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Cochlear implantation in common cavity deformity: a systematic review

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Abstract

Purpose

Cochlear implantation became a valid hearing rehabilitation option in common cavity deformity. This study aimed to assess the audiological and speech outcomes of cochlear implantation in common cavity deformity patients and to address the surgical aspect used in this population.

Methods

A comprehensive systematic literature review based on preferred reporting items for systematic reviews and meta-analyses (PRISMA) guideline from database inception through April 2020. Eighteen published articles including 138 patients with common cavity deformity met the inclusion criteria. These articles studied the surgical techniques and the audiological outcomes of cochlear implantation in patients with common cavity deformity in English language.

Results

Trans-mastoid labyrinthotomy was the common surgical approach in these patients. The average speech intelligibility rating and categories of auditory performance scores in common cavity deformity were lower than in normal cochlea subjects (p < 0.05), and non-significant (p > 0.05) compared with other types of inner ear malformations.

Conclusion

Patients with common cavity deformity who underwent cochlear implantation showed a beneficial audiological and speech outcome. However, their performance is highly variable. Therefore, pre-operative counseling of the parents is necessary. The surgical approaches should be individualized according to clinical, radiological, and surgical findings.

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Acknowledgements

We would like to, respectively, acknowledge Dr. Fatimah Almuqarrab for her great efforts in drawing and sketching figure number 4.

Funding

This research did not receive any specific grant from funding agencies in the public, commercial, or not-for-profit sectors.

Author information

Author notes

  1. Ayshah Al-mahboob and Salman F. Alhabib have contributed equally.

Authors and Affiliations

  1. Department of Otorhinolaryngology-Head and Neck Surgery, King Abdul-Aziz University Hospital, Riyadh, Saudi Arabia

    Ayshah Al-mahboob

  2. King Abdullah Ear Specialist Center (KAESC), College of Medicine, King Saud University, PO Box 245, Riyadh, 11411, Saudi Arabia

    Salman F. Alhabib & Farid Alzhrani

  3. Research Department, MED-EL GmbH, Riyadh, Saudi Arabia

    Yassin Abdelsamad

Authors
  1. Ayshah Al-mahboob
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  2. Salman F. Alhabib
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  3. Yassin Abdelsamad
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  4. Farid Alzhrani
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Correspondence to Salman F. Alhabib.

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Al-mahboob, A., Alhabib, S.F., Abdelsamad, Y. et al. Cochlear implantation in common cavity deformity: a systematic review. Eur Arch Otorhinolaryngol 279, 37–48 (2022). https://doi.org/10.1007/s00405-021-06884-5

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  • DOI: https://doi.org/10.1007/s00405-021-06884-5

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