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. (Request a copy)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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