Outcomes of Cochlear Implantation in Patients With Temporal Bone Trauma: A Systematic Review and Narrative Synthesis
The Journal of International Advanced Otology
Eastwood, M., Biggs, K., et al. (2021).
The Journal of International Advanced Otology, 17(2), 162-174.
This systematic review investigates the effect of cochlear implantation on audiological and surgical outcomes in children and adults with profound sensorineural hearing loss following temporal bone fractures.
No funding received
Database Inception to July 6, 2020
Experimental or observational study designs
23
Four studies comparing cochlear implant (CI) hearing outcomes in individuals with temporal bone fractures to hearing outcomes in non-head injured individuals with CI reported comparable Consonant Nucleus Consonant, speech perception, Bamford-Kowal-Bench (BKB), and functional scores. Across studies, 14.5% of patients experienced complications, many of which were considered major complications that required inpatient treatment or follow-up surgery; facial nerve stimulation complications occurred most frequently. Overall, "hearing outcomes following CI in patients with temporal bone fractures are generally good with the majority of patients experiencing a benefit, both in terms of pure tone audiology and speech perception" (p. 172). Additional research with larger sample sizes and standardized outcome reporting is needed to increase the validity of pooled results.
