The effects of cochlear implantation on vestibular function in 1-4 years old children
The effects of cochlear implantation on vestibular function in 1-4 years old children
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DOI：
10.1016/j.ijporl.2017.01.019
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发表时间：
2017-03-01
影响因子：
1.5
通讯作者：
Abdollahi, Farzaneh Zamiri
中科院分区：
文献类型：
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作者：
Ajalloueyan, Mohammad;Saeedi, Masoumeh;Abdollahi, Farzaneh Zamiri
目的：虽然人工耳蜗术为重度至重度听力损失儿童提供了一种有效的听力恢复选择，但人工耳蜗术对前庭系统和平衡的影响仍然存在。方法：在一项前瞻性队列研究中，对27例双侧重度听力损失儿童(均为人工耳蜗植入者)在人工耳蜗术前和术后的前庭功能进行评估。前庭评估包括前庭诱发肌源性电位、冷量测试和头部冲动测试。结果：人工耳蜗术前平均年龄27.19个月。在不考虑前庭评估结果的情况下，选择其中一只耳朵进行手术。手术后的前庭测试没有显示前庭系统或平衡的任何统计学意义上的改变。结论：这些有限的数据表明人工耳蜗术并没有损害这些患者的前庭系统。根据我们的研究结果，我们可以得出结论，圆窗植入对儿童前庭功能没有任何干扰影响。这一结果的推广还有待进一步研究。(C)2017爱思唯尔B.V.保留所有权利。
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. (C) 2017 Elsevier B.V. All rights reserved.