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Trends in Intraoperative Testing During Cochlear Implantation
- Source :
- Otology & Neurotology. 39:294-298
- Publication Year :
- 2018
- Publisher :
- Ovid Technologies (Wolters Kluwer Health), 2018.
-
Abstract
- 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.
- Subjects :
- 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
Subjects
Details
- ISSN :
- 15374505 and 15317129
- Volume :
- 39
- Database :
- OpenAIRE
- Journal :
- Otology & Neurotology
- Accession number :
- edsair.doi.dedup.....3c675b5bf3c6f64f3d729812606a42e7