Hostname: page-component-cd9895bd7-dk4vv Total loading time: 0 Render date: 2024-12-27T11:38:32.187Z Has data issue: false hasContentIssue false
  • English
  • Français

Vestibular evaluation following cochlear implantation in patients with inner-ear anomalies

Published online by Cambridge University Press:  30 November 2021

F Hosseinzadeh ,
A Asghari ,
M Moradi-Lakeh ,
A Pourbakht ,
M Farhadi ,
A Daneshi ,
M K Boroujeni ,
M Mohseni  and
S Saeed Mohammadi
F Hosseinzadeh
Affiliation:
ENT and Head & Neck Research Center and Department, The Five Senses Health Institute, Iran University of Medical Sciences, Tehran, Iran
A Asghari*
Affiliation:
Skull Base Research Center, The Five Senses Health Institute, Iran University of Medical Sciences, Tehran, Iran
M Moradi-Lakeh
Affiliation:
Preventive Medicine and Public Health Research Center, Iran University of Medical Sciences, Tehran, Iran
A Pourbakht
Affiliation:
Department of Audiology, School of Rehabilitation Sciences, Iran University of Medical Sciences, Tehran, Iran
M Farhadi
Affiliation:
ENT and Head & Neck Research Center and Department, The Five Senses Health Institute, Iran University of Medical Sciences, Tehran, Iran
A Daneshi
Affiliation:
ENT and Head & Neck Research Center and Department, The Five Senses Health Institute, Iran University of Medical Sciences, Tehran, Iran
M K Boroujeni
Affiliation:
Department of Audiology, School of Rehabilitation Sciences, Iran University of Medical Sciences, Tehran, Iran
M Mohseni
Affiliation:
ENT and Head & Neck Research Center and Department, The Five Senses Health Institute, Iran University of Medical Sciences, Tehran, Iran
S Saeed Mohammadi
Affiliation:
Farabi Eye Hospital, Tehran University of Medical Sciences, Tehran, Iran
*
Author for correspondence: Dr Alimohamad Asghari, Skull Base Research Center, Hazrat Rasoul Akram Hospital, Niayesh St, Sattar Khan Ave, Tehran, Iran E-mail: Dramasghari@gmail.com Fax: +98 216 652 5329
Get access Rights & Permissions [Opens in a new window]

Abstract

Objective

This cross-sectional study investigated vestibular function outcomes after cochlear implantation in patients with inner-ear anomalies.

Methods

Twenty-two patients with bilateral symmetric inner-ear anomalies and 28 patients with normal inner ears were included. All were congenitally or progressively deaf persons implanted unilaterally during the previous 15 years. Vestibular system function was assessed by vestibular-evoked myogenic potential and bithermal caloric tests.

Results

The vestibular-evoked myogenic potential abnormality rate in implanted ears with an inner-ear anomaly was 81.8 per cent, compared with 39.3 per cent in implanted ears with normal anatomy. In the non-implanted sides, the rate was 45.5 per cent (10 out of 22 cases) in the inner-ear anomaly patients compared with 17.9 per cent in patients with normal inner-ear structure. The respective abnormal caloric test rates in inner-ear anomaly versus normal anatomy patients were 81.8 per cent and 17.9 per cent (implanted ears), 77.3 per cent and 14.3 per cent (non-implanted sides).

Conclusion

Inner-ear anomaly and implantation were both associated with more vestibular-evoked myogenic potential abnormalities; when occurring together, these factors showed a synergistic effect. Caloric test abnormality is mainly dependent on the presence of an inner-ear anomaly, but implantation is not associated with caloric abnormality.

Keywords

Cochlear ImplantationVestibular Function Tests
Type
Main Article
Information
The Journal of Laryngology & Otology , Volume 136 , Issue 4 , April 2022 , pp. 309 - 313
Copyright
Copyright © The Author(s), 2021. Published by Cambridge University Press on behalf of J.L.O. (1984) LIMITED

