Otology & Neurotology最新文献

{"title":"Robot-assisted Versus Manual: Intracochlear Forces During and After Cochlear Implant Electrode Insertion Show Benefits of Automation and Electrode Guidance.","authors":"Jakob Cramer, Georg Böttcher-Rebmann, Max Fröhlich, Eralp Artukarslan, Max E Timm, Omid Majdani, Thomas Lenarz, Thomas S Rau","doi":"10.1097/MAO.0000000000004636","DOIUrl":"https://doi.org/10.1097/MAO.0000000000004636","url":null,"abstract":"<p><strong>Hypothesis: </strong>Smooth and steady cochlear implant electrode insertions with minimal manual interactions during and after insertion positively impact intracochlear forces.</p><p><strong>Background: </strong>Inserting the electrode array is a critical step during cochlear implant surgery, as associated trauma can influence hearing outcomes. Automated insertions have shown the potential to reduce trauma while enhancing insertion consistency. This study aims to compare the intracochlear effects of manual and automated insertions, focusing on forces and factors affecting insertion reproducibility.</p><p><strong>Methods: </strong>In total, 90 implantation experiments into an artificial temporal bone phantom were conducted, consisting of the insertion of the electrode array into the cochlea, its release from the tool and subsequent lead fixation. Three different insertion techniques were compared: manual insertion and automated insertion with and without an additional electrode guide tube. Intracochlear forces were measured along with time-synchronized video recordings during the entire process.</p><p><strong>Results: </strong>The data confirms that automation significantly reduces maximum forces and force fluctuation. This positive effect is counteracted through manual interactions, such as electrode buckling corrections and lead manipulations in the postinsertion phase. Both induce significant intracochlear force peaks. The use of a guide tube can effectively prevent electrode buckling and associated manual manipulations, resulting in a smoother insertion with higher reproducibility.</p><p><strong>Conclusion: </strong>Besides confirming the force-reducing effect of automated insertions, we present aspects that should be considered to enhance insertion reproducibility using robotic devices. Since clinical data does not conclusively reflect the advantages of automation observed in lab experiments, reducing manual interactions could improve the clinical transferability of these benefits.</p>","PeriodicalId":19732,"journal":{"name":"Otology & Neurotology","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145239262","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Endoscopic Management of Primary External Auditory Canal Cholesteatoma: Outcomes and Technical Considerations.","authors":"Yuvatiya Plodpai, Pittayapon Pitathawatchai, Pattarawadee Prayuenyong","doi":"10.1097/MAO.0000000000004650","DOIUrl":"https://doi.org/10.1097/MAO.0000000000004650","url":null,"abstract":"<p><strong>Objective: </strong>Primary external auditory canal cholesteatoma (PEACC) represents a rare otologic entity, and the optimal role of endoscopic intervention remains undefined. This study evaluated the technical feasibility and clinical outcomes of endoscopic management for this condition.</p><p><strong>Patients: </strong>Patients diagnosed with PEACC between 2012 and 2022 were enrolled. Posttreatment surveillance was maintained for all participants, ensuring at least 1 year of follow-up.</p><p><strong>Intervention: </strong>Endoscopic approach and management for PEACC.</p><p><strong>Methods: </strong>In the nonoperative treatment group, subjects underwent meticulous keratin debris removal and saline irrigation using the endoscope for visualization. Subjects underwent transcanal exclusive endoscopic ear surgery (TEES), endoscopic-assisted surgery, or canal wall-down mastoidectomy with obliteration in the operative treatment group.</p><p><strong>Main outcome measurement: </strong>Treatment success was defined as a dry, fully epithelialized, self-cleaning ear.</p><p><strong>Results: </strong>Sixty-five patients who completed the treatment protocols were enrolled. PEACC was categorized as stage II, III, and IV in 7, 41, and 17 cases, respectively. Successful nonoperative treatment using the transcanal endoscopic approach was achieved in 41 patients. TEES and endoscopy-assisted surgery was performed in 9 and 8 patients, respectively. Canal wall-down mastoidectomy with obliteration was performed in 7 patients with the far-advanced stage IV. Recurrence was observed in 1 case, necessitating revision surgical intervention.</p><p><strong>Conclusion: </strong>Endoscopic intervention is the treatment of choice for PEACC. In cases of limited disease, TEES alone typically achieves excellent outcomes, resulting in a dry, clean, and healed external auditory canal, while extensive cases often require a combined endoscopic and open surgical approach for optimal control.