Current status of pediatric auditory brainstem implantation in inner ear malformations; consensus statement of the Third International Pediatric ABI Meeting.

IF 1.4 Q2 OTORHINOLARYNGOLOGY
COCHLEAR IMPLANTS INTERNATIONAL Pub Date : 2024-07-01 Epub Date: 2024-11-28 DOI:10.1080/14670100.2024.2413273
Levent Sennaroglu, Thomas Lenarz, J Thomas Roland, Daniel J Lee, Liliana Colletti, Robert Behr, Dan Jiang, Shakeel R Saeed, Jan Casselman, Manuel Manrique, Vicente Diamante, Simon R M Freeman, Simon K W Lloyd, Andrzej Zarowski, Erwin Offeciers, Mohan Kameswaran, Daniel Andrés de la Torre Diamante, Burçak Bilginer, Nick Thomas, Ricardo Bento, Gonca Sennaroglu, Esra Yucel, Munir Demir Bajin, Chelsea Cole, Amy Martinez, Janice Loggins, Laurie S Eisenberg, Eric P Wilkinson, Cheryl A Bakey, Christine L Carter, Barbara S Herrmann, Susan Waltzman, William Shapiro, Mario Svirsky, Norma Pallares, Gabriela Diamante, Florencia Heller, Maria Palacios, Lic Leticia Diamante, Waitsz Chang, Michael Tong, Hao Wu, Merve Ozbal Batuk, Mehmet Yarali, Betul Cicek Cinar, Hilal Burcu Ozkan, Filiz Aslan, Karin Hallin, Helge Rask-Andersen, Alicia Huarte, Carlos Prieto-Matos, Vedat Topsakal, Anouk Hofkens-Van den Brandt, Vincent Van Rompaey, An Boudewyns, Paul van de Heyning, Lutz Gaertner, Yisgav Shapira, Yael Henkin, Saba Battelino, Eva Orzan, Enrico Muzzi, Raffaella Marchi, Rolien Free, Johan H M Frijns, Courtney Voelker, Margaret Winter, Debra Schrader, Dianne Hammes Ganguly, Dana Egra-Dagan, Khassan Diab, Nikolai Dayxes, Ashen Nanan, Robinson Koji, Ayça Karaosmanoğlu, Elif Günay Bulut, Berit Verbist, Mahan Azadpour, Marco Mandala, Maria Valeria Goffi, Marek Polak, Kathy Y S Lee, Katherine Wilson, David R Friedmann, Ranjith Rajeswaran, Rafael Monsanto, Sebahattin Cureoglu, Sandra Driver, Roman Bošnjak, Gorkem Dundar, Ergin Eroglu
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引用次数: 0

Abstract

Objectives: This study aims to synthesize current knowledge and outcomes related to pediatric auditory brainstem implantation (ABI) in children with severe inner ear malformations (IEMs). It highlights the clinical management practices, challenges, and potential future directions for consensus development in this field.

Methods: A systematic review of findings presented at the Third International Pediatric ABI Symposium organized by the Hacettepe Cochlear Implant team between 3 and 5 September 2020 was conducted, incorporating data from 41 departments across 19 countries. Relevant clinical outcomes, imaging techniques, surgical approaches, and rehabilitation strategies were analyzed to identify key trends and variability in practices.

Results: The review indicates that children receiving ABIs exhibit diverse auditory outcomes influenced by individual anatomical variations and developmental factors. Early implantation, particularly before the age of three, positively correlates with better auditory and language development. Multicenter experiences underscore the necessity of tailored decision-making, which considers both surgical candidacy and comprehensive rehabilitation resources.

Discussion:: The variability in outcomes emphasizes the need for improved consensus and guidelines regarding eligibility, surgical techniques, and multidisciplinary rehabilitation approaches. Notable complications and the necessity for thorough imaging assessments were also identified as critical components affecting clinical decisions.

Conclusion: A formal consensus statement is warranted to standardize best practices in ABI management. This will not only enhance patient outcomes but also guide future research efforts to address the remaining challenges in the treatment of children with severe IEMs. Enhanced collaboration among team members will be pivotal in achieving these objectives.

内耳畸形小儿听性脑干植入术的现状;第三届国际小儿听性脑干植入术会议共识声明。
研究目的本研究旨在综述与严重内耳畸形(IEMs)儿童听性脑干植入术(ABI)相关的现有知识和结果。它强调了该领域的临床管理实践、挑战和未来达成共识的潜在方向:方法:对哈塞特佩人工耳蜗团队在 2020 年 9 月 3 日至 5 日举办的第三届国际儿科 ABI 研讨会上发表的研究成果进行了系统回顾,其中包括来自 19 个国家 41 个部门的数据。对相关临床结果、成像技术、手术方法和康复策略进行了分析,以确定主要趋势和实践中的差异:研究结果表明,接受人工耳蜗植入术的儿童受个体解剖学差异和发育因素的影响,表现出不同的听觉结果。早期植入,尤其是三岁前植入,与听觉和语言的良好发展呈正相关。多中心的经验强调了量身定制决策的必要性,既要考虑手术候选资格,又要考虑综合康复资源:讨论:结果的多变性强调了在手术资格、手术技术和多学科康复方法方面加强共识和指导的必要性。值得注意的并发症和全面影像评估的必要性也被认为是影响临床决策的关键因素:结论:需要一份正式的共识声明来规范 ABI 管理的最佳实践。这不仅能提高患者的治疗效果,还能指导未来的研究工作,以应对治疗重度 IEMs 患儿的其余挑战。加强团队成员之间的合作将是实现这些目标的关键。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
COCHLEAR IMPLANTS INTERNATIONAL
COCHLEAR IMPLANTS INTERNATIONAL Medicine-Otorhinolaryngology
CiteScore
3.10
自引率
0.00%
发文量
29
期刊介绍: Cochlear Implants International was founded as an interdisciplinary, peer-reviewed journal in response to the growing number of publications in the field of cochlear implants. It was designed to meet a need to include scientific contributions from all the disciplines that are represented in cochlear implant teams: audiology, medicine and surgery, speech therapy and speech pathology, psychology, hearing therapy, radiology, pathology, engineering and acoustics, teaching, and communication. The aim was to found a truly interdisciplinary journal, representing the full breadth of the field of cochlear implantation.
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