Evidence map›Paper›PMID 41696991›Full record

ArticleOtolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery2026

Preoperative Imaging for Cochlear Implantation: A Global Consensus.

Farid Alzhrani, Asma Alahmadi, Afrah Alshalan, Yassin Abdelsamad, Abdulrahman Alsanosi, Aanand Acharya, Ana H Kim, Angel Ramos Macias, Bruce Gantz, Craig Buchman and 37 more

Abstract readConsensus Statement
PubMed Full text at PMC Publisher
In one paragraph

Article in Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–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

1 citing paper in PubMed.

  1. 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

47 authors.

Farid AlzhraniKing Abdullah Ear Specialist Center (KAESC), King Saud University Medical City, King Saud University, Riyadh, Saudi Arabia.ORCID https://orcid.org/0000-0002-0564-7204
Asma AlahmadiKing Abdullah Ear Specialist Center (KAESC), King Saud University Medical City, King Saud University, Riyadh, Saudi Arabia.ORCID https://orcid.org/0000-0001-6603-1596
Afrah AlshalanDepartment of Otolaryngology-Head and Neck Surgery, College of Medicine, Jouf University, Skaka, Saudi Arabia.ORCID https://orcid.org/0000-0003-0265-6049
Yassin AbdelsamadDepartment of Translational Neurosciences, Faculty of Medicine and Health Sciences, University of Antwerp, Antwerp, Belgium.ORCID https://orcid.org/0000-0001-8281-5825
Abdulrahman AlsanosiKing Abdullah Ear Specialist Center (KAESC), King Saud University Medical City, King Saud University, Riyadh, Saudi Arabia.ORCID https://orcid.org/0009-0005-8752-8960
Aanand AcharyaDepartment of Otolaryngology, Head & Neck Surgery, Fiona Stanley Fremantle Hospital Group, Perth, Australia.
Ana H KimColumbia University Medical Center, New York, New York, USA.
Angel Ramos MaciasDepartment of Otolaryngology and Head and Neck Surgery, University of Las Palmas de Gran Canaria, Las Palmas, Spain.ORCID https://orcid.org/0000-0002-4709-5559
Bruce GantzDepartment of Otolaryngology-Head and Neck Surgery/Neurosurgery, University of Iowa Hospitals and Clinics, Iowa City, Iowa, USA.ORCID https://orcid.org/0000-0002-9916-6048
Craig BuchmanDepartment of Otolaryngology-Head & Neck Surgery, Washington University School of Medicine, St. Louis, Missouri, United States.
Dan JiangHearing Implant Centre, Guy's and St. Thomas' NHS Foundation Trust, London, UK.
Domenico CudaDepartment of Medicine and Surgery, University of Parma, Parma, Italy.ORCID https://orcid.org/0000-0003-2437-2872
Dovile JankunaiteClinical Research Department, MED-EL GmbH, Innsbruck, Austria.ORCID https://orcid.org/0000-0002-4007-8828
Georg SprinzlDepartment of Otorhinolaryngology, Karl Landsteiner University of Health Sciences, University Hospital St. Pölten, Austria.ORCID https://orcid.org/0000-0003-4936-1424
Heidi OlzeDepartment of Otorhinolaryngology, Head and Neck Surgery, Charité-Universitätsmedizin Berlin, Berlin, Germany.ORCID https://orcid.org/0000-0001-9987-6392
Ilona AndersonClinical Research Department, MED-EL GmbH, Innsbruck, Austria.ORCID https://orcid.org/0000-0001-7518-6661
Ibrahim ShamiDepartment of Otolaryngology-Head & Neck Surgery, King Fahad Medical City, Riyadh, Saudi Arabia.ORCID https://orcid.org/0009-0003-7569-0157
James E SaundersSection of Otolaryngology-Head and Neck Surgery, Dartmouth-Hitchcock Medical Center, Geisel School of Medicine at Dartmouth, New Hampshire, USA.
Javier GavilanDepartment of Otolaryngology, La Paz University Hospital, IdiPAZ Institute for Health Research, Madrid, Spain.ORCID https://orcid.org/0000-0002-9357-5932
Walter KutzDepartment of Otolaryngology-Head and Neck Surgery, University of T exas Southwestern Medical Center, Dallas, T exas, USA.
Kevin D BrownDepartment of Otolaryngology-Head and Neck Surgery, University of North Carolina, Chapel Hill, North Carolina, USA.
Kristen RakDepartment of Oto-Rhino-Laryngology, Plastic, Aesthetic and Reconstructive Head and Neck Surgery, University of Würzburg, Germany.ORCID https://orcid.org/0000-0003-2109-3536
Laila TelmesaniDepartment of Otolaryngology/Head and Neck Surgery, College of Medicine, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia.
Luis LassalettaDepartment of Otolaryngology, La Paz University Hospital, IdiPAZ Institute for Health Research, Madrid, Spain.
Manohar BanceDepartment of Otolaryngology-Head and Neck Surgery, Addenbrooke's Hospital, University of Cambridge, United Kingdom.
Marco CaversaccioUniversitätsklinik für Hals-, Nasen- und Ohrenkrankheiten, Inselspital Bern, Universität Bern, Bern, Switzerland.ORCID https://orcid.org/0000-0002-7090-8087
Mohan KameswaranMadras ENT Research Foundation, Chennai, India.
Mario ZernottiDepartment Otorhinolaryngology, Sanatorium Allende, Catholic University of Córdoba, Argentina, Cordoba, Argentina.ORCID https://orcid.org/0000-0003-4288-2809
Nicolas VerhaertDepartment of ENT, Head & Neck Surgery, University Hospitals Leuven, Leuven, Belgium.
Oliver AdunkaOhio State University Wexner Medical Center, The Ohio State University, Columbus, Ohio, United States.
Patrick F ConnollyClinical Research Department, MED-EL GmbH, Innsbruck, Austria.
Paul Van de HeyningDepartment of Translational Neurosciences, Faculty of Medicine and Health Sciences, University of Antwerp, Antwerp, Belgium.ORCID https://orcid.org/0000-0002-8424-3717
Per Caye-ThomasenFaculty of Health Sciences, University of Copenhagen, Denmark.ORCID https://orcid.org/0000-0002-6837-694X
Piotr SkarzynskiDepartment of Teleaudiology and Screening, World Hearing Center, Institute of Physiology and Pathology of Hearing, Warsaw, Poland.
Robert BriggsDepartment of Surgery, Otolaryngology, The University of Melbourne, The Royal Victorian Eye and Ear Hospital, Melbourne, Australia.
Rudolf HagenDepartment of Oto-Rhino-Laryngology, Plastic, Aesthetic and Reconstructive Head and Neck Surgery, University of Würzburg, Germany.
Sherif KhalilRoyal National ENT and Eastman Dental Hospitals, University College London Hospitals NHS Foundation Trust, London, UK.
Soha N GhossainiNorthShore Neurological Institute, Arlington Heights, Illinois, United States.
Stefan K PlontkeDepartment of Otorhinolaryngology, Head and Neck Surgery, Martin Luther University Halle-Wittenberg, Halle, Germany.ORCID https://orcid.org/0000-0002-5424-7688
Stephen J O'LearyDepartment of Surgery, Otolaryngology, The University of Melbourne, The Royal Victorian Eye and Ear Hospital, Melbourne, Australia.ORCID https://orcid.org/0000-0001-6926-2103
Sumit K AgrawalDepartment of Otolaryngology-Head and Neck Surgery, Western University, London, Ontario, Canada.
Tatsuya YamasobaIntent Medical Group, Endeavor Health Advanced Neurosciences Center, Endeavor Health, Arlington Heights, IL, USA.ORCID https://orcid.org/0000-0003-3608-0973
Thomas LenarzDepartment of Otolaryngology, Hannover Medical School, Hannover, Germany.ORCID https://orcid.org/0000-0002-9307-5989
Timo StöverDepartment of Otorhinolaryngology, University Hospital Frankfurt, Goethe-University Frankfurt, Frankfurt, Germany.
Vedat TopsakalCliniques Universitaires Saint-Luc, Brussels, Belgium.ORCID https://orcid.org/0000-0003-0416-4005
Vincent Van RompaeyDepartment of Translational Neurosciences, Faculty of Medicine and Health Sciences, University of Antwerp, Antwerp, Belgium.ORCID https://orcid.org/0000-0003-0912-7780
Abdulrahman HagrKing Abdullah Ear Specialist Center (KAESC), King Saud University Medical City, King Saud University, Riyadh, Saudi Arabia.ORCID https://orcid.org/0000-0002-3561-6791

