Evidence map›Paper›PMID 39287816›Full record

ArticleEuropean archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery2025

Minimum intraoperative testing battery for cochlear implantation: the international practice trend.

Isra Aljazeeri, Yassin Abdelsamad, Abdulrahman Alsanosi, Abdulrahman Hagr, Ana H Kim, Angel Ramos-Macias, Angel Ramos de Miguel, Anja Kurz, Artur Lorens, Bruce Gantz and 27 more

Abstract readMulticenter Study
PubMed Publisher
In one paragraph

Article in European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Guideline
  2. Article
  3. Preoperative Imaging for Cochlear Implantation: A Global Consensus.Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery · 2026
    Article
  4. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

37 authors.

Isra AljazeeriKing Abdullah Ear Specialist Center (KAESC), College of Medicine, King Saud University Medical City (KSUMC), King Saud University, PO Box 245, 11411, Riyadh, Saudi Arabia.
Yassin AbdelsamadResearch Department, MED-EL GmbH, Riyadh, Saudi Arabia.
Abdulrahman AlsanosiKing Abdullah Ear Specialist Center (KAESC), College of Medicine, King Saud University Medical City (KSUMC), King Saud University, PO Box 245, 11411, Riyadh, Saudi Arabia.
Abdulrahman HagrKing Abdullah Ear Specialist Center (KAESC), College of Medicine, King Saud University Medical City (KSUMC), King Saud University, PO Box 245, 11411, Riyadh, Saudi Arabia.
Ana H KimColumbia University Medical Center, New York, NY, USA.
Angel Ramos-MaciasDepartment of Otolaryngology and Head and Neck Surgery, University of Las Palmas de Gran Canaria, Las Palmas, Spain.
Angel Ramos de MiguelDepartment of Otolaryngology and Head and Neck Surgery, University of Las Palmas de Gran Canaria, Las Palmas, Spain.
Anja KurzDepartment of Oto-Rhino-Laryngology, Plastic, Aesthetic and Reconstructive Head and Neck Surgery, Comprehensive Hearing Center, Josef-Schneider-Str. 11, 97080, Würzburg, Germany.
Artur LorensWord Hearing Center, Institute of Physiology and Pathology of Hearing, Kajetany, Warsaw, Poland.
Bruce GantzDepartment of Otolaryngology-Head and Neck Surgery/ Neurosurgery, University of Iowa, University of Iowa Hospitals and Clinics, 200 Hawkins Drive (21201 PFP), Iowa City, IA, USA.
Craig A BuchmanDepartment of Otolaryngology-Head & Neck Surgery, Washington University School of Medicine Campus, Washington, USA.
Dayse Távora-VieiraDivision of Surgery, Medical School, The University of Western Australia, Perth, Western Australia, Australia.
Georg SprinzlDepartment of Otorhinolaryngology, Karl Landsteiner University of Health Sciences, University Hospital St. Poelten, Dunant-Platz 1, 3100, Saint Pölten, Austria.
Griet MertensDepartment of Otorhinolaryngology, Head and Neck Surgery, Antwerp University Hospital, Antwerp, Belgium.
James E SaundersSection of Otolaryngology-Head and Neck Surgery, Department of Surgery, Dartmouth-Hitchcock Medical Center, Geisel School of Medicine at Dartmouth, New Hampshire, USA.
Julie KosanerMeders Speech and Hearing Clinic, Meders İşitme ve Konuşma Merkezi, İstanbul, Turkey.
Laila M TelmesaniDepartment of Otolaryngology/Head and Neck Surgery, College of Medicine, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia.
Luis LassalettaDepartment of Otorhinolaryngology, Hospital La Paz. IdiPAZ Research Institute, 28046, Madrid, Spain.
Manohar BanceDepartment of Otolaryngology-Head and Neck Surgery, Addenbrooke's Hospital, University of Cambridge, Cambridge, United Kingdom.
Medhat YousefKing Abdullah Ear Specialist Center (KAESC), College of Medicine, King Saud University Medical City (KSUMC), King Saud University, PO Box 245, 11411, Riyadh, Saudi Arabia.
Meredith A HolcombHearing Implant Program, Dept of Otolaryngology, University of Miami, Miami, FL, USA.
Oliver AdunkaOhio State University Wexner Medical Center, The Ohio State University, Columbus, Ohio, USA.
Per Cayé-ThomasenDepartment of Otorhinolaryngology, Head and Neck Surgery and Audiology Rigshospitalet, Copenhagen, Denmark.
Piotr Henryk SkarzynskiDepartment of Teleaudiology and Screening, World Hearing Center, Institute of Physiology and Pathology of Hearing, 10 Mochnackiego Street, 02-042, Warsaw, Poland.
Ranjith RajeswaranMadras ENT Research Foundation, MERF Institute of Speech and Hearing (P) Ltd, Chennai, India.
Robert J BriggsDepartment of Surgery, Otolaryngology, The University of Melbourne, The Royal Victorian Eye and Ear Hospital, East Melbourne, Victoria, Australia.
Seung-Ha OhDepartment of Otorhinolaryngology, Seoul National University College of Medicine, Seoul, Korea.
Stefan K PlontkeDepartment of Otorhinolaryngology, Head and Neck Surgery, Martin Luther University Halle-Wittenberg, Halle, Germany.
Stephen J O'LearyDepartment of Surgery, Otolaryngology, The University of Melbourne, The Royal Victorian Eye and Ear Hospital, East Melbourne, Victoria, Australia.
Sumit AgrawalDepartment of Otolaryngology-Head and Neck Surgery, Western University, London, ON, Canada.
Tatsuya YamasobaTokyo Teishin Hospital, Tokyo, Japan.
Thomas LenarzDepartment of Otorhinolaryngology, Head and Neck Surgery, Hannover Medical School, Hanover, Germany.
Thomas WesargDepartment of Otorhinolaryngology, Head and Neck Surgery, Medical Center, Faculty of Medicine, University of Freiburg, Freiburg im Breisgau, Germany.
Walter KutzDepartment of Otolaryngology-Head and Neck Surgery, University of Texas Southwestern Medical Center, Dallas, TX, USA.
Patrick ConnollyClinical Research Department, MED-EL GmbH, Innsbruck, Austria.
Ilona AndersonClinical Research Department, MED-EL GmbH, Innsbruck, Austria.
Farid AlzhraniKing Abdullah Ear Specialist Center (KAESC), College of Medicine, King Saud University Medical City (KSUMC), King Saud University, PO Box 245, 11411, Riyadh, Saudi Arabia. faalzhrani@ksu.edu.sa.ORCID http://orcid.org/0000-0002-0564-7204

