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Titre : | Cochlear implantation in Ménières disease: a systematic review of literature and pooled analysis (2020) |
Auteurs : | Federica Di Berardino ; Giorgio Conte ; Federica Turati |
Type de document : | Article |
Dans : | International Journal of Audiology IJA (Vol. 59, n°6, Juin 2020) |
Article en page(s) : | p. 406-415 |
Langues: | Anglais |
Descripteurs : |
HE Vinci Acouphène ; Implants cochléaires ; Maladie de Ménière ; Qualité de vie |
Résumé : |
Objective: The aim of this study was to evaluate the effect of cochlear implantation (CI) in advanced Ménières disease (MD).
Design: The initial search on PubMed, EMBASE, and Cochrane databases yielded 171 articles; no language restriction was applied. Study sample: A total of 11 articles met the inclusion criteria and were included in this systematic review. Six articles provided patient-level data on improvement in speech recognition testing after CI. Results: The methodological quality of included studies was assessed by examining the study design, level of evidence, method of measurement and adequacy of outcome reporting. A random-effect model was fitted for calculating weighted means. Post-operative improvement in word recognition score (WCS) was 50.8% (95% confidence interval: 34.667.1%); general improvement of vestibular symptoms after CI was found in 67% of the pooled patients; when reported in the studies, quality of life (QoL) and tinnitus were also generally improved after CI. Conclusions: CI in advanced MD is a valid option providing good outcomes in terms of speech performances, regardless of the disease duration, uni- or bilaterality, age at implantation, previous therapeutic procedures and stage of activity of MD. |
Accès : | Contactez la bibliothèque d'Ixelles si le lien vers la ressource électronique ne fonctionne plus |
Disponible en ligne : | Oui |
En ligne : | https://www-tandfonline-com.ezproxy.vinci.be/doi/pdf/10.1080/14992027.2020.1720922?needAccess=true |