超薄模臼齿电极和超薄直电极的听力保护：系统回顾和荟萃分析。

IF 1.9 3区医学 Q3 CLINICAL NEUROLOGY

Otology & Neurotology Pub Date : 2025-05-14 DOI:10.1097/MAO.0000000000004540

Shuang Geng, Sudanthi Wijewickrema, Bridget Copson, Jean-Marc Gerard, Stephen O'Leary

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引用次数: 0

摘要

目的：本荟萃分析旨在探讨超薄直电极（SSE）和超薄模摩尔电极（SME）在人工耳蜗植入术后短期和长期（分别≤4个月和4-12个月）的听力保存率。方法：系统检索PubMed、Embase、Cochrane Library和ClinicalTrials数据库中2014年1月1日至2024年1月1日发表的研究。队列研究、病例系列和随机对照试验用英文撰写，使用HEARRING分类系统报告HP发病率。结果：纳入16项研究，其中观察性研究15项，随机对照试验1项。SSE的总体短期HP率为68.70% (95% CI: 52.27-85.12%)，长期HP率降至56.38% （95% CI: 42.87-69.90%）。相比之下，中小企业的短期HP率稳定在59.07% (95% CI: 50.03-68.10%)，长期HP率稳定在59.09% （95% CI: 46.48-71.70%）。结论：通过meta分析，中小企业和中小企业在短期和长期内都具有相似的HP能力。值得注意的是，与中小企业相比，上交所的HP率随时间显著下降。

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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Hearing Preservation of Slim Modiolar and Slim Straight Electrodes: A Systematic Review and Meta-Analysis.

Purpose: This meta-analysis aims to investigate the hearing preservation (HP) rates of slim straight electrodes (SSE) and slim modiolar electrodes (SME) after cochlear implantation, in the short- and long-term (≤4 months and 4-12 months, respectively).

Methods: A systematic search was conducted in PubMed, Embase, Cochrane Library, and ClinicalTrials databases for studies published between 1 January, 2014, and 1 January, 2024. Cohort studies, case series, and randomized controlled trials written in English, reporting HP rates using the HEARRING classification system, were included.

Results: Sixteen studies were included, comprising 15 observational studies and 1 randomized controlled trial. The overall short-term HP rate for SSE was 68.70% (95% CI: 52.27-85.12%), which decreased to 56.38% (95% CI: 42.87-69.90%) in the long-term. In contrast, SME maintained stable HP rates of 59.07% (95% CI: 50.03-68.10%) in the short-term, and 59.09% (95% CI: 46.48-71.70%) in the long-term.

Conclusion: The meta-analysis revealed that SME and SSE have a similar HP ability in both the short- and long-terms. Notably, a prominent decline in HP rate over time was observed in the SSE compared with SME.

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来源期刊

Otology & Neurotology 医学-耳鼻喉科学

CiteScore

3.80

自引率

14.30%

发文量

509

审稿时长

3-6 weeks

期刊介绍： Otology & Neurotology publishes original articles relating to both clinical and basic science aspects of otology, neurotology, and cranial base surgery. As the foremost journal in its field, it has become the favored place for publishing the best of new science relating to the human ear and its diseases. The broadly international character of its contributing authors, editorial board, and readership provides the Journal its decidedly global perspective.