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

Footnotes

Dr A Asghari takes responsibility for the integrity of the content of the paper

References

Suarez, H, Angeli, S, Suarez, A, Rosales, B, Carrera, X, Alonso, R. Balance sensory organization in children with profound hearing loss and cochlear implants. Int J Pediatr Otorhinolaryngol 2007;71:629–37CrossRefGoogle ScholarPubMed
Jacot, E, Van Den Abbeele, T, Debre, HR, Wiener-Vacher, SR. Vestibular impairments pre- and post-cochlear implant in children. Int J Pediatr Otorhinolaryngol 2009;73:209–17CrossRefGoogle ScholarPubMed
Oda, D, Ganança, CF. Computerized dynamic posturography in the assessment of body balance in individuals with vestibular dysfunction. Audiol Commun Res 2015;20:89–95CrossRefGoogle Scholar
Verbecque, E, Marijnissen, T, De Belder, N, Van Rompaey, V, Boudewyns, A, Van de Heyning, P et al. Vestibular (dys)function in children with sensorineural hearing loss: a systematic review. Int J Audiol 2017;56:361–81CrossRefGoogle ScholarPubMed
Daneshi, A, Farhadi, M, Ajalloueyan, M, Rajati, M, Hashemi, SB, Ghasemi, MM et al. Cochlear implantation in children with inner ear malformation: a multicenter study on auditory performance and speech production outcomes. Int J Pediatr Otorhinolaryngol 2020;132:109901CrossRefGoogle ScholarPubMed
Farhood, Z, Nguyen, SA, Miller, SC, Holcomb, MA, Meyer, TA, Rizk, HG. Cochlear implantation in inner ear malformations: systematic review of speech perception outcomes and intraoperative findings. J Otolaryngol Head Neck Surg 2017;156:783–93CrossRefGoogle ScholarPubMed
Sennaroglu, L, Saatci, I. A new classification for cochleovestibular malformations. Laryngoscope 2002;112:2230–41CrossRefGoogle ScholarPubMed
Pakdaman, MN, Herrmann, BS, Curtin, HD, Van Beek-King, J, Lee, DJ. Cochlear implantation in children with anomalous cochleovestibular anatomy: a systematic review. Otolaryngol Head Neck Surg 2012;146:180–90CrossRefGoogle ScholarPubMed
Hosseinzadeh, F, Asghari, A, Moradi-Lakeh, M, Farhadi, M, Daneshi, A, Mohseni, M et al. Balance function after cochlear implant and inner ear anomaly: comparison of dynamic posturography. Laryngoscope Investig Otolaryngol 2020;5:529–35CrossRefGoogle ScholarPubMed
Thierry, B, Blanchard, M, Leboulanger, N, Parodi, M, Wiener-Vacher, SR, Garabedian, EN et al. Cochlear implantation and vestibular function in children. Int J Pediatr Otorhinolaryngol 2015;79:101–4CrossRefGoogle ScholarPubMed
Buchman, CA, Joy, J, Hodges, A, Telischi, FF, Balkany, TJ. Vestibular effects of cochlear implantation. Laryngoscope 2004;114:1–22CrossRefGoogle ScholarPubMed
Melvin, TA, Della Santina, CC, Carey, JP, Migliaccio, AA. The effects of cochlear implantation on vestibular function. Otol Neurotol 2009;30:87–94CrossRefGoogle ScholarPubMed
Yong, M, Young, E, Lea, J, Foggin, H, Zaia, E, Kozak, FK et al. Subjective and objective vestibular changes that occur following paediatric cochlear implantation: systematic review and meta-analysis. J Otolaryngol Head Neck Surg 2019;48:2210.1186/s40463-019-0341-zCrossRefGoogle ScholarPubMed
Katsiari, E, Balatsouras, DG, Sengas, J, Riga, M, Korres, GS, Xenelis, J. Influence of cochlear implantation on the vestibular function. Eur Arch Otorhinolaryngol 2013;270:489–95CrossRefGoogle ScholarPubMed
Krause, E, Louza, JP, Hempel, JM, Wechtenbruch, J, Rader, T, Gurkov, R. Effect of cochlear implantation on horizontal semicircular canal function. Eur Arch Otorhinolaryngol 2009;266:811–17CrossRefGoogle ScholarPubMed
Myers, BL. Vestibular Learning Manual. San Diego: Plural Publishing, 2011Google Scholar
Pérez-Martín, J, Artaso, MA, Díez, FJ. Cost-effectiveness of pediatric bilateral cochlear implantation in Spain. Laryngoscope 2017;127:2866–72CrossRefGoogle ScholarPubMed
Wuyts, FL, Furman, J, Vanspauwen, R, Van de Heyning, P. Vestibular function testing. Curr Opin Neurol 2007;20:19–24CrossRefGoogle ScholarPubMed
Steenerson, RL, Cronin, GW, Gary, LB. Vertigo after cochlear implantation. Otol Neurotol 2001;22:842–3CrossRefGoogle ScholarPubMed
Ito, J. Influence of the multichannel cochlear implant on vestibular function. J Otolaryngol Head Neck Surg 1998;118:900–2CrossRefGoogle ScholarPubMed
Basta, D, Todt, I, Goepel, F, Ernst, A. Loss of saccular function after cochlear implantation: the diagnostic impact of intracochlear electrically elicited vestibular evoked myogenic potentials. Audiol Neurootol 2008;13:187–92CrossRefGoogle ScholarPubMed
Jin, Y, Nakamura, M, Shinjo, Y, Kaga, K. Vestibular-evoked myogenic potentials in cochlear implant children. Acta Otolaryngol 2006;126:164–9CrossRefGoogle ScholarPubMed
Filipo, R, Patrizi, M, La Gamma, R, D'Elia, C, La Rosa, G, Barbara, M. Vestibular impairment and cochlear implantation. Acta Otolaryngol 2006;126:1266–7410.1080/00016480600678789CrossRefGoogle ScholarPubMed
Hülse, R, Hörmann, K, Servais, JJ, Hülse, M, Wenzel, A. Clinical experience with video Head Impulse Test in children. Int J Pediatr Otorhinolaryngol 2015;79:1288–93CrossRefGoogle ScholarPubMed