内耳畸形患儿听觉脑干植入的现状；第三届国际小儿听觉脑干植入会议共识声明
Current status of pediatric auditory brainstem implantation in inner ear malformations; consensus statement of the Third International Pediatric ABI Meeting.
作者信息
Sennaroglu Levent, Lenarz Thomas, Roland J Thomas, Lee Daniel J, Colletti Liliana, Behr Robert, Jiang Dan, Saeed Shakeel R, Casselman Jan, Manrique Manuel, Diamante Vicente, Freeman Simon R M, Lloyd Simon K W, Zarowski Andrzej, Offeciers Erwin, Kameswaran Mohan, de la Torre Diamante Daniel Andrés, Bilginer Burçak, Thomas Nick, Bento Ricardo, Sennaroglu Gonca, Yucel Esra, Bajin Munir Demir, Cole Chelsea, Martinez Amy, Loggins Janice, Eisenberg Laurie S, Wilkinson Eric P, Bakey Cheryl A, Carter Christine L, Herrmann Barbara S, Waltzman Susan, Shapiro William, Svirsky Mario, Pallares Norma, Diamante Gabriela, Heller Florencia, Palacios Maria, Diamante Lic Leticia, Chang Waitsz, Tong Michael, Wu Hao, Batuk Merve Ozbal, Yarali Mehmet, Cinar Betul Cicek, Ozkan Hilal Burcu, Aslan Filiz, Hallin Karin, Rask-Andersen Helge, Huarte Alicia, Prieto-Matos Carlos, Topsakal Vedat, Hofkens-Van den Brandt Anouk, Rompaey Vincent Van, Boudewyns An, van de Heyning Paul, Gaertner Lutz, Shapira Yisgav, Henkin Yael, Battelino Saba, Orzan Eva, Muzzi Enrico, Marchi Raffaella, Free Rolien, Frijns Johan H M, Voelker Courtney, Winter Margaret, Schrader Debra, Ganguly Dianne Hammes, Egra-Dagan Dana, Diab Khassan, Dayxes Nikolai, Nanan Ashen, Koji Robinson, Karaosmanoğlu Ayça, Bulut Elif Günay, Verbist Berit, Azadpour Mahan, Mandala Marco, Goffi Maria Valeria, Polak Marek, Lee Kathy Y S, Wilson Katherine, Friedmann David R, Rajeswaran Ranjith, Monsanto Rafael, Cureoglu Sebahattin, Driver Sandra, Bošnjak Roman, Dundar Gorkem, Eroglu Ergin
机构信息
Department of Otolaryngology, Hacettepe University Medical Faculty, Ankara, Turkey.
Department of Otolaryngology, Hannover Medical School, Hannover, Germany.
出版信息
Cochlear Implants Int. 2024 Jul;25(4):316-333. doi: 10.1080/14670100.2024.2413273. Epub 2024 Nov 28.
OBJECTIVES
This study aims to synthesize current knowledge and outcomes related to pediatric auditory brainstem implantation (ABI) in children with severe inner ear malformations (IEMs). It highlights the clinical management practices, challenges, and potential future directions for consensus development in this field.
METHODS
A systematic review of findings presented at the Third International Pediatric ABI Symposium organized by the Hacettepe Cochlear Implant team between 3 and 5 September 2020 was conducted, incorporating data from 41 departments across 19 countries. Relevant clinical outcomes, imaging techniques, surgical approaches, and rehabilitation strategies were analyzed to identify key trends and variability in practices.
RESULTS
The review indicates that children receiving ABIs exhibit diverse auditory outcomes influenced by individual anatomical variations and developmental factors. Early implantation, particularly before the age of three, positively correlates with better auditory and language development. Multicenter experiences underscore the necessity of tailored decision-making, which considers both surgical candidacy and comprehensive rehabilitation resources.
DISCUSSION
: The variability in outcomes emphasizes the need for improved consensus and guidelines regarding eligibility, surgical techniques, and multidisciplinary rehabilitation approaches. Notable complications and the necessity for thorough imaging assessments were also identified as critical components affecting clinical decisions.
CONCLUSION
A formal consensus statement is warranted to standardize best practices in ABI management. This will not only enhance patient outcomes but also guide future research efforts to address the remaining challenges in the treatment of children with severe IEMs. Enhanced collaboration among team members will be pivotal in achieving these objectives.
目的
本研究旨在综合有关重度内耳畸形（IEM）患儿小儿听觉脑干植入（ABI）的现有知识和成果。它突出了该领域临床管理实践、挑战以及共识发展的潜在未来方向。
方法
对2020年9月3日至5日由哈杰泰佩人工耳蜗团队组织的第三届国际小儿ABI研讨会所展示的研究结果进行了系统综述，纳入了来自19个国家41个科室的数据。对相关临床结果、成像技术、手术方法和康复策略进行了分析，以确定实践中的关键趋势和变异性。
结果
综述表明，接受ABI植入的儿童呈现出受个体解剖变异和发育因素影响的多样听觉结果。早期植入，尤其是在三岁之前，与更好的听觉和语言发育呈正相关。多中心经验强调了个性化决策的必要性，这需要考虑手术适应症和全面的康复资源。
讨论
结果的变异性强调了在资格标准、手术技术和多学科康复方法方面需要改进共识和指南。显著的并发症以及进行全面成像评估的必要性也被确定为影响临床决策的关键因素。
结论
有必要制定一份正式的共识声明，以规范ABI管理的最佳实践。这不仅将改善患者预后，还将指导未来的研究工作，以应对重度IEM患儿治疗中仍存在的挑战。团队成员之间加强合作对于实现这些目标至关重要。
Zotero 插件