Preoperative Multidisciplinary Assessment for Cochlear Implantation

LIU Tian-yi; GAO Shan-xian; YIN Li

doi:10.3969/j.issn.1672-4933.2026.03.023

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Preoperative Multidisciplinary Assessment for Cochlear Implantation

Post Education | 更新时间：2026-07-30

- Preoperative Multidisciplinary Assessment for Cochlear Implantation
- Chinese Scientific Journal of Hearing and Speech Rehabilitation Vol. 24, Issue 3, Pages: 328-333(2026)
- 作者机构：
  
  诺尔康听觉言语医学研究院/浙江省智能康复与神经电子转化重点实验室/杭州余杭启航公益服务中心杭州 311121
- 作者简介：
- 基金信息：
- DOI：10.3969/j.issn.1672-4933.2026.03.023
  CLC： R764.5
- Received：28 February 2026，
  
  Online First：11 May 2026，
  
  Published：15 May 2026
- 稿件说明：
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刘天翊,高珊仙,银力.人工耳蜗植入术前多学科评估[J].中国听力语言康复科学杂志,2026,24(03):328-333.

LIU Tian-yi,GAO Shan-xian,YIN Li.Preoperative Multidisciplinary Assessment for Cochlear Implantation[J].Chinese Scientific Journal of Hearing and Speech Rehabilitation,2026,24(03):328-333.
刘天翊,高珊仙,银力.人工耳蜗植入术前多学科评估[J].中国听力语言康复科学杂志,2026,24(03):328-333. DOI： 10.3969/j.issn.1672-4933.2026.03.023.

LIU Tian-yi,GAO Shan-xian,YIN Li.Preoperative Multidisciplinary Assessment for Cochlear Implantation[J].Chinese Scientific Journal of Hearing and Speech Rehabilitation,2026,24(03):328-333. DOI： 10.3969/j.issn.1672-4933.2026.03.023.

摘要

人工耳蜗植入是治疗重度至极重度感音神经性听力损失的有效手段，但并非所有患者均适合植入，故需依赖系统的术前评估加以筛选。随着技术与临床实践的发展，术前评估已成为多学科、流程化的综合评估体系。本文基于人工耳蜗植入术前的多维度评估框架，对各维度的常用评估项目与临床要点进行梳理，为制订和实施术前评估方案提供参考。

Abstract

Cochlear implantation is an effective intervention for severe-to-profound sensorineural hearing loss

but not all patients are suitable candidates. Therefore

thorough preoperative assessment is essential. With advances in technology and clinical practice

preoperative evaluation has evolved into a multidisciplinary

standardised

comprehensive assessment framework. This review synthesises commonly used assessment measures and key clinical considerations across the multiple dimensions of the cochlear implant preoperative evaluation

aiming to inform the development and implementation of robust preoperative assessment protocols.

关键词

Keywords

references

中华耳鼻咽喉头颈外科杂志编辑委员会 , 中华医学会耳鼻咽喉头颈外科学分会 , 中国残疾人康复协会听力语言康复专业委员会 . 人工耳蜗植入工作指南(2013) [J ] . 中华耳鼻咽喉头颈外科杂志 , 2014 , 49 ( 2 ): 89 - 95 .

李琦 . 2019版美国听力学学会《人工耳蜗植入临床实践指南》解读:患者选择和适应证 [J ] . 临床耳鼻咽喉头颈外科杂志 , 2021 , 35 ( 6 ): 491 - 494 .

Li J , Shi L , Du H , et al . A 10-year in-depth follow-up of post-lingual hearing loss patients with Chinese domestic cochlear implants [J ] . Acta oto-laryngologica , 2024 , 144 ( 3 ): 181 - 186 .

Bernhard N , Gauger U , Romo Ventura E , et al . Duration of deafness impacts auditory performance after cochlear implantation: A meta-analysis [J ] . Laryngoscope investigative otolaryngology , 2021 , 6 ( 2 ): 291 - 301 .

