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

Acta Otorhinolaryngol Ital. 2024 Feb;44(1):52-67. doi: 10.14639/0392-100X-N2651. Epub 2023 Dec 29.

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.

Keywords: bone conduction devices; consensus statement; hearing loss; implantable hearing devices; middle ear implants.

Publication types

  • Systematic Review

MeSH terms

  • Hearing*
  • Humans
  • Prostheses and Implants*

Grants and funding

Funding for this study was provided by Cochlear Ltd, MED-EL, and Oticon Medical that covered the costs of the method group.