International Consensus Statements on Intraoperative Testing for Cochlear Implantation Surgery

Author:

Alzhrani Farid1,Aljazeeri Isra123,Abdelsamad Yassin4,Alsanosi Abdulrahman1,Kim Ana H.5,Ramos-Macias Angel6,Ramos-de-Miguel Angel6,Kurz Anja7,Lorens Artur8,Gantz Bruce9,Buchman Craig A.10,Távora-Vieira Dayse111213,Sprinzl Georg14,Mertens Griet1516,Saunders James E.17,Kosaner Julie18,Telmesani Laila M.19,Lassaletta Luis2021,Bance Manohar22,Yousef Medhat123,Holcomb Meredith A.24,Adunka Oliver25,Thomasen Per Cayé-26,Skarzynski Piotr H.27282930,Rajeswaran Ranjith31,Briggs Robert J.32,Oh Seung-Ha33,Plontke Stefan34,O’Leary Stephen J.32,Agrawal Sumit3536,Yamasoba Tatsuya3738,Lenarz Thomas39,Wesarg Thomas40,Kutz Walter41,Connolly Patrick42,Anderson Ilona42,Hagr Abdulrahman1

Affiliation:

1. King Abdullah Ear Specialist Center (KAESC), College of Medicine, King Saud University Medical City, King Saud University, Riyadh, Saudi Arabia

2. Aljaber Ophthalmology and Otolaryngology Specialized Hospital, Ministry of Health, Ahsa, Saudi Arabia

3. Isra Aljazeeri shared first author.

4. Research Department, Research Department, MED-EL GmbH, Riyadh, Saudi Arabia

5. Columbia University Medical Center, New York, New York, USA

6. Department of Otolaryngology and Head and Neck Surgery, University of Las Palmas de Gran Canaria, Las Palmas, Spain

7. Department of Oto-Rhino-Laryngology, Plastic, Aesthetic and Reconstructive Head and Neck Surgery, Comprehensive Hearing Center, Würzburg, Germany

8. Word Hearing Center, Institute of Physiology and Pathology of Hearing, Warsaw/Kajetany, Poland

9. Department of Otolaryngology—Head and Neck Surgery/Neurosurgery, University of Iowa Hospitals and Clinics, University of Iowa, Iowa City, Iowa, USA

10. Department of Otolaryngology-Head & Neck Surgery, Washington University in St. Louis, St. Louis, MO.

11. Division of Surgery, Medical School, The University of Western Australia, Perth, Western Australia, Australia

12. Department of Audiology, Fiona Stanley Fremantle Hospitals Group, Perth, Western Australia, Australia

13. School of Population Health, Curtin University, Perth, Western Australia, Australia

14. Department of Otorhinolaryngology, Karl Landsteiner University of Health Sciences, University Hospital St. Poelten, St. Poelten, Austria

15. Department of Otorhinolaryngology, Head and Neck Surgery, Antwerp University Hospital, Antwerp, Belgium

16. Faculty of Medicine and Health Sciences, Experimental Laboratory of Translational Neurosciences and Dento-Otolaryngology, University of Antwerp, Antwerp, Belgium

17. Section of Otolaryngology-Head and Neck Surgery, Department of Surgery, Dartmouth-Hitchcock Medical Center, Geisel School of Medicine at Dartmouth, New Hampshire, USA

18. Meders Speech and Hearing Clinic, Meders İşitme ve Konuşma Merkezi, İstanbul, Turkey

19. Department of Otolaryngology/Head and Neck Surgery, College of Medicine, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia

20. Department of Otorhinolaryngology, Hospital La Paz, IdiPAZ Research Institute, Madrid, Spain

21. Biomedical Research Networking Centre on Rare Diseases, Institute of Health Carlos III, Madrid, Spain

22. Department of Otolaryngology-Head and Neck Surgery, Addenbrooke’s Hospital, University of Cambridge, United Kingdom

23. Audiology Unit, ENT Department, Menoufia University, Menoufia, Egypt

24. Hearing Implant Program, Department of Otolaryngology, University of Miami, Miami, Florida, USA

25. Ohio State University Wexner Medical Center, The Ohio State University, Columbus, Ohio, USA

26. Department of Otorhinolaryngology, Head and Neck Surgery and Audiology, Rigshospitalet, Denmark

27. Department of Teleaudiology and Screening, World Hearing Center, Institute of Physiology and Pathology of Hearing, Warsaw, Poland

28. Faculty of Dental Medicine, Heart Failure and Cardiac Rehabilitation Department, Medical University of Warsaw, Warsaw, Poland

29. Institute of Sensory Organs, Nadarzyn/Kajetany, Poland

30. Center of Hearing and Speech “Medincus,” Nadarzyn/Kajetany, Poland

31. Madras ENT Research Foundation MERF Institute of Speech and Hearing, Chennai, India

32. Department of Surgery, Otolaryngology, The University of Melbourne, The Royal Victorian Eye and Ear Hospital, East Melbourne, Victoria, Australia

33. Department of Otorhinolaryngology, Seoul National University College of Medicine, Seoul, Korea

34. Department of Otorhinolaryngology, Head and Neck Surgery; Martin Luther University Halle-Wittenberg, Halle (Saale), Germany

35. Department of Otolaryngology-Head and Neck Surgery, Western University, London, Ontario, Canada

36. Department of Electrical and Computer Engineering, School of Biomedical Engineering, Western University, London, Ontario, Canada

37. Tokyo Teishin Hospital, Tokyo, Japan

38. Department of Otolaryngology and Head and Neck Surgery, University of Tokyo, Tokyo, Japan

39. Department of Otorhinolaryngology, Head and Neck Surgery, Hannover Medical School, Hanover, Germany

40. Department of Otorhinolaryngology-Head and Neck Surgery, Medical Center–University of Freiburg, Faculty of Medicine, University of Freiburg, Freiburg im Breisgau, Germany

41. Department of Otolaryngology-Head and Neck Surgery, University of Texas Southwestern Medical Center, Dallas, Texas, USA

42. Clinical Research Department, MED-EL GmbH, Innsbruck, Austria; and

Abstract

Objectives: A wide variety of intraoperative tests are available in cochlear implantation. However, no consensus exists on which tests constitute the minimum necessary battery. We assembled an international panel of clinical experts to develop, refine, and vote upon a set of core consensus statements. Design: A literature review was used to identify intraoperative tests currently used in the field and draft a set of provisional statements. For statement evaluation and refinement, we used a modified Delphi consensus panel structure. Multiple interactive rounds of voting, evaluation, and feedback were conducted to achieve convergence. Results: Twenty-nine provisional statements were included in the original draft. In the first voting round, consensus was reached on 15 statements. Of the 14 statements that did not reach consensus, 12 were revised based on feedback provided by the expert practitioners, and 2 were eliminated. In the second voting round, 10 of the 12 revised statements reached a consensus. The two statements which did not achieve consensus were further revised and subjected to a third voting round. However, both statements failed to achieve consensus in the third round. In addition, during the final revision, one more statement was decided to be deleted due to overlap with another modified statement. Conclusions: A final core set of 24 consensus statements was generated, covering wide areas of intraoperative testing during CI surgery. These statements may provide utility as evidence-based guidelines to improve quality and achieve uniformity of surgical practice.

Publisher

Ovid Technologies (Wolters Kluwer Health)

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