Vibert, Dominique; Kompis, Martin; Caversaccio, Marco; Mantokoudis, Georgios (2023). Vestibular function, subjective complaints, perceived disability in daily life, and sports activities in patients with cochlear implants performed during childhood: a prospective cross-section study. Acta oto-laryngologica, 143(9), pp. 735-741. Informa Healthcare 10.1080/00016489.2023.2268159
Full text not available from this repository.BACKGROUND
Vestibular function (VF) in patients with cochlear implantation (CI) performed during childhood is underinvestigated.
OBJECTIVE
To study VF in patients receiving CI during childhood.
MATERIAL & METHODS
Sixty patients (22 females) from 7-34 years old, unilaterally (n = 21) and bilaterally (n = 39) implanted, were included. Deafness was congenital (n = 45), consequential to meningitis (n = 3), skull fracture (n = 1), perinatal CMV infection (n = 1), ototoxic drugs (n = 1), unknown etiology (n = 9). VF was measured between 1 to 22 years after implantation, including calorics, v-HIT, c-VEMPS. Dizziness handicap inventory (DHI), age at independent walking(IW), sport activities were also investigated.
RESULTS
Nine CI-patients (15%) reported dizziness/vertigo either prior or months to years after surgery. Comparison between symptomatic (15%), asymptomatic (85%), uni-bilaterally CI-patients showed no significant difference on VF's impairment for calorics (p = .603) and v-HIT (p = 1). Symptoms were not related to vestibular impairment. Age at implantation (p = 0.956), uni- bilateral (p = .32), simultaneous versus sequential (p = .134) did not influence IW age. DHI showed a tendency for being symptomatic at higher implantation age. Interval between CI, IWage, current age between surgery and vestibular evaluation did not have a significant effect on symptomatology.
CONCLUSION & SIGNIFICANCE
This first middle to long-term evaluation of the VF in CI-patients, implanted in childhood, pointed out that 85% of patients were asymptomatic, with a mean time of >10 years after surgery. Vestibular impairment and symptoms seem to be mainly due to the underlying inner ear's disease rather than surgery.
Item Type: |
Journal Article (Original Article) |
|---|---|
Division/Institute: |
04 Faculty of Medicine > Department of Head Organs and Neurology (DKNS) > Clinic of Ear, Nose and Throat Disorders (ENT) |
UniBE Contributor: |
Vibert, Dominique Christine, Kompis, Martin, Caversaccio, Marco, Mantokoudis, Georgios |
Subjects: |
600 Technology > 610 Medicine & health |
ISSN: |
0001-6489 |
Publisher: |
Informa Healthcare |
Language: |
English |
Submitter: |
Pubmed Import |
Date Deposited: |
30 Oct 2023 11:20 |
Last Modified: |
09 Nov 2023 00:17 |
Publisher DOI: |
10.1080/00016489.2023.2268159 |
PubMed ID: |
37897347 |
Uncontrolled Keywords: |
Cochlear implant c-Vemps childhood v-HIT vestibular function videonystagmography |
URI: |
https://boris.unibe.ch/id/eprint/188291 |
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