</p>","PeriodicalId":19732,"journal":{"name":"Otology & Neurotology","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145239311","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The 5-Item Modified Frailty Index Predicts Postoperative Complications After Cochlear Implantation.","authors":"Christopher Z Wen, Daniel C Fong, Marcelina Puc, Adam C Kaufman","doi":"10.1097/MAO.0000000000004642","DOIUrl":"https://doi.org/10.1097/MAO.0000000000004642","url":null,"abstract":"<p><strong>Objective: </strong>Examine the relationship between frailty and postoperative outcomes in cochlear implant (CI) recipients.</p><p><strong>Study design: </strong>Retrospective cohort study.</p><p><strong>Setting: </strong>Epic Cosmos Database.</p><p><strong>Subject population: </strong>A total of 23,550 cochlear implantations between 2015 and 2023.</p><p><strong>Intervention: </strong>Unilateral or bilateral cochlear implantation.</p><p><strong>Main outcome measures: </strong>Rates of CI explantation, inpatient admission, nonhome discharge, and major complications such as stroke, myocardial infarction, and renal failure.</p><p><strong>Results: </strong>Of 23,550 cochlear implantations identified, 53.1% were male, and the average age at implantation was 64.1 years (SD 17.3). The average mFI-5 score was 0.66 (SD 0.81), with 53% of patients having an mFI-5 score of 0. Fewer than 1% of cases had postoperative explantation, inpatient admission, or major complications. Frailty, as measured by mFI-5, was a strong predictor for rates of postoperative complications, readmission, and nonhome discharge. For each one-point increase in mFI-5 score, the odds ratio increased by 1.84 for postoperative inpatient admission (P<0.000001, 95% CI: 1.70-1.98), 1.41 for discharge to nonhome locations (P<0.001, 95% CI: 1.18-1.67), and 2.15 for major complications (P<0.000001, 95% CI: 1.95-2.38). This was as high as 6.96, 2.26, and 8.27, respectively, for severely frail patients (mFI-5 ≥ 3). Age was not a strong predictor of any of the outcome measures. Explanation rates were not significantly associated with frailty scores or age.</p><p><strong>Conclusion: </strong>CI remains a generally safe procedure with low overall complication rates. Contrary to prior studies, frailty as measured by the mFI-5 is a strong predictor of postoperative complications and adverse events for patients undergoing CI.</p>","PeriodicalId":19732,"journal":{"name":"Otology & Neurotology","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145239281","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Eustachian Tube Dysfunction Questionnaire-7 Poorly Predicts Eustachian Tube Dysfunction in Patients With Tinnitus.","authors":"Najm S Khan, Lauren R McCray, Aatin K Dhanda, Kenny F Lin, Masayoshi Takashima, Omar G Ahmed, Jeffrey T Vrabec","doi":"10.1097/MAO.0000000000004634","DOIUrl":"https://doi.org/10.1097/MAO.0000000000004634","url":null,"abstract":"<p><strong>Objective: </strong>Eustachian tube dysfunction (ETD) is a common condition associated with otologic and rhinologic symptoms. The Eustachian Tube Dysfunction Questionnaire-7 (ETDQ7) is validated for assessing ETD, but it queries symptoms present in many inner ear pathologies. This study aimed to determine the correlation between tinnitus scores and total ETDQ7 scores.</p><p><strong>Study design: </strong>Prospective observational study.</p><p><strong>Setting: </strong>A single tertiary care medical center between July 2023 and February 2024.</p><p><strong>Patients: </strong>Patients 18 years and above presenting with hearing loss or tinnitus.</p><p><strong>Interventions: </strong>ETDQ-7 and Tinnitus Handicap Inventory (THI) questionnaires.</p><p><strong>Main outcome measures: </strong>Median scores and correlation between ETDQ-7 and THI.</p><p><strong>Results: </strong>A total of 65 patients presenting with a primary complaint of tinnitus or hearing loss were included. Median age was 61, 9% had abnormal tympanograms, and 74% had hearing loss on audiogram. The overall median ETDQ-7 score was 20 (IQR: 16.0, 28.0). ETDQ-7 was ≥14.5 in 83% of patients. Patients with ETDQ-7 scores ≥14.5 had scored higher on both the THI and the tinnitus item of the ETDQ-7 (ETDQ7-t) (P<0.001). A positive correlation was observed between THI and both total ETDQ-7 (rs=0.50, P<0.001, 95% CI: 0.28-0.67) and ETDQ7-t scores (rs=0.64, P<0.001, 95% CI: 0.47-0.77).</p><p><strong>Conclusion: </strong>Patients presenting with tinnitus and hearing loss can have an elevated ETDQ7 score, which incorrectly suggests a suspicion of ETD. Physicians utilizing this questionnaire to identify or quantify ETD severity should cautiously interpret results in patients presenting with any complaints of tinnitus.