Scalar Translocation Comparison Between Lateral Wall and Perimodiolar Cochlear Implant Arrays - A Meta-Analysis.
Scalar Translocation Comparison Between Lateral Wall and Perimodiolar Cochlear Implant Arrays - A Meta-Analysis.
复制标题
外侧壁和蜗轴周围皮质骨种植体阵列之间的标量移位比较-荟萃分析。
DOI：
10.1002/lary.29224
复制
发表时间：
2021-06
期刊：
影响因子：
--
通讯作者：
Thomeer HGXM
中科院分区：
文献类型：
--
作者：
Jwair S;Prins A;Wegner I;Stokroos RJ;Versnel H;Thomeer HGXM
人工耳蜗 (CI) 的电极阵列有两种类型：侧壁电极阵列和心轴周围电极阵列。阵列的标量易位可能会从鼓阶穿透到前庭阶或中阶，从而导致耳蜗内损伤，从而可能对 CI 用户的听力表现产生负面影响。本系统综述比较了侧壁阵列和近视阵列阵列在标量易位方面的情况。系统审查。 PubMed、Embase 和 Cochrane 数据库对过去 11 年内发表的研究进行了审查。没有设置其他限制。所有使用原始数据评估双侧感音神经性听力损失患者初次人工耳蜗植入后使用术后计算机断层扫描 (CT) 发生标量易位或尖端折叠 (TF) 的研究均被认为是合格的。数据由两名评审员独立提取。我们纳入了 33 项研究，其中没有一项是随机对照试验。对五项队列研究进行的荟萃分析比较了侧壁阵列和perimodiolar 阵列之间的标量易位，结果表明侧壁阵列的易位率显着较低（7% vs. 43%；汇总优势比 = 0.12）。易位与言语感知得分呈负相关（加权平均值分别为 41% 和 55%）。对于 perimodiolar 阵列，阵列的尖端折叠更为频繁 (X2 = 6.8，P < .01)。与侧壁阵列相比，绕瞳孔阵列更容易发生标量易位和尖端折叠。此外，阵列移位会对人工耳蜗的听力产生负面影响。因此，如果旨在最大限度地减少临床相关的耳蜗内创伤，侧壁阵列将是人工耳蜗植入的首选选择。喉镜，131：1358–1368，2021
Two types of electrode arrays for cochlear implants (CIs) are distinguished: lateral wall and perimodiolar. Scalar translocation of the array can lead to intracochlear trauma by penetrating from the scala tympani into the scala vestibuli or scala media, potentially negatively affecting hearing performance of CI users. This systematic review compares the lateral wall and perimodiolar arrays with respect to scalar translocation. Systematic review. PubMed, Embase, and Cochrane databases were reviewed for studies published within the last 11 years. No other limitations were set. All studies with original data that evaluated the occurrence of scalar translocation or tip fold‐over (TF) with postoperative computed tomography (CT) following primary cochlear implantation in bilateral sensorineuronal hearing loss patients were considered to be eligible. Data were extracted independently by two reviewers. We included 33 studies, of which none were randomized controlled trials. Meta‐analysis of five cohort studies comparing scalar translocation between lateral wall and perimodiolar arrays showed that lateral wall arrays have significantly lower translocation rates (7% vs. 43%; pooled odds ratio = 0.12). Translocation was negatively associated with speech perception scores (weighted mean 41% vs. 55%). Tip fold‐over of the array was more frequent with perimodiolar arrays (X2 = 6.8, P < .01). Scalar translocation and tip fold‐overs occurred more frequently with perimodiolar arrays than with lateral wall arrays. In addition, translocation of the array negatively affects hearing with the cochlear implant. Therefore, if one aims to minimize clinically relevant intracochlear trauma, lateral wall arrays would be the preferred option for cochlear implantation. Laryngoscope, 131:1358–1368, 2021
登录
查看更多内容
影响因子：
2.6
作者：
Eshraghi, AA;Yang, NW;Balkany, TJ
通讯作者：
Balkany, TJ
影响因子：
1.6
作者：
Atturo, Francesca;Barbara, Maurizio;Rask-Andersen, Helge
通讯作者：
Rask-Andersen, Helge
影响因子：
3.5
作者：
Fischer, N.;Pinggera, L.;Widmann, G.
通讯作者：
Widmann, G.
影响因子：
2.1
作者：
Dalbert, Adrian;Huber, Alexander;Pfiffner, Flurin
通讯作者：
Pfiffner, Flurin
影响因子：
2.1
作者：
Davis, Timothy J.;Zhang, Dongqing;Noble, Jack H.
通讯作者：
Noble, Jack H.