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The effects of cochlear implantation on vestibular function in 1-4 years old children
Mohammad Ajalloueyan1, Masoumeh Saeedi1, Mohammad Sadeghi2
1Neurotology and Skull Base Surgery, Otorhinolaryngology Department, Baqiyatallah University of Medical Sciences, Tehran, Iran.
Insights
Cochlear implantation in children with profound hearing loss did not significantly affect the vestibular system or balance. This study suggests round window implantation is safe for vestibular function in pediatric patients.
Area of Science:
- Otolaryngology
- Pediatric Audiology
- Neuroscience
Background:
- Cochlear implants are vital for hearing restoration in children with severe to profound hearing loss.
- Potential impacts of cochlear implantation on the pediatric vestibular system remain a concern.
Purpose of the Study:
- To prospectively evaluate the effect of cochlear implantation on vestibular function in children.
- To determine if cochlear implantation impacts balance in pediatric patients.
Main Methods:
- Prospective cohort study of 27 children with bilateral profound hearing loss.
- Vestibular function assessed pre- and post-cochlear implantation using Vestibular Evoked Myogenic Potentials, caloric testing, and the Head-Impulse Test.
Main Results:
- No statistically significant changes in vestibular system function or balance were observed after cochlear implantation.
- Mean age at implantation was 27.19 months.
Conclusions:
- Cochlear implantation, specifically round window implantation, appears to not negatively impact vestibular function in children.
- Further research is needed to generalize these findings to a broader pediatric population.
Objectives:
Although cochlear implants offer an effective hearing restoration option in children with severe to profound hearing loss, concern continues to exist regarding the possible effects of cochlear implantation on the vestibular system and balance.
Methods:
In a prospective cohort study, 27 children with bilateral profound hearing loss (all candidates for cochlear implantation) were evaluated for their vestibular function before and after cochlear implantation. Vestibular evaluations consisted of Vestibular Evoked Myogenic Potentials, caloric testing and the Head-Impulse Test.
Results:
Mean age at the time of cochlear implantation was 27.19 months. Without considering vestibular evaluation results, one of the ears was selected for surgery. Vestibular tests after surgery were not indicative of any statistically significant change in vestibular system or balance.
Conclusion:
This limited data shows that cochlear implantation did not impair the vestibular system of these patients. By the results of our study we may conclude that round window implantation does not have any disturbing impact on vestibular function in children. The generalization of this result needs further research.
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