</p>","PeriodicalId":19732,"journal":{"name":"Otology & Neurotology","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-10-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145213260","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Obliteration of the Epitympanum and Mastoid Results in Reduced Cholesteatoma Recidivism: Long-term Outcomes and Technique.","authors":"Simon I Angeli, Stefania Goncalves, Juan A Chiossone-Kerdel","doi":"10.1097/MAO.0000000000004645","DOIUrl":"https://doi.org/10.1097/MAO.0000000000004645","url":null,"abstract":"<p><strong>Objective: </strong>To compare long-term rates of cholesteatoma recidivism between cases undergoing tympanomastoidectomy with obliteration and without obliteration.</p><p><strong>Study design: </strong>Retrospective case-control.</p><p><strong>Setting: </strong>Tertiary referral center.</p><p><strong>Patients: </strong>Adults and older children with pars flaccida cholesteatoma.</p><p><strong>Intervention: </strong>Tympanomastoidectomy with or without obliteration of the epitympanum and mastoid.</p><p><strong>Main outcome measure: </strong>Recidivistic cholesteatoma (ie, residual and/or recurrent cholesteatoma) determined by otoscopy, revision surgery, or imaging.</p><p><strong>Methods: </strong>Retrospective chart review of pars flaccida cholesteatoma surgeries by a single surgeon between 2015 and 2023. Demographic, clinical, and surgical information, inclusive of cholesteatoma type and EAONO/JOS staging.</p><p><strong>Results: </strong>There were 60 cases with obliteration and 63 cases without obliteration that were similar in age, sex, hearing, and cholesteatoma type and stage. Cases with obliteration had statistically significantly lower rates of recurrent (5% vs. 17%, P=0.0447) and residual (3.3% vs. 16%, P=0.0303) cholesteatoma compared with those without obliteration. The overall rate of recidivistic disease was 23.8% in cases without obliteration and 6.8% in cases with obliteration (P=0.0116). Using Kaplan-Meier analysis, recidivistic cholesteatoma-free survival rates at 5 years for the obliteration and non-obliteration groups were 91% and 63%, respectively (P=0.0367, log-rank test). No other clinical or surgical factors influenced recidivism.</p><p><strong>Conclusions: </strong>Epitympanum and mastoid obliteration during CWU and CWD tympanomastoidectomy for pars flaccida cholesteatoma is associated with reduced rates of recurrent and residual disease when compared with cases without obliteration.</p>","PeriodicalId":19732,"journal":{"name":"Otology & Neurotology","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-10-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145213335","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Remote CI Fitting in Early Rehabilitation Phase: Preliminary Results.","authors":"Nienke C Homans, Hylke F E van der Toom, André Goedegebure, Jantien L Vroegop","doi":"10.1097/MAO.0000000000004648","DOIUrl":"https://doi.org/10.1097/MAO.0000000000004648","url":null,"abstract":"<p><strong>Objective: </strong>Rising cochlear implant (CI) candidate numbers and limited clinic resources challenge high-quality care. Remote programming via telemedicine offers a solution to enhance efficiency while maintaining patient satisfaction and outcomes. This study examined the feasibility of replacing an in-clinic fitting with a remote one during the rehabilitation phase.</p><p><strong>Patients: </strong>This study included 31 postlingually deafened adult CI users implanted at Erasmus Medical Center, Rotterdam, The Netherlands.</p><p><strong>Interventions: </strong>Recently, a new remote programming system allowed audiologists to program implants via the CI user's smartphone app using Bluetooth connectivity. Twenty-one participants received standard in-clinic rehabilitation of 4 fitting appointments, while 10 patients underwent remote fitting for their third appointment.</p><p><strong>Main outcome measures: </strong>Auditory functioning and patient satisfaction was evaluated at 3 months postimplantation.</p><p><strong>Results: </strong>Participants in the remote group expressed high satisfaction with the process, with most of them recommending remote fitting to others. Most participants found the setup easy and appreciated the convenience of skipping an in-clinic visit. Technical performance was stable, with the exception of one CI user for whom it was not possible to establish the connection. No significant differences were observed between groups in free-field PTA thresholds, speech perception scores, or perceived auditory functioning (SSQ).</p><p><strong>Conclusions: </strong>Remote fitting proves to be a feasible alternative to in-clinic programming, yielding high patient satisfaction and similar auditory outcomes. It could optimize CI care by reducing clinic burden and improving accessibility, advancing future-proof CI health care. Further research with larger samples is needed to validate these findings and explore long-term effects. Incorporating streaming options and/or subtitles would enhance communication during the process.