better auditory function and reduced subsequent fibrosis in the basal region of the cochlea.
Article
Otorhinolaryngology
Geethanjeli N. Mahendran, Tyler Rosenbluth, Miriam Featherstone, Esther X. Vivas, Douglas E. Mattox, Candace E. Hobson
Summary: This study compared rates of cochlear implant referral and implantation among different races, finding that Black patients had significantly worse hearing and worse outcomes compared to White and Asian patients. Though Black patients had lower referral and implantation rates, there was no significant difference in implantation rates between Black and White patients.
OTOLARYNGOLOGY-HEAD AND NECK SURGERY
(2022)
Article
Medicine, General & Internal
Kasper Moller Boje Rasmussen, Niels Cramer West, Michael Bille, Matilde Gronborg Sandvej, Per Caye-Thomasen
Summary: This study evaluated the speech recognition and patient-reported outcomes after cochlear implantation in Danish adult patients. The results showed significant improvements in all outcome measures, indicating the treatment benefits of cochlear implantation in adults. These findings can help guide treatment decisions and the development of new selection criteria for cochlear implantation.
JOURNAL OF CLINICAL MEDICINE
(2022)
Article
Clinical Neurology
Neil S. Patel, Matthew L. Carlson, Michael J. Link, Brian A. Neff, Jamie J. Van Gompel, Colin L. W. Driscoll
Summary: The study reviewed outcomes of cochlear implantation (CI) following stereotactic radiosurgery (SRS) for vestibular schwannoma (VS) in a single tertiary care referral center from 1990 to 2019. Most patients who underwent CI following SRS for VS enjoyed access to sound at near-normal levels, with the majority achieving good open-set speech understanding.
JOURNAL OF NEUROSURGERY
(2021)
Article
Clinical Neurology
Sanjana Balachandra, Anthony M. Tolisano, Shafeen Qazi, Jacob B. Hunter
Summary: The study found that the most common barriers to not pursuing CI surgery were a belief that CI would not significantly improve communication ability, followed by concerns about the postoperative recovery process, risks of surgery, and loss of music appreciation. Half of patients reported concerns about the adjustment period with the CI.
OTOLOGY & NEUROTOLOGY
(2021)
Article
Audiology & Speech-Language Pathology
Robert D. Gay, Ya Lang Enke, Jonathon R. Kirk, Denise R. Goldman
Summary: The emergence of therapeutics targeted at hearing loss shows promise in developing novel treatments for this condition. Combining these therapeutics with devices like cochlear implants may enhance treatment options. This review discusses otoprotective molecules and generic steroids in clinical development, their mechanisms of action, delivery to the cochlear perilymph, and the challenges they face in reaching the inner ear. The role of cochlear implants as a drug delivery platform and their ability to preserve residual hearing and improve outcomes in implant recipients are also examined.
Article
Medicine, Research & Experimental
Greg R. Licameli, Alicia Wang, Guangwei Zhou, David Faller, Margaret Kenna, Dennis Poe, Eliot Shearer, Linda Oster, Jacob R. Brodsky
Summary: This retrospective case review evaluated the rate of preserved vestibular function in pediatric cochlear implant surgery. The results showed a higher rate of preservation of vestibular function in children after cochlear implantation, possibly due to contemporary, less traumatic electrodes and insertion techniques. Further study is needed to explore the impact of different cochlear implant electrode designs and insertion approaches on post-operative vestibular preservation.
Article
Medicine, Research & Experimental
Joshua J. Sturm, Gabriel Brandner, Cheng Ma, Kara C. Schvartz-Leyzac, Judy R. Dubno, Theodore R. McRackan
Summary: By comparing functional measures, this study aims to identify barriers and facilitating factors in cochlear implant (CI) utilization for CI candidates. The results reveal that CI candidates who forgo CI have higher baseline CI-specific quality of life abilities in the emotional and entertainment domains. The most commonly reported barriers to pursuing CI for the no-CI group include fear of surgical complications, cost associated with implantation, and perception that hearing was not poor enough for CI surgery.
Article
Medicine, General & Internal
Thierry Mom, Mathilde Puechmaille, Mohamed El Yagoubi, Alexane Lere, Jens-Erik Petersen, Justine Becaud, Nicolas Saroul, Laurent Gilain, Sonia Mirafzal, Pascal Chabrot
Summary: Fluoroscopy can detect electrode array misrouting, while robotized EA-insertion allows atraumatic cochlear implantation. Our study examined the quality of EA-insertion and the additional time required in patients implanted with rob-EAI. The results showed that rob-EAI can be performed in almost all cases with a low risk of scala translocation.
JOURNAL OF CLINICAL MEDICINE
(2023)
