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Angular Electrode Insertion Depth and Speech Perception in Adults With a Cochlear Implant: A Systematic Review
| Content Provider | Scilit |
|---|---|
| Author | Heutink, Floris de Rijk, Simone Verbist, Berit Huinck, Wendy J. Mylanus, Emmanuel A. M. |
| Copyright Year | 2019 |
| Description | Journal: Otology & Neurotology By discussing the design, findings, strengths, and weaknesses of available studies investigating the influence of angular insertion depth on speech perception, we intend to summarize the current status of evidence; and using evidence based conclusions, possibly contribute to the determination of the optimal cochlear implant (CI) electrode position. Our search strategy yielded 10,877 papers. PubMed, Ovid EMBASE, Web of Science, and the Cochrane Library were searched up to June 1, 2018. Both keywords and free-text terms, related to patient population, predictive factor, and outcome measurements were used. There were no restrictions in languages or year of publication. Seven articles were included in this systematic review. Articles eligible for inclusion: (a) investigated cochlear implantation of any CI system in adults with post-lingual onset of deafness and normal cochlear anatomy; (b) investigated the relationship between angular insertion depth and speech perception; (c) measured angular insertion depth on imaging; and (d) measured speech perception at, or beyond 1-year post-activation. In included studies; quality was judged low-to-moderate and risk of bias, evaluated using a Quality-in-Prognostic-Studies-tool (QUIPS), was high. Included studies were too heterogeneous to perform meta-analyses, therefore, effect estimates of the individual studies are presented. Six out of seven included studies found no effect of angular insertion depth on speech perception. All included studies are characterized by methodological flaws, and therefore, evidence-based conclusions regarding the influence of angular insertion depth cannot be drawn to date. |
| Related Links | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6641467/pdf |
| Ending Page | 910 |
| Page Count | 11 |
| Starting Page | 900 |
| ISSN | 15317129 |
| e-ISSN | 15374505 |
| DOI | 10.1097/mao.0000000000002298 |
| Journal | Otology & Neurotology |
| Issue Number | 7 |
| Volume Number | 40 |
| Language | English |
| Publisher | Ovid Technologies (Wolters Kluwer Health) |
| Publisher Date | 2019-08-01 |
| Access Restriction | Open |
| Subject Keyword | Journal: Otology & Neurotology Otorhinolaryngology Angular Insertion Depth Cochlear Implants Speech Perception Systematic Review |
| Content Type | Text |
| Resource Type | Article |
| Subject | Otorhinolaryngology Sensory Systems Neurology (clinical) |