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

Area of Science:

• Otorhinolaryngology
• Audiology
• Medical Devices

Background:

• Implantable hearing devices offer innovative hearing restoration solutions.
• Clinical consensus on their use remains debated in scientific literature.
• International efforts aim to establish agreement on device application.

Purpose of the Study:

• To address unresolved questions concerning examinations, selection criteria, and surgery for implantable hearing devices.
• To develop evidence-based consensus statements for clinical guidance.
• To provide a framework for the debated topic of implantable hearing devices.

Main Methods:

• A Consensus Working Group was established by the Italian Society of Otorhinolaryngology.
• Systematic reviews were conducted for specific questions to identify best evidence.
• A multidisciplinary panel developed consensus statements based on evidence.

Main Results:

• Twenty-nine consensus statements were approved by the Italian Society of Otorhinolaryngology.
• Statements cover four key areas: pre-operative tests, otological, audiological, and surgical indications.
• The findings provide a structured approach to implantable hearing device application.

Conclusions:

• This consensus represents a significant advancement in establishing practical guidelines for implantable hearing devices.
• It contributes to resolving ongoing debates regarding the clinical use of these devices.
• The established guidelines aim to improve patient selection and surgical outcomes.