Espahbodi Mana, Trautwein Patricia, Bestourous Daniel E, Zwolan Teresa A, Nassiri Ashley M, Carlson Matthew L, Erbele Isaac D, Patel Neil S, Gurgel Richard K
Department of Otolaryngology - Head and Neck Surgery, University of Utah, Salt Lake, Utah, U.S.A.
Cochlear®, Lone Tree, Colorado, U.S.A.
Laryngoscope. 2025 Jun;135(6):2146-2153. doi: 10.1002/lary.32037. Epub 2025 Feb 11.
Evaluate the training background of surgeons performing high volumes of cochlear implants (CIs) and estimate the ratio of providers trained in otology/neurotology (O&N) to the number of traditional CI candidates and audiologists.
A retrospective review of US surgeon registration data from a single CI manufacturer was performed to determine CI volume based on surgeon training. The prevalence of traditional candidates for CIs was estimated from US census population data and compared with the number of O&N providers. The ratio of audiologists to O&N providers was estimated from the Bureau of Labor and Statistics and American Speech-Language-Hearing Association databases.
From 2021 to 2023, a mean of 88% of providers performing ≥25 CIs per year and 90% performing ≥40 per year had training in O&N. All surgeons registering ≥100 implants per year were O&N providers. The mean percentage of O&N providers performing ≥25 CIs per year and ≥ 40 per year was higher than the percentage of General and Pediatric Otolaryngology providers performing the same volume: mean difference = 76%, p < 0.001 and mean difference = 79%, p < 0.001, respectively. The mean estimated prevalence of traditional CI candidates per O&N provider is 3,354 with an estimated mean of 32 audiologists (3.5 trained in CIs) per O&N provider.
88% of high-volume CI surgeons have fellowship training in O&N. To meet the current state of CI underutilization and anticipated growing population of CI candidates, we propose increasing the surgical capacity of O&N providers and the number of surgeons proficient in CIs.
NA Laryngoscope, 135:2146-2153, 2025.
评估进行大量人工耳蜗植入（CI）手术的外科医生的培训背景，并估算接受耳科/神经耳科（O&N）培训的医生与传统CI候选者及听力学家数量的比例。
对来自单一CI制造商的美国外科医生注册数据进行回顾性分析，以根据外科医生的培训情况确定CI手术量。从美国人口普查数据估算传统CI候选者的患病率，并与O&N医生数量进行比较。从劳工统计局和美国言语-语言-听力协会数据库估算听力学家与O&N医生的比例。
2021年至2023年，每年进行≥25例CI手术的医生中，平均88%接受过O&N培训，每年进行≥40例CI手术的医生中，90%接受过O&N培训。每年登记植入≥100例的所有外科医生均为O&N医生。每年进行≥25例和≥40例CI手术的O&N医生的平均比例高于进行相同手术量的普通和小儿耳鼻喉科医生的比例：平均差异分别为76%，p<0.001和79%，p<0.001。每位O&N医生传统CI候选者的平均估计患病率为3354，每位O&N医生估计平均有32名听力学家（3.5名接受过CI培训）。
88%的高手术量CI外科医生接受过O&N专科培训。为了应对当前CI利用不足的状况以及预期不断增加的CI候选者数量，我们建议增加O&N医生的手术能力以及精通CI手术的外科医生数量。
NA 《喉镜》，135:2146 - 2153，2025年。
