Systematic Review on Surgical Outcomes and Hearing Preservation for Cochlear Implantation in Children and Adults

Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery
Hanneke BruijnzeelWilko Grolman

Abstract

The mastoidectomy with facial recess approach (MFRA) is considered the reference standard for cochlear implantation. The suprameatal approach (SMA) was developed more recently and does not require mastoidectomy, which could influence postoperative outcomes. We aim to identify the optimal operative approach for cochlear implantation based on postoperative complications and hearing preservation in children and adults. PubMed, EMBASE, Scopus, and Google Scholar. Studies comparing MFRA and SMA in children and adults were eligible for inclusion. Original reports with moderate relevance and validity were included. Relevance and validity were assessed with a self-modified critical appraisal tool. This review was reported in accordance to PRISMA guidelines. We retrieved 294 citations. Only retrospective nonrandomized studies were identified (level III evidence). Six articles were selected for full-text inclusion and 4 articles for data extraction. No article found a significant difference between MFRA and SMA with respect to postoperative complications in children and adults. One study found a significantly (P < .023) higher pediatric MFRA mastoiditis rate; however, meta-analysis did not indicate an overall effect. Hearing preservation...Continue Reading

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Citations

Apr 12, 2017·International Journal of Audiology·Hanneke BruijnzeelWilko Grolman
May 27, 2020·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·Rodrigo Martinez-MonederoEric J Kezirian
Aug 19, 2020·Otology & Neurotology : Official Publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology·Elysia GroseJean-Philippe Vaccani

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Methods Mentioned

BETA
cochlear implant
SMA
Cochlear

Software Mentioned

Google Scholar
Comprehensive Meta - Analysis
Nquery
Scopus

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