Listen for Life Center, Department of Otolaryngology-Head and Neck Surgery, Virginia Mason Medical Center, Seattle, Washington, U.S.A.
Department of Otolaryngology-Head and Neck Surgery, University of Miami, Miami, Florida, U.S.A.
Laryngoscope. 2024 Feb;134 Suppl 3(Suppl 3):S1-S14. doi: 10.1002/lary.30879. Epub 2023 Jul 12.
The indications for cochlear implantation have expanded over time due to evidence demonstrating identification and implantation of appropriate cochlear implant (CI) candidates lead to significant improvements in speech recognition and quality of life (QoL). However, clinical practice is variable, with some providers using outdated criteria and others exceeding current labeled indications. As a results, only a fraction of those persons who could benefit from CI technology receive it. This document summarizes the current evidence for determining appropriate referrals for adults with bilateral hearing loss into CI centers for formal evaluation by stressing the importance of treating each ear individually and a "revised 60/60 rule". By mirroring contemporary clinical practice and available evidence, these recommendations will also provide a standardized testing protocol for CI candidates using a team-based approach that prioritizes individualized patient care. This manuscript was developed by the Adult Cochlear Implantation Candidacy Task Force of the American Cochlear Implant Alliance using review of the existing literature and clinical consensus. LEVEL OF EVIDENCE: N/A Laryngoscope, 134:S1-S14, 2024.
随着证据表明，识别和植入合适的人工耳蜗（CI）候选者可显著提高言语识别和生活质量（QoL），耳蜗植入的适应证已经随着时间的推移而扩大。然而，临床实践存在差异，一些提供者使用过时的标准，而另一些则超出了当前的标签适应证。因此，只有一小部分有资格受益于 CI 技术的人得到了这项技术。本文件总结了目前关于确定双侧听力损失成人到 CI 中心进行正式评估的适当转诊的证据，强调了单独治疗每只耳朵的重要性和“修订的 60/60 规则”。通过反映当代临床实践和现有证据，这些建议还将为使用基于团队的方法的 CI 候选者提供标准化的测试方案，该方法优先考虑个体化的患者护理。本文由美国人工耳蜗植入候选者成人植入任务组（Adult Cochlear Implantation Candidacy Task Force）根据现有文献和临床共识进行综述而编写。证据水平：无。喉镜，134：S1-S14，2024 年。
