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Cochlear implantation among patients with otosclerosis: a systematic review of clinical characteristics and outcomes

  • Otology
  • Published:
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Abstract

Purpose

There have been considerable advancements in cochlear implants in different clinical scenarios; however, their use in patients with otosclerosis remains challenging. This review aimed to investigate the surgical and clinical outcomes of cochlear implantation in patients with otosclerosis.

Methods

An electronic literature search was performed using four main databases through February 2021 to identify original studies of cochlear implantation in patients with otosclerosis for inclusion in this systematic review. The study protocol was registered with the Prospectively Registered Systematic Reviews and Meta-analyses (reference number: CRD42021234753).

Results

A total of 23 studies including 3162 patients were enrolled. Of these patients, only 392 had otosclerosis and underwent cochlear implantation. The duration of deafness was reported in only eight studies, extending up to 50 years. Far-advanced otosclerosis was observed in 153 patients. A total of 56 patients used hearing aids. Stapedectomy and stapedotomy were performed in 118 and 63 patients, respectively. In three studies, the temporary success of stapedectomy and stapedotomy was 6 (43%) and 5 (71%) patients, respectively. Computed tomography was used as a preoperative assessment tool in most studies (n = 14, 60.9%). Incomplete implant insertion occurred in 17 patients, while facial nerve stimulation occurred in 36 patients after implantation.

Conclusion

Cochlear implantation is a relatively safe modality that can provide promising audiological outcomes in patients with otosclerosis. However, several factors, including cochlear ossification, duration of deafness, and previous operations, can affect its outcomes. Further studies with a larger sample population are recommended.

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Acknowledgements

This project was supported by the King Saud University, Deanship of Science Research, King Saud University, Riyadh, Saudi Arabia.

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Authors and Affiliations

  1. King Abdullah Ear Specialist Centre (KAESC), King Saud University Medical City, King Saud University, Riyadh, Saudi Arabia

    Majed Assiri

  2. King Fahad Central Hospital, Jizan, 82666, Saudi Arabia

    Tawfiq Khurayzi

  3. Otorhinolaryngology, Neurotology and Lateral Skull Base Surgery, King Abdullah Ear Specialist Centre (KAESC), King Saud University, Riyadh, Saudi Arabia

    Afrah Alshalan

  4. King Abdullah Ear Specialist Centre (KAESC), College of Medicine, King Saud University, Riyadh, 11411, Saudi Arabia

    Abdulrahman Alsanosi

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  1. Majed Assiri
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Correspondence to Majed Assiri.

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Assiri, M., Khurayzi, T., Alshalan, A. et al. Cochlear implantation among patients with otosclerosis: a systematic review of clinical characteristics and outcomes. Eur Arch Otorhinolaryngol 279, 3327–3339 (2022). https://doi.org/10.1007/s00405-021-07036-5

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