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Cochlear Implant Surgery and Electrically-evoked Auditory Brainstem Response Recordings in C57BL/6 Mice
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Cochlear Implantation Outcomes in Patients With Migraine.

Madison V Epperson1, Lisa Chionis2, Rachel Fryatt1

  • 1Department of Otolaryngology-Head & Neck Surgery, University of Michigan.

Otology & Neurotology : Official Publication of the American Otological Society, American Neurotology Society [And] European Academy of Otology and Neurotology
|October 8, 2025
PubMed
Summary
This summary is machine-generated.

Migraine did not affect cochlear implant speech scores or device use. However, migraine patients experienced more tinnitus and communicated more with providers post-implantation.

Keywords:
Cochlear implant performanceDizzinessMigraineSpeech perceptionTinnitus

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Area of Science:

  • Otolaryngology
  • Neuroscience
  • Audiology

Background:

  • Migraine is a common neurological condition.
  • Cochlear implantation (CI) is a treatment for severe hearing loss.
  • The impact of migraine on CI outcomes is not well understood.

Purpose of the Study:

  • To investigate the effect of migraine on cochlear implantation outcomes.
  • To assess patient experience after cochlear implantation in individuals with migraine.

Main Methods:

  • Retrospective, multi-institutional case-control study.
  • Included adults who underwent CI with a migraine diagnosis and matched controls.
  • Assessed speech perception (CNC, AzBio), device usage, dizziness, tinnitus, and communication.

Main Results:

  • Migraineurs reported more preoperative dizziness and postoperative tinnitus.
  • No significant difference in speech perception (CNC, AzBio) or daily device usage.
  • Migraineurs had higher rates of postoperative communication with providers.

Conclusions:

  • Migraine does not negatively impact speech perception or device usage after CI.
  • Migraineurs experience less tinnitus resolution and increased postoperative communication needs.
  • Findings are relevant for patient counseling regarding CI outcomes.