Spitzer ER , Waltzman SB . Cochlear implants: the effects of age on outcomes [J ] . Expert review of medical devices , 2023 , 20 ( 12 ): 1131 - 1141 .

Sharma A , Campbell J . A sensitive period for cochlear implantation in deaf children [J ] . The journal of maternal-fetal neonatal medicine , 2011 , 24 ( 1 ): 151 - 153 .

Kirk KI , Miyamoto RT , Lento CL , et al . Effects of age at implantation in young children [J ] . The Annals of otology ,rhinology laryngology, 2002 , 189 : 69 - 73 .

Geers AE . Factors influencing spoken language outcomes in children following early cochlear implantation [J ] . Advances in oto-rhino-laryngology , 2006 , 64 : 50 - 65 .

Gowrishankar SV , Fleet A , Tomasoni M , et al . The risk of meningitis after cochlear implantation: a systematic review and meta-analysis [J ] . Otolaryngology-head and neck surgery , 2023 , 169 ( 3 ): 467 - 481 .

Hayden J , Youner ER , Rosen R , et al . Assessing the impact of vaccination status on meningitis risk post cochlear implantation [J ] . Otolaryngology-head and neck surgery , 2025 , 172 ( 4 ): 1374 - 1378 .

Centers for Disease Control and Prevention(CDC) . Advisory Committee on Immunization Practices. Pneumococcal vaccination for cochlear implant candidates and recipients: updated recommendations of the Advisory Committee on Immunization Practices [J ] . Morbidity and mortality weekly report , 2003 , 52 ( 31 ): 739 - 740 .

Swanepoel D , Hugo R . Estimations of auditory sensitivity for young cochlear implant candidates using the ASSR: preliminary results [J ] . International journal of audiology , 2004 , 43 ( 7 ): 377 - 382 .

Swanepoel D , Hugo R , Roode R . Auditory steady-state responses for children with severe to profound hearing loss [J ] . Archives of otolaryngology-head neck surgery , 2004 , 130 ( 5 ): 531 - 535 .

刘军 . 听觉诱发电位在人工耳蜗植入全流程中的应用 [J ] . 中国听力语言康复科学杂志 , 2026 , 24 ( 1 ): 1 - 6 .

陈扬 , 付勇 , 戴继任 , 等 . 电诱发听性脑干反应在人工耳蜗植入中的应用 [J ] . 中国耳鼻咽喉颅底外科杂志 , 2019 , 25 ( 5 ): 482 - 486 .

Polterauer D , Mandruzzato G , Neuling M , et al . Evaluation of auditory pathway excitability using a pre-operative trans-tympanic electrically evoked auditory brainstem response under local anesthesia in cochlear implant candidates [J ] . International journal of audiology , 2023 , 62 ( 12 ): 1176 - 1186 .

Kileny PR , Kim AH , Wiet PM , et al . The predictive value of transtympanic promontory EABR in congenital temporal bone malformations [J ] . Cochlear implants international , 2010 , 11 ( suppl 1 ): 181 - 186 .

贾亚桐 , 孟超 , 钟妍 , 等 . 中文版言语空间与听觉质量量表的信效度检验 [J ] . 听力学及言语疾病杂志 , 2025 , 33 ( 5 ): 434 - 438 .

董瑞娟 , 刘博 , 彭晓霞 , 等 . Nijmegen人工耳蜗植入量表中文版信度和效度评价 [J ] . 中华耳鼻咽喉头颈外科杂志 , 2010 , 45 ( 10 ): 818 - 823 .

王丽燕 , 申敏 , 梁巍 , 等 . 扩展版CAP问卷的中文版开发及其信效度研究 [J ] . 中国听力语言康复科学杂志 , 2020 , 18 ( 5 ): 367 - 369 .

陈雪清 . 听障儿童听觉言语能力问卷评估 [J ] . 中国听力语言康复科学杂志 , 2024 , 22 ( 5 ): 449 - 483 .

彭惠融 , 冯清源 , 银力 , 等 . 人工耳蜗预期使用效果快速自测问卷的开发和验证 [J ] . 听力学及言语疾病杂志 , 2025 , 33 ( 5 ): 454 - 459 .