</p>","PeriodicalId":19732,"journal":{"name":"Otology & Neurotology","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-10-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145213272","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A Systematic Review and Meta-Analysis of Meningitis Risk Reduction After Repair of Spontaneous Lateral Skull Base Cerebrospinal Fluid Leaks.","authors":"Khadija Khan, Prishae Wilson, Mayuri S Patel, Estephania Candelo, Zhen Wang, Tara Brigham, Mallory Raymond","doi":"10.1097/MAO.0000000000004602","DOIUrl":"https://doi.org/10.1097/MAO.0000000000004602","url":null,"abstract":"<p><strong>Objective: </strong>To estimate the relative risk of meningitis after repair of spontaneous lateral skull base cerebrospinal fluid (CSF) leaks through meta-analysis of published studies.</p><p><strong>Databases reviewed: </strong>PubMed, Medline, Embase, Cochrane, SCI-EXPANDED, ESCI, Epistemonikos, and WHO Global Index Medicus were queried for terms including and related to meningitis, CSF leak, surgery, and spontaneous from inception to April 02, 2024.</p><p><strong>Methods: </strong>Prospective and retrospective studies in any language reporting either preoperative or postoperative rates of meningitis in adults with spontaneous lateral skull base CSF leaks were included. Two reviewers independently screened 2,564 studies and extracted data and evaluated risk of bias in 57 studies that met inclusion criteria. A random effects generalized linear mixed model was used to pool and compare logit transformed risk of meningitis before and after repair.</p><p><strong>Results: </strong>Of 1,310 patients who met inclusion criteria, 1,239 underwent CSF leak repair. Fifty-two studies reported rates of preoperative meningitis, and 27 studies reported rates of postoperative meningitis. Twenty-two studies with a total of 511 patients reported both rates. The average follow-up period of 17 studies reporting duration of follow-up was 23.1 months. The preoperative pooled risk of meningitis was 0.16 (95% CI: 0.13-0.25, I2 = 40.57%). The postoperative pooled risk was considerably lower at 0.01 (95% CI: 0.01-0.14, I2 = 4.16%). With substantial heterogeneity (I2 = 62.94%), we observed a relative risk of meningitis after repair of 0.02 (95% CI: 0.00-0.79, p = 0.04).</p><p><strong>Conclusion: </strong>Surgical repair of spontaneous lateral skull base CSF leaks may significantly reduce the risk of adult meningitis.</p>","PeriodicalId":19732,"journal":{"name":"Otology & Neurotology","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-10-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145213221","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Understanding Variability in Long-Term Psychological Adjustment of Prelingually Deaf Young Adults Implanted During Childhood.","authors":"William G Kronenberger, Irina Castellanos, Morgan A Kincaid, Rick F Nelson, Charles W Yates, Susan T Sehgal, Allison M Ditmars, Carolyn J Herbert, David B Pisoni","doi":"10.1097/MAO.0000000000004607","DOIUrl":"https://doi.org/10.1097/MAO.0000000000004607","url":null,"abstract":"<p><strong>Background: </strong>Young adults who received cochlear implants (CI) during childhood experience considerable variability in psychological adjustment. Understanding and explaining this within-group variability can help to identify CI users who are at risk for adjustment problems and suggest intervention strategies. This study investigated associations between psychological adjustment and hearing history, speech-language skills, and nonverbal intelligence in young adults who received CIs in childhood.</p><p><strong>Methods: </strong>Study participants were 30 young adult CI users aged 18-27 years, who were implanted at age 6 years or younger between the years of 1988 and 2003. Self-reported psychological adjustment was assessed in two domains: behavioral-emotional problems and executive functioning problems. Measures of device/hearing history, nonverbal intelligence, speech recognition, vocabulary, and everyday language comprehension problems were obtained to test for contributions to psychological adjustment outcomes.</p><p><strong>Results: </strong>Participants displayed significant variability in psychological adjustment scores, with sample mean scores falling in the average or the minimal problem range. Between 13% and 20% of the sample reported clinically elevated psychological adjustment problems. Psychological adjustment was not related to demographic or device/hearing history variables. In regression equations, fewer everyday language comprehension problems were associated with better psychological adjustment. Speech recognition, vocabulary, and nonverbal intelligence were inconsistently related or unrelated to psychological adjustment.</p><p><strong>Conclusion: </strong>Pediatric CI recipients vary in psychological adjustment outcomes during young adulthood. Functional, everyday, higher-order language comprehension skills appear to be centrally important for psychological adjustment in young adult CI users.