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