Otology
Published: 2023-12-29

Implantable hearing devices in clinical practice. Systematic review and consensus statements

Otolaryngology, ENT Audiology and Phoniatrics Unit, University Hospital of Pisa, Pisa, Italy L. Bruschini, P. Canzi, A. Canale, E. Covelli and A. Laborai contributed equally to this work.
https://orcid.org/0000-0002-6900-1306
 Department of Clinical, Surgical, Diagnostic and Pediatric Sciences, University of Pavia, Pavia, Italy; Department of Otorhinolaryngology, University of Pavia, Fondazione IRCCS Policlinico San Matteo, Pavia, Italy; L. Bruschini, P. Canzi, A. Canale, E. Covelli and A. Laborai contributed equally to this work.
 Division of Otorhinolaryngology, Department of Surgical Sciences, University of Turin, Turin, Italy; L. Bruschini, P. Canzi, A. Canale, E. Covelli and A. Laborai contributed equally to this work.
https://orcid.org/0000-0001-8095-2594
 Department of Neuroscience, Mental Health and Sensory Organs, Faculty of Medicine and Psychology, Sapienza University, Rome, Italy; L. Bruschini, P. Canzi, A. Canale, E. Covelli and A. Laborai contributed equally to this work.
https://orcid.org/0000-0003-0863-5943
 Department of Otolaryngology, Guglielmo da Saliceto Hospital, Piacenza, Italy; L. Bruschini, P. Canzi, A. Canale, E. Covelli and A. Laborai contributed equally to this work.
https://orcid.org/0000-0002-5532-3937
Laboratory of systematic review methodology and guidelines production, Istituto di Ricerche Farmacologiche Mario Negri IRCCS, Milan, Italy
https://orcid.org/0000-0002-1591-7810
7 Laboratory of systematic review methodology and guidelines production, Istituto di Ricerche Farmacologiche Mario Negri IRCCS, Milan, Italy
https://orcid.org/0000-0003-4452-9478
 Department of Neuroscience, Mental Health and Sensory Organs, Faculty of Medicine and Psychology, Sapienza University, Rome, Italy
https://orcid.org/0000-0003-0740-0384
 Department of Otorhinolaryngology, University of Pavia, Fondazione IRCCS Policlinico San Matteo, Pavia, Italy
Department of Neuroscience DNS, Otolaryngology Section, Padua University, Padua, Italy
https://orcid.org/0000-0003-1448-9882
 Division of Otorhinolaryngology, Department of Surgical Sciences, University of Turin, Turin, Italy
Department of Neuroscience, Audiology Section, University of Padua, Treviso, Italy
https://orcid.org/0000-0002-2491-7783
Otology and Cochlear Implant Unit, Santobono-Pausilipon Children’s Hospital, Naples, Italy
https://orcid.org/0000-0001-7241-8949
 Department of Biomedicine, Neuroscience and Advanced Diagnostics, Azienda Ospedaliera Universitaria Policlinico ‘’Paolo Giaccone’’, University of Palermo, Palermo, Italy
https://orcid.org/0000-0002-5844-9762
 Audiology and Otosurgery Department, “Bambino Gesù” Children’s Hospital, Rome, Italy
https://orcid.org/0000-0001-6439-6081
 Department of Otolaryngology, Guglielmo da Saliceto Hospital, Piacenza, Italy
https://orcid.org/0000-0002-0169-5727
 ENT and Audiology Unit, Institute for Maternal and Child Health IRCCS “Burlo Garofolo”, Trieste, Italy
https://orcid.org/0000-0001-7465-1066
Gruppo Otologico, Piacenza-Rome, Italy
https://orcid.org/0000-0002-2842-680X
 Department of Surgical and Biomedical Sciences, Section of Otorhinolaryngology, University of Perugia, Perugia, Italy
https://orcid.org/0000-0001-9819-113X
Translational Biomedicine and Neurosciences Department, University of Bari, Bari, Italy
https://orcid.org/0000-0001-6214-2336
 Department of Otolaryngology, Guglielmo da Saliceto Hospital, Piacenza, Italy
https://orcid.org/0000-0003-2437-2872
implantable hearing devices consensus statement bone conduction devices middle ear implants hearing loss

