Royal Stoke University Hospital, Newcastle Road, Stoke on Trent, UK.
Royal Stoke University Hospital, Newcastle Road, Stoke on Trent, UK;University Hospitals Birmingham NHS Foundation Trust, Queen Elizabeth Hospital Birmingham, Mindelsohn Way, Edgbaston, UK.
J Int Adv Otol. 2021 Mar;17(2):162-174. doi: 10.5152/JIAO.2021.9228.
Establish outcomes following cochlear implantation (CI) in patients following temporal bone trauma. Systematic review and narrative synthesis. Medline, Pubmed, Embase, Web of Science, Cochrane Collection, and ClinicalTrials.gov. No limits are placed on language or year of publication. The review conducted in accordance with the PRISMA statement. Searches identified 223 abstracts and 64 full texts. Of these, 23 studies met the inclusion criteria reporting outcomes in 77 patients with at least 96 implants. Hearing outcomes were generally good with most patients demonstrating improved audiological and functional outcomes. Complications were reported in 14 cases with 10 of these being major. The methodological quality of included studies was modest, predominantly consisting of case reports and non-controlled case series with small numbers of patients. All studies were OCEBM grade IV. Hearing outcomes following CI in temporal bone trauma are good with useful functional improvement demonstrated in the majority of patients. It appears to be an effective method of aural rehabilitation and should be considered in selected cases following hearing loss due to temporal bone fracture.
探讨颞骨创伤患者行人工耳蜗植入（CI）后的结局。系统评价和叙述性综合。检索 Medline、Pubmed、Embase、Web of Science、Cochrane Collection 和 ClinicalTrials.gov，未对语言或出版年份设限。综述按照 PRISMA 声明进行。检索到 223 篇摘要和 64 篇全文，其中 23 项研究符合纳入标准，共纳入 77 例患者的 96 例植入物，报告了结局。听力结果总体良好，大多数患者的听力学和功能结局得到改善。14 例出现并发症，其中 10 例为严重并发症。纳入研究的方法学质量中等，主要为病例报告和非对照病例系列研究，患者数量较少。所有研究均为 OCEBM 分级 IV 级。颞骨创伤患者行 CI 后的听力结果良好，大多数患者的听力功能得到了有益的改善。对于因颞骨骨折导致听力损失的患者，这似乎是一种有效的听觉康复方法，可在选择病例中考虑。
