Aljazeeri Isra, Abdelsamad Yassin, Alsanosi Abdulrahman, Hagr Abdulrahman, Kim Ana H, Ramos-Macias Angel, de Miguel Angel Ramos, Kurz Anja, Lorens Artur, Gantz Bruce, Buchman Craig A, Távora-Vieira Dayse, Sprinzl Georg, Mertens Griet, Saunders James E, Kosaner Julie, Telmesani Laila M, Lassaletta Luis, Bance Manohar, Yousef Medhat, Holcomb Meredith A, Adunka Oliver, Cayé-Thomasen Per, Skarzynski Piotr Henryk, Rajeswaran Ranjith, Briggs Robert J, Oh Seung-Ha, Plontke Stefan K, O'Leary Stephen J, Agrawal Sumit, Yamasoba Tatsuya, Lenarz Thomas, Wesarg Thomas, Kutz Walter, Connolly Patrick, Anderson Ilona, Alzhrani Farid
King Abdullah Ear Specialist Center (KAESC), College of Medicine, King Saud University Medical City (KSUMC), King Saud University, PO Box 245, 11411, Riyadh, Saudi Arabia.
Aljaber Ophthalmology and Otolaryngology Specialized Hospital, Ahsa, Ministry of Health, Al Hufuf, Saudi Arabia.
Eur Arch Otorhinolaryngol. 2025 Feb;282(2):681-689. doi: 10.1007/s00405-024-08944-y. Epub 2024 Sep 17.
In cochlear implantation (CI) surgery, there are a wide variety of intraoperative tests available. However, no clear guide exists on which tests must be performed as the minimum intraoperative testing battery. Toward this end, we studied the usage patterns, recommendations, and attitudes of practitioners toward intraoperative testing.
This study is a multicentric international survey of tertiary referral CI centers. A survey was developed and administered to a group of CI practitioners (n = 34) including otologists, audiologists and biomedical engineers. Thirty six participants were invited to participate in this study based on a their scientific outputs to the literature on the intraoperative testing in CI field and based on their high load of CI surgeries. Thirty four, from 15 countries have accepted the invitation to participate. The participants were asked to indicate the usage trends, perceived value, influence on decision making and duration of each intraoperative test. They were also asked to indicate which tests they believe should be included in a minimum test battery for routine cases.
Thirty-two (94%) experts provided responses. The most frequently recommended tests for a minimum battery were facial nerve monitoring, electrode impedance measurements, and measurements of electrically evoked compound action potentials (ECAPs). The perceived value and influence on surgical decision-making also varied, with high-resolution CT being rated the highest on both measures.
Facial nerve monitoring, electrode impedance measurements, and ECAP measurements are currently the core tests of the intraoperative test battery for CI surgery.
在人工耳蜗植入（CI）手术中，有各种各样的术中测试方法。然而，对于作为最低限度术中测试组合必须进行哪些测试，目前尚无明确的指南。为此，我们研究了从业者对术中测试的使用模式、建议和态度。
本研究是一项对三级转诊CI中心的多中心国际调查。我们设计了一项调查问卷，并对一组CI从业者（n = 34）进行了调查，这些从业者包括耳科医生、听力学家和生物医学工程师。基于他们在CI领域术中测试方面的科学文献产出以及高CI手术量，邀请了36名参与者参与本研究。来自15个国家的34名参与者接受了邀请。参与者被要求指出每种术中测试的使用趋势、感知价值、对决策的影响以及持续时间。他们还被要求指出他们认为常规病例的最低测试组合中应包括哪些测试。
32名（94%）专家提供了回复。最低测试组合中最常被推荐的测试是面神经监测、电极阻抗测量和电诱发复合动作电位（ECAP）测量。感知价值和对手术决策的影响也各不相同，高分辨率CT在这两项指标上的评分最高。
面神经监测、电极阻抗测量和ECAP测量目前是CI手术术中测试组合的核心测试。