Funding

Predicting Performance in Adult Cochlear ImplantationR01DC020936 · NIDCD · WASHINGTON UNIVERSITY · PI Craig A. Buchman · 2023 to 2026
$2.5M
NIDCD NIH HHS R01 DC020936
6 · The paper itself

Abstract

purposeIn cochlear implantation (CI) surgery, there are a wide variety of intraoperative tests available. However, no clear guide exists on which tests must be performed as the minimum intraoperative testing battery. Toward this end, we studied the usage patterns, recommendations, and attitudes of practitioners toward intraoperative testing.

methodsThis study is a multicentric international survey of tertiary referral CI centers. A survey was developed and administered to a group of CI practitioners (n = 34) including otologists, audiologists and biomedical engineers. Thirty six participants were invited to participate in this study based on a their scientific outputs to the literature on the intraoperative testing in CI field and based on their high load of CI surgeries. Thirty four, from 15 countries have accepted the invitation to participate. The participants were asked to indicate the usage trends, perceived value, influence on decision making and duration of each intraoperative test. They were also asked to indicate which tests they believe should be included in a minimum test battery for routine cases.

resultsThirty-two (94%) experts provided responses. The most frequently recommended tests for a minimum battery were facial nerve monitoring, electrode impedance measurements, and measurements of electrically evoked compound action potentials (ECAPs). The perceived value and influence on surgical decision-making also varied, with high-resolution CT being rated the highest on both measures.

conclusionFacial nerve monitoring, electrode impedance measurements, and ECAP measurements are currently the core tests of the intraoperative test battery for CI surgery.

Indexed as

Cochlear ImplantationIntraoperative CarePractice Patterns, Physicians'Attitude of Health PersonnelCochlear ImplantsHumansSurveys and QuestionnairesCochlear implantationECAPFNMImpedanceIntraoperative testingRecommendationsSurvey

Identifiers

PMID39287816

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.