Abstract

Objective. Implantable hearing devices represent a modern and innovative solution for hearing restoration. Over the years, these high-tech devices have increasingly evolved but their use in clinical practice is not universally agreed in the scientific literature. Congresses, meetings, conferences, and consensus statements to achieve international agreement have been made. This work follows this line and aims to answer unsolved questions regarding examinations, selection criteria and surgery for implantable hearing devices.
Materials and methods. A Consensus Working Group was established by the Italian Society of Otorhinolaryngology. A method group performed a systematic review for each single question to identify the current best evidence on the topic and to guide a multidisciplinary panel in developing the statements.
Results. Twenty-nine consensus statements were approved by the Italian Society of Otorhinolaryngology. These were associated with 4 key area subtopics regarding pre-operative tests, otological, audiological and surgical indications.
Conclusions. This consensus can be considered a further step forward to establish realistic guidelines on the debated topic of implantable hearing devices.

Affiliations

Luca Bruschini

Otolaryngology, ENT Audiology and Phoniatrics Unit, University Hospital of Pisa, Pisa, Italy L. Bruschini, P. Canzi, A. Canale, E. Covelli and A. Laborai contributed equally to this work.

Pietro Canzi

 Department of Clinical, Surgical, Diagnostic and Pediatric Sciences, University of Pavia, Pavia, Italy; Department of Otorhinolaryngology, University of Pavia, Fondazione IRCCS Policlinico San Matteo, Pavia, Italy; L. Bruschini, P. Canzi, A. Canale, E. Covelli and A. Laborai contributed equally to this work.

Andrea Canale

 Division of Otorhinolaryngology, Department of Surgical Sciences, University of Turin, Turin, Italy; L. Bruschini, P. Canzi, A. Canale, E. Covelli and A. Laborai contributed equally to this work.

Edoardo Covelli

 Department of Neuroscience, Mental Health and Sensory Organs, Faculty of Medicine and Psychology, Sapienza University, Rome, Italy; L. Bruschini, P. Canzi, A. Canale, E. Covelli and A. Laborai contributed equally to this work.

Andrea Laborai

 Department of Otolaryngology, Guglielmo da Saliceto Hospital, Piacenza, Italy; L. Bruschini, P. Canzi, A. Canale, E. Covelli and A. Laborai contributed equally to this work.

Marta Monteforte

Laboratory of systematic review methodology and guidelines production, Istituto di Ricerche Farmacologiche Mario Negri IRCCS, Milan, Italy

Michela Cinquini

7 Laboratory of systematic review methodology and guidelines production, Istituto di Ricerche Farmacologiche Mario Negri IRCCS, Milan, Italy

Maurizio Barbara

 Department of Neuroscience, Mental Health and Sensory Organs, Faculty of Medicine and Psychology, Sapienza University, Rome, Italy

Millo Achille Beltrame

 Department of Otorhinolaryngology, University of Pavia, Fondazione IRCCS Policlinico San Matteo, Pavia, Italy

Roberto Bovo

Department of Neuroscience DNS, Otolaryngology Section, Padua University, Padua, Italy

Bruno Castigliano

 Division of Otorhinolaryngology, Department of Surgical Sciences, University of Turin, Turin, Italy

Cosimo De Filippis

Department of Neuroscience, Audiology Section, University of Padua, Treviso, Italy

Antonio Della Volpe

Otology and Cochlear Implant Unit, Santobono-Pausilipon Children’s Hospital, Naples, Italy

Francesco Dispenza

 Department of Biomedicine, Neuroscience and Advanced Diagnostics, Azienda Ospedaliera Universitaria Policlinico ‘’Paolo Giaccone’’, University of Palermo, Palermo, Italy

Pasquale Marsella

 Audiology and Otosurgery Department, “Bambino Gesù” Children’s Hospital, Rome, Italy

Anna Mainardi

 Department of Otolaryngology, Guglielmo da Saliceto Hospital, Piacenza, Italy

Eva Orzan

 ENT and Audiology Unit, Institute for Maternal and Child Health IRCCS “Burlo Garofolo”, Trieste, Italy

Enrico Piccirillo

Gruppo Otologico, Piacenza-Rome, Italy

Giampietro Ricci

 Department of Surgical and Biomedical Sciences, Section of Otorhinolaryngology, University of Perugia, Perugia, Italy

Nicola Quaranta

Translational Biomedicine and Neurosciences Department, University of Bari, Bari, Italy

Domenico Cuda

 Department of Otolaryngology, Guglielmo da Saliceto Hospital, Piacenza, Italy

Copyright

© Società Italiana di Otorinolaringoiatria e chirurgia cervico facciale , 2024

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