Vestibular Preservation in Pediatric Cochlear Implantation.
cochlear implant
hearing preservation
pediatric vestibular
vestibular preservation
vestibular testing
Journal
The Laryngoscope
ISSN: 1531-4995
Titre abrégé: Laryngoscope
Pays: United States
ID NLM: 8607378
Informations de publication
Date de publication:
Apr 2024
Apr 2024
Historique:
revised:
20
07
2023
received:
05
06
2023
accepted:
03
08
2023
medline:
18
3
2024
pubmed:
16
8
2023
entrez:
16
8
2023
Statut:
ppublish
Résumé
Evaluate the rate of preserved vestibular function in pediatric cochlear implant surgery. Retrospective case review. Pre- and post-operative vestibular tests were compared in children who underwent cochlear implantation at a tertiary level pediatric hospital over a 4-year period. Data from 59 implanted ears in 44 children was included. Median age was 2.8 years at initial testing (range 7 months - 21 years) with 1:1 male/female ratio. Implant surgeries were 26 unilateral, 13 bilateral simultaneous, and 5 bilateral sequential. The majority were implanted with slim, non-styletted electrodes (86.4%) via a round window approach (91.5%). Normal pre-operative results were preserved post-operatively on rotary chair testing in 75% (21/28) of patients, cervical vestibular evoked myogenic potential testing in (75%) 30/40 of ears tested, ocular vestibular evoked myogenic potential testing in 85.7% (6/7) of ears tested, video head impulse testing in 100% (9/9) of ears tested, and computerized dynamic posturography in 100% (5/5) of patients tested. Overall, 62.5% of patients had no new deficits on any vestibular test performed post-operatively. Preservation rates of vestibular function following cochlear implant surgery were higher in this cohort than what has been reported in many earlier studies. Contemporary, less traumatic electrodes and insertion techniques may be a significant factor. The risk of causing a new, severe bilateral vestibular loss with long-term functional impacts appears to be low. Further study is warranted on the impacts of different cochlear implant electrode designs and insertion approaches on post-operative vestibular preservation. 4, Case Series Laryngoscope, 134:1913-1918, 2024.
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
1913-1918Subventions
Organisme : Department of Otolaryngology and Communication Enhancement at Boston Children's Hospital. The authors have no financial relationships, or conflicts of interest to disclose.
Informations de copyright
© 2023 The American Laryngological, Rhinological and Otological Society, Inc.
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