Pediatric cochlear implants and myringotomy tubes: a systematic review.

IF 1.4 Q2 OTORHINOLARYNGOLOGY

COCHLEAR IMPLANTS INTERNATIONAL Pub Date : 2023-07-01 DOI:10.1080/14670100.2023.2222912

Shubham Patel, Alexa Robbins, Ching Siong Tey, Chao Zhang, Shenita Peterson, Nandini Govil

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引用次数: 0

Abstract

Objective: To evaluate the intraoperative findings and post-operative complications associated with patients who have current or history of myringotomy tubes undergoing a cochlear implantation.

Methods: Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) statement were followed. Studies from Pubmed, Cochrane, Embase, Web of Science, and Scopus were included. Studies were independently screened and analyzed by 2 reviewers. Publications assessing pediatric patients with current or history of myringotomy tubes at time of cochlear implantation were reviewed. Discrepancies were resolved by a team of 4 reviewers.

Results: 172 studies were screened, 15 met inclusion criteria, and 12 were incorporated into the study. All 12 of the studies were retrospective cohort studies. Meta-analysis showed no significant relationship between intraoperative findings at time of cochlear implantation (presence of effusion, granulation tissue, edematous middle ear tissue) and myringotomy tube insertion (p = 0.63). Additionally, there was no significant relationship between current or history of myringotomy tube and acute otitis media episode after CI (p = 0.25).

Conclusion: There was no association noted between perioperative outcomes of pediatric cochlear implantation and myringotomy tube. This information will be helpful for surgeons planning to perform cochlear implantation in the pediatric population.

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儿童人工耳蜗和鼓膜切开术:系统回顾。

目的:评价目前或既往行鼓膜切开管人工耳蜗植入术患者的术中表现及术后并发症。方法:采用系统评价和荟萃分析(PRISMA)的首选报告项目。包括来自Pubmed、Cochrane、Embase、Web of Science和Scopus的研究。研究由2位审稿人独立筛选和分析。我们回顾了评估目前或既往在人工耳蜗植入时使用鼓膜切开管的儿科患者的出版物。差异由4名审稿人组成的小组解决。结果:共筛选172项研究，15项符合纳入标准，12项纳入研究。所有12项研究均为回顾性队列研究。meta分析显示，人工耳蜗植入时术中表现(积液、肉芽组织、中耳组织水肿)与鼓膜切开术插管置入无显著相关性(p = 0.63)。此外，目前或既往使用鼓膜切开管与CI后急性中耳炎发作无显著关系(p = 0.25)。结论:小儿人工耳蜗植入术围手术期预后与鼓膜切开管无相关性。这些信息将有助于外科医生计划在儿童人群中进行人工耳蜗植入。

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 Medicine-Otorhinolaryngology

CiteScore

3.10

自引率

0.00%

发文量

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.