</p>","PeriodicalId":19732,"journal":{"name":"Otology & Neurotology","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-10-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145213296","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Characterization of Hearing Loss in Paget Disease: A National Database Study.","authors":"Ross Rosen, Chelsea Cleveland, Jamil Hayden, Todd Otteson, Tekin Baglam","doi":"10.1097/MAO.0000000000004641","DOIUrl":"https://doi.org/10.1097/MAO.0000000000004641","url":null,"abstract":"<p><strong>Objectives: </strong>The primary objective of this study is to identify a relationship between Paget disease and sensorineural, conductive, and mixed hearing loss.</p><p><strong>Methods: </strong>Using the TriNetx Analytics Network, a retrospective database review was performed. The database was queried for patients with a diagnosis of Paget disease. A control group was created by querying all patients without a diagnosis of Paget. Patients in both the control and study group with a diagnosis of hearing loss, tinnitus, vertigo, and cochlear implantation were recorded, propensity-matched by age, hypertension, diabetes, aspirin use, and loop diuretic use.</p><p><strong>Results: </strong>We identified 8790 patients with Paget disease. Among the control group, 6.1% had a diagnosis of sensorineural hearing loss, 0.46% had a diagnosis of conductive hearing loss, and 0.9% had a diagnosis of mixed hearing loss. The Paget disease group had a significantly higher rate of all 3 types of hearing loss: 9.1% had sensorineural hearing loss (P < 0.001), 0.8% had conductive hearing loss (P < 0.001), and 1.45% had mixed hearing loss (P = 0.006). Patients with Paget disease also had higher rates of tinnitus (4.6% vs 2.8%, P < 0.001) and vertigo (3.9% vs 2.8%, P < 0.001).</p><p><strong>Conclusion: </strong>This study is the largest to date that describes a relationship between Paget and otologic complications. There was a significant increased risk in each hearing loss subgroup as well as tinnitus and vertigo for patients with Paget disease. Further studies should focus on better understanding of screening and prevention of hearing loss for this population.</p><p><strong>Level of evidence: </strong>Level IV.</p>","PeriodicalId":19732,"journal":{"name":"Otology & Neurotology","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-10-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145213184","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Impact of Adult Cochlear Implantation on Communication Partner Disability and Quality of Life: A Systematic Review.","authors":"Jessica C Goodwin, Monica C Amarante, Mayuri S Patel, Prishae Wilson, Tara Brigham, Mallory J Raymond","doi":"10.1097/MAO.0000000000004633","DOIUrl":"https://doi.org/10.1097/MAO.0000000000004633","url":null,"abstract":"<p><strong>Objective: </strong>Assess the impact of adult cochlear implantation on the disability and quality of life (QOL) of communication partners (CP) of cochlear implant (CI) recipients.</p><p><strong>Databases reviewed: </strong>PubMed, MEDLINE, Embase, Cochrane CENTRAL, Science Citation Index Expanded, and Emerging Sources Citation Index were searched.</p><p><strong>Methods: </strong>This study was reported following the preferred reporting items for systematic reviews and meta-analysis (PRISMA) guidelines. Articles included reported on disability or QOL measures of CP of adult CI recipients. Study selection included retrospective, prospective, and randomized controlled studies in English language. Three reviewers independently screened studies for inclusion, extracted data, and evaluated risk of bias. Outcomes included both qualitative and quantitative pre-CI and post-CI measures of CP disability or QOL.</p><p><strong>Results: </strong>Of 1615 screened articles, 9 studies utilizing quantitative and qualitative measures with 504 CP met inclusion criteria. Four of 6 studies assessing only post-CI CP QOL, demonstrated self-reported improvement, while one demonstrated worse CP QOL compared with the general population and one identified CP and CI recipient qualities that correlated with CP QOL scores. Two studies assessing pre-CI to post-CI CP QOL also reported improvements. One study assessing only pre-CI CP QOL suggested that CPs had worse QOL than normal hearing controls. Duration of CI recipient hearing loss did not impact CP QOL in any study.</p><p><strong>Conclusions: </strong>Though homogenous data on the QOL of CPs of CI recipients and the relationship between CI recipient and CP factors is limited, studies suggest that CPs of CI recipients may have worse QOL than the general population but, cochlear implantation may improve CP QOL.</p>","PeriodicalId":19732,"journal":{"name":"Otology & Neurotology","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-10-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145213234","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}