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivePreoperative imaging is vital for cochlear implant surgeries, aiding diagnosis, and surgical planning. This study evaluated global practices and the value of preoperative imaging through an international survey.

methodsA cross-sectional survey was conducted among international cochlear implantation experts using a 112-item questionnaire. The study explored imaging modalities, anatomical targets, evaluated parameters, and different imaging approaches' perceived value and risks. Participants were recruited from a global consortium of otolaryngology, otology, neurotology, and cochlear implant surgery professionals.

resultsThirty-nine practitioners from 36 centers in 16 countries completed the survey (95.1% response rate). All used computed tomography (CT) and magnetic resonance imaging (MRI) for preoperative evaluation; MRI was deemed more valuable for diagnosis and candidacy assessment, while CT was preferred for surgical planning. Nearly half utilized additional imaging modalities, with functional MRI being the most common (20.5%). Additionally, 79.5% of respondents reported using image-based surgical planning software. DISCUSSION: Results show a universal reliance on CT and MRI for cochlear implant evaluations, with MRI aiding diagnosis and CT focusing on surgical planning. Advanced imaging techniques may emerge in specific clinical cases. IMPLICATIONS FOR PRACTICE: Modern imaging practices and their potential changes can enhance protocol development and improve preoperative evaluations, ultimately boosting patient safety and outcomes in cochlear implantation.

Indexed as

Cochlear ImplantationMagnetic Resonance ImagingPreoperative CareTomography, X-Ray ComputedCross-Sectional StudiesHumansSurveys and Questionnairescochlear implantationcomputed X ray tomographyconsensusdiagnostic imagingmagnetic resonance imagingpreoperative caresurveys and questionnaires

Identifiers

PMID41696991
PMCPMC13035013

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Registered trials

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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.