Prognostic Value of Electrophysiological and MRI Findings for Pediatric Cochlear Implant Outcomes: A Systematic Review.

IF 1.4 4区 医学 Q3 AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY American Journal of Audiology Pub Date : 2024-09-03 Epub Date: 2024-07-17 DOI:10.1044/2024_AJA-23-00272
Zahra Jafari, Elizabeth M Fitzpatrick, David R Schramm, Isabelle Rouillon, Amineh Koravand
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Abstract

Purpose: Magnetic resonance imaging (MRI), electric compound action potential (eCAP), and electric auditory brainstem response (eABR) are among the routine assessments performed before and/or after cochlear implantation. The objective of this review was to systematically summarize and critically appraise existing evidence of the prognostic value of eCAP, eABR, and MRI for predicting post-cochlear implant (CI) speech perception outcomes in children, with a particular focus on the lesion site.

Method: The present systematic review was conducted according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses 2020 statement. Three electronic databases (ProQuest, PubMed, and Scopus) were searched with no restrictions on language, publication status, or year of publication. Studies on children identified with sensorineural hearing loss, auditory neuropathy spectrum disorder, cochlear nerve deficiency, or cochleovestibular nerve abnormalities reporting the relevance of eCAP, eABR, and/or MRI results to CI speech perception outcomes were included. The literature search yielded 1,887 publications. Methodological quality and strength of evidence were assessed by the Crowe Critical Appraisal Tool and the Grading of Recommendations Assessment, Development, and Evaluation tool, respectively.

Results: Of the 25 included studies, the relevance of eCAP, eABR, and/or MRI findings to post-CI speech perception outcomes was reported in 10, 11, and 11 studies, respectively. The studies were strongly in support of the prognostic value of eABR and MRI for CI outcomes. However, the relevance of eCAP findings to speech perception outcomes was uncertain.

Conclusion: Despite the promising findings, caution is warranted in interpreting them due to the observational and retrospective design of the included studies, as well as the heterogeneity of the population and the limited control of confounding factors within these studies.

Supplemental material: https://doi.org/10.23641/asha.26169859.

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电生理学和磁共振成像结果对小儿人工耳蜗植入结果的预后价值:系统回顾
目的:磁共振成像 (MRI)、电复合动作电位 (eCAP) 和电听性脑干反应 (eABR) 是人工耳蜗植入前和/或植入后进行的常规评估之一。本综述旨在系统总结和批判性评估 eCAP、eABR 和 MRI 对预测儿童人工耳蜗植入(CI)后言语感知结果的预后价值的现有证据,尤其关注病变部位:本系统综述是根据《2020 年系统综述和元分析首选报告项目》声明进行的。检索了三个电子数据库(ProQuest、PubMed 和 Scopus),对语言、出版状态或出版年份均无限制。研究对象包括感音神经性听力损失、听觉神经病谱系障碍、耳蜗神经缺陷或耳蜗前庭神经异常的儿童,这些研究报告了 eCAP、eABR 和/或 MRI 结果与 CI 言语感知结果的相关性。文献检索共获得 1,887 篇文献。方法学质量和证据强度分别通过克罗关键评估工具和建议分级评估、发展和评价工具进行评估:结果:在纳入的 25 项研究中,分别有 10 项、11 项和 11 项研究报告了 eCAP、eABR 和/或磁共振成像结果与重症监护后言语感知结果的相关性。这些研究强烈支持 eABR 和 MRI 对 CI 结果的预后价值。然而,eCAP 结果与言语感知结果的相关性并不确定:尽管研究结果很有希望,但由于纳入的研究都是观察性和回顾性的,而且这些研究的人群具有异质性,对混杂因素的控制也很有限,因此在解释这些研究结果时需要谨慎。补充材料:https://doi.org/10.23641/asha.26169859。
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来源期刊
American Journal of Audiology
American Journal of Audiology AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY-OTORHINOLARYNGOLOGY
CiteScore
3.00
自引率
16.70%
发文量
163
审稿时长
>12 weeks
期刊介绍: Mission: AJA publishes peer-reviewed research and other scholarly articles pertaining to clinical audiology methods and issues, and serves as an outlet for discussion of related professional and educational issues and ideas. The journal is an international outlet for research on clinical research pertaining to screening, diagnosis, management and outcomes of hearing and balance disorders as well as the etiologies and characteristics of these disorders. The clinical orientation of the journal allows for the publication of reports on audiology as implemented nationally and internationally, including novel clinical procedures, approaches, and cases. AJA seeks to advance evidence-based practice by disseminating the results of new studies as well as providing a forum for critical reviews and meta-analyses of previously published work. Scope: The broad field of clinical audiology, including audiologic/aural rehabilitation; balance and balance disorders; cultural and linguistic diversity; detection, diagnosis, prevention, habilitation, rehabilitation, and monitoring of hearing loss; hearing aids, cochlear implants, and hearing-assistive technology; hearing disorders; lifespan perspectives on auditory function; speech perception; and tinnitus.
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