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Using Unidirectional Rotations to Improve Vestibular System Asymmetry in Patients with Vestibular Dysfunction
Published on: August 30, 2019
[Vestibular dysfunction after cochlear implantation: a national multicenter clinical study]
D Bouccara1, M J Estève Fraysse, N Loundon
1Hôpital Beaujon, Service d'ORL, 100 Boulevard Général Leclerc, F-92110 Clichy, France. didier.bouccara@bjn.ap-hop-paris.fr
Revue De Laryngologie - Otologie - Rhinologie
|February 25, 2006
Summary
Cochlear implantation can cause vertigo and dizziness, affecting 16% of adults and 3% of children. Specific causes like perilymphatic fistula were identified, while others remain speculative.
Area of Science:
- Otolaryngology
- Neurosurgery
- Audiology
Background:
- Vertigo and dizziness are frequent complications following cochlear implantation.
- Understanding their incidence and mechanisms is crucial for patient management.
Purpose of the Study:
- To analyze the incidence, clinical features, and treatment of vertigo and dizziness after cochlear implantation.
- To investigate potential underlying mechanisms for these common complications.
Main Methods:
- A multicentric study collected data on 469 adult and pediatric cochlear implant recipients.
- Clinical aspects, incidence, and treatment of postoperative vertigo and dizziness were analyzed.
Main Results:
- Postoperative dizziness occurred in 16% of adults and 3% of children.
- Perilymphatic fistula was identified as a specific cause in some cases.
- Delayed vertigo mechanisms remain speculative, with endolymphatic hydrops suggested.
Conclusions:
- Vertigo and dizziness are significant, though relatively infrequent, complications of cochlear implantation.
- Further research is needed to elucidate the mechanisms of delayed vertigo.
- Identifying specific causes like perilymphatic fistula aids targeted treatment.
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