Trends in Intraoperative Testing During Cochlear Implantation
| Autor: | John L. Dornhoffer, Matthew D. Cox, Joshua Cody Page, Juliana Bonilla-Velez, Aaron Trinidade, Blake Hollowoa |
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| Rok vydání: | 2018 |
| Předmět: |
Adult
Male medicine.medical_specialty Intraoperative Neurophysiological Monitoring 03 medical and health sciences 0302 clinical medicine Surveys and Questionnaires Otolaryngologists Humans Medicine Medical physics Practice Patterns Physicians' 030223 otorhinolaryngology Cochlear implantation Modalities Practice setting business.industry Outcome measures Cochlear Implantation Sensory Systems Cross-Sectional Studies Otorhinolaryngology Female Observational study Neurology (clinical) business Neurotology 030217 neurology & neurosurgery |
| Zdroj: | Otology & Neurotology. 39:294-298 |
| ISSN: | 1537-4505 1531-7129 |
| Popis: | OBJECTIVE No consensus guidelines exist regarding intraoperative testing during cochlear implantation and wide variation in practice habits exists. The objective of this observational study was to survey otologists/neurotologists to understand practice habits and overall opinion of usefulness of intraoperative testing. STUDY DESIGN Cross-sectional survey. SETTING A web-based survey was sent to 194 practicing Otologists/Neurotologists. MAIN OUTCOME MEASURES Questions included practice setting and experience, habits with respect to electrodes used, intraoperative testing modalities used, overall opinion of intraoperative testing, and practice habits in various scenarios. RESULTS Thirty-nine of 194 (20%) completed the survey. For routine patients, ECAPs and EIs were most commonly used together (38%) while 33% do not perform testing at all. Eighty-nine percent note that testing "rarely" or "never" changes management. Fifty-one percent marked the most important reason for testing is the reassurance provided to the family and/or the surgeon. CONCLUSION Intraoperative testing habits and opinions regarding testing during cochlear implantation vary widely among otologic surgeons. The majority of surgeons use testing but many think there is minimal benefit and that surgical decision-making is rarely impacted. The importance of testing may change as electrodes continue to evolve. |
| Databáze: | OpenAIRE |
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