Systematic review finds cochlear implants safe after NPC radiation
A systematic review pooling 12 studies (69 implanted ears) evaluated cochlear implantation for hearing loss following radiation therapy for nasopharyngeal carcinoma. The review reported that 80.4% of cases had no intraoperative complications and 96.5% had no postoperative complications, with audiometric improvement observed in 91.3% of patients, including gains in speech perception and patient-reported outcomes; mean duration of profound hearing loss before implantation was 6.5 years. The authors state these findings support audiologic surveillance after radiation to enable timely rehabilitation referrals.
Most relevant for: Patients with nasopharyngeal carcinoma who develop radiation-induced sensorineural hearing loss, including those with long-standing profound hearing loss being considered for cochlear implantation.
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