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电 Cochleography 和耳蜗植入:系统评价。

Electrocochleography and Cochlear Implantation: A Systematic Review.

机构信息

Department of Otolaryngology-Head & Neck Surgery, The Ohio State University Wexner Medical Center, Columbus, Ohio.

Department of Otolaryngology-Head and Neck Surgery, University Hospital of Foggia, Foggia, Italy.

出版信息

Otol Neurotol. 2020 Aug;41(7):864-878. doi: 10.1097/MAO.0000000000002694.

DOI:10.1097/MAO.0000000000002694
PMID:32420718
Abstract

OBJECTIVE

Given the heterogeneity of papers about electrocochleography (ECochG) and cochlear implantation (CI) and the absence of a systematic review in the current literature, the aim of this work was to analyze the uses of ECochG in the different stages of CI.

DATA SOURCES

A search of PubMed from inception to December 8, 2019, with cross-references, was executed. Keywords were: "Cochlear Implant" OR "Cochlear Implantation" AND "Electrocochleography" OR "ECochG." The main eligibility criteria were English-language articles, investigating the use of ECochG in the different phases of CI.

STUDY SELECTION

Literature reviews, editorials, case reports, conference papers were excluded, as were papers in which ECochG was just sporadically executed.

DATA EXTRACTION

The quality of the included studies was assessed using "The Strengthening the Reporting of Observational Studies in Epidemiology" (STROBE) Statement.

DATA SYNTHESIS

A total of 95 articles were identified and 60 papers were included. The included articles covered a timeframe from 2003 to 2019. Of the 60 papers, 46 were human studies, 12 animal studies, and two involved more data sets. Eleven related to the diagnostic phase, 43 described intraoperative monitoring, and 10 were regarding follow-up testing. Hearing preservation was the most discussed topic with 25 included articles.

CONCLUSIONS AND RELEVANCE

ECochG measurements appeared to be useful in many aspects of CI, such as hearing preservation. Our review is the first that shows the evolution of the technique and how much has been achieved from the earliest experiments to the most recent signal process refinements and device implementation in CI.

摘要

目的

鉴于电测听(ECochG)和人工耳蜗植入(CI)相关文献的异质性,以及当前文献中缺乏系统评价,本研究旨在分析 ECochG 在 CI 不同阶段的应用。

资料来源

对 PubMed 进行了从建库至 2019 年 12 月 8 日的检索,并进行了交叉引用。关键词为:“耳蜗植入”或“耳蜗植入术”和“电测听”或“ECochG”。主要入选标准为调查 ECochG 在 CI 不同阶段应用的英文文章,排除文献综述、社论、病例报告和会议论文,以及仅偶尔进行 ECochG 的文章。

研究选择

排除文献综述、社论、病例报告、会议论文,以及仅偶尔进行 ECochG 的文章。

资料提取

使用“观察性研究的报告质量强化(STROBE)声明”评估纳入研究的质量。

资料综合

共确定 95 篇文章,纳入 60 篇。纳入的文章涵盖 2003 年至 2019 年的时间范围。在 60 篇文章中,46 篇为人类研究,12 篇为动物研究,2 篇涉及更多数据集。11 篇与诊断阶段有关,43 篇描述了术中监测,10 篇是关于随访测试。听力保护是讨论最多的话题,有 25 篇文章涉及。

结论和相关性

ECochG 测量在 CI 的许多方面似乎都很有用,例如听力保护。我们的综述是首次展示了该技术的演变,以及从最早的实验到最近的信号处理改进和 CI 中的设备实施,取得了多大的进展。

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