Vestibular function in patiens with cochlear implant

2020 ◽  
Vol 83/116 (2) ◽  
pp. 198-201
Author(s):  
Klára Kučerová ◽  
Jan Bouček ◽  
Kryštof Slabý ◽  
Jaroslav Jeřábek ◽  
Ondřej Čakrt
Author(s):  
Sophie Lipson ◽  
Ross O’Shea ◽  
Susan Gibbons ◽  
Guangwei Zhou ◽  
Jacob Brodsky

2006 ◽  
Vol 27 (6) ◽  
pp. 824-830 ◽  
Author(s):  
Joanne C. Enticott ◽  
Sylvia Tari ◽  
Su May Koh ◽  
Richard C. Dowell ◽  
Stephen J. O'Leary

Revista CEFAC ◽  
2018 ◽  
Vol 20 (1) ◽  
pp. 101-109
Author(s):  
Juliana Jandre Melo ◽  
Paula Carolina Dias Gibrin ◽  
Luciana Lozza de Moraes Marchiori

ABSTRACT Cochlear implants directly stimulate nerve fibers and ganglion cells of the auditory nerve, which transform sound energy into low levels of electrical current, stimulating the remaining fibers of the auditory nerve in patients with severe to profound hearing loss, in order to provide the significant range of auditory sensation and speech comprehension. Due to the close relationship between cochlea and vestibular receptors, some patients may present vestibular and postural balance changes concomitantly after surgery. This study aimed to perform a narrative review of the main studies that relate vestibular symptoms in patients implanted in the last six years. The research was performed through the databases: SciELO, LILACS and PubMed, using associated descriptors for "cochlear implant", "vestibular dysfunction", "vertigo" and "balance", totalizing 21 studies that fitted the inclusion criteria. The results were described in a chronological order of publication, showing the main conclusions. Of the total studies analyzed, 18 related vestibular function to cochlear implant and only 3 studies did not find such a relationship. The literature characterize the effects of the cochlear implant on the vestibular system, however, the results are contradictory.


2014 ◽  
Vol 272 (3) ◽  
pp. 523-530 ◽  
Author(s):  
Laetitia Robard ◽  
Martin Hitier ◽  
Catherine Lebas ◽  
Sylvain Moreau

ORL ◽  
1998 ◽  
Vol 60 (2) ◽  
pp. 85-87 ◽  
Author(s):  
Giovanni Rossi ◽  
Paolo Solero ◽  
Marco Rolando ◽  
Massimo Spadola Bisetti

2021 ◽  
Vol 12 ◽  
Author(s):  
Constanza Fuentealba Bassaletti ◽  
Babette F. van Esch ◽  
Jeroen J. Briaire ◽  
Peter Paul G. van Benthem ◽  
Erik F. Hensen ◽  
...  

Objectives: Video head impulse test (v-HIT) is a quick, non-invasive and relatively cheap test to evaluate vestibular function compared to the caloric test. The latter is, however, needed to decide on the optimal side to perform cochlear implantation to avoid the risk on inducing a bilateral vestibular areflexia. This study evaluates the effectiveness of using the v-HIT to select cochlear implant (CI) candidates who require subsequent caloric testing before implantation, in that way reducing costs and patient burden at the same time.Study Design: Retrospective study using clinical data from 83 adult CI-candidates, between 2015 and 2020 at the Leiden University Medical Center.Materials and Methods: We used the v-HIT mean gain, MinGain_LR, the gain asymmetry (GA) and a newly defined parameter, MGS (Minimal Gain & Saccades) as different models to detect the group of patients that would need the caloric test to decide on the ear of implantation. The continuous model MGS was defined as the MinGain_LR, except for the cases with normal gain (both sides ≥0.8) where no corrective saccades were present. In the latter case MGS was defined to be 1.0 (the ideal gain value).Results: The receiver operating characteristics curve showed a very good diagnostic accuracy with and area under the curve (AUC) of 0.81 for the model MGS. The v-HIT mean gain, the minimal gain and GA had a lower diagnostic capacity with an AUC of 0.70, 0.72, and 0.73, respectively. Using MGS, caloric testing could be avoided in 38 cases (a reduction of 46%), with a test sensitivity of 0.9 (i.e., missing 3 of 28 cases).Conclusions: The newly developed model MGS balances the sensitivity and specificity of the v-HIT better than the more commonly evaluated parameters such as mean gain, MinGain_LR and GA. Therefore, taking the presence of corrective saccades into account in the evaluation of the v-HIT gain can considerably reduce the proportion of CI-candidates requiring additional caloric testing.


Author(s):  
ELIF TUGBA SARAC ◽  
HUSEYIN DENIZ ◽  
SEMSETTIN OKUYUCU ◽  
ERTAP AKOGLU ◽  
OZGE BERBER

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