Mosaed NAM , Mohamed ES , Youssif M , et al . Preoperative variables affecting outcome of cochlear implant [J ] . The Egyptian journal of otolaryngology , 2024 , 40 ( 113 ): 1 - 11 .

李彦蓉 , 田果 , 曾群 . 不同影像学检查方法在人工耳蜗植入术前的评估价值研究 [J ] . 影响研究与医学应用 , 2024 , 8 ( 13 ): 77 - 79 .

游学宇 . CT与MRI在人工耳蜗植入术前的评估价值分析 [J ] . 现代医用影像学 , 2024 , 3 ( 5 ): 816 - 818 .

Agarwal P , Gupta Y , Mundra RK . Role of imaging in evaluating patients for cochlear implantation [J ] . Indian journal of otolaryngology and head and neck surgery , 2023 , 75 ( 4 ): 2760 - 2768 .

Digge P , Solanki RN , Shah DC , et al . Imaging modality of choice for pre-operative cochlear imaging: HRCT vs. MRI temporal bone [J ] . Journal of clinical and diagnostic research , 2016 , 10 ( 10 ): TC01 - TC04 .

Yigit O , Ertugay CK , Yasak AG , et al . Which imaging modality in cochlear implant candidates? [J ] . European archives of oto-rhino-laryngology , 2019 , 276 ( 5 ): 1307 - 1311 .

王丽燕 , 申敏 , 梁巍 , 等 . 言语可懂度分级问卷中文版的研发及其信度效度研究 [J ] . 听力学及言语疾病杂志 , 2021 , 29 ( 5 ): 483 - 487 .

Pollard R . Conceptualizing and conducting preoperative psychological assessments of cochlear implant candidates [J ] . Journal of deaf studies and deaf education , 1996 , 1 ( 1 ): 16 - 28 .

Nayak N , Kellermeyer B , Dornton L , et al . Vestibular dysfunction in cochlear implant candidates: prevalence and outcomes [J ] . American journal of otolaryngology , 2022 , 43 ( 1 ): 103171 .

Nishio SY , Usami SI . Outcomes of cochlear implantation for the patients with specific genetic etiologies: a systematic literature review [J ] . Acta oto-laryngologica , 2017 , 137 ( 7 ): 730 - 742 .

Wu CM , Ko HC , Tsou YT , et al . Long-term cochlear implant outcomes in children with GJB2 and SLC26A4 mutations [J ] . Plos one , 2015 , 10 ( 9 ): e0138575 .

Tropitzsch A , Schade-Mann T , Gamerdinger P , et al . Variability in cochlear implantation outcomes in a large German cohort with a genetic etiology of hearing loss [J ] . Ear and hearing , 2023 , 44 ( 6 ): 1464 - 1484 .

Bernardinelli E , Huber F , Roesch S , et al . Clinical and molecular aspects associated with defects in the transcription factor POU3F4: a review [J ] . Biomedicines , 2023 , 11 ( 6 ): 1695 .

Sarac ET , Batuk MO , Batuk IT , et al . Effects of cochlear implantation on tinnitus and depression [J ] . Journal of oto-rhino-laryngology and its related specialties , 2020 , 82 ( 4 ): 209 - 215 .

Rasmussen KD , West NC , Bille M , et al . Tinnitus suppression in a prospective cohort of 45 cochlear implant recipients: occurrence,degree and correlates [J ] . European archives of oto-rhino-laryngology , 2023 , 280 ( 9 ): 4073 - 4082 .

Borges ALF , Duarte PLES , Almeida RBS , et al . Cochlear implant and tinnitus-a meta-analysis [J ] . Brazilian journal of otorhinolaryngology , 2021 , 87 ( 3 ): 353 - 365 .

Levy DA , Lee JA , Nguyen SA , et al . Cochlear implantation for treatment of tinnitus in single-sided deafness: a systematic review and meta-analysis [J ] . Otology neurotology , 2020 , 41 ( 8 ): e1004 - e1012 .

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