Alteration of Vestibular Function in Pediatric Cochlear Implant Recipients.
Alteration of Vestibular Function in Pediatric Cochlear Implant Recipients.
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DOI：
10.3389/fneur.2021.661302
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发表时间：
2021
影响因子：
3.4
通讯作者：
Yamasoba T
中科院分区：
文献类型：
--
作者：
Koyama H;Kashio A;Fujimoto C;Uranaka T;Matsumoto Y;Kamogashira T;Kinoshita M;Iwasaki S;Yamasoba T
背景：前庭功能障碍是人工耳蜗植入术后的并发症。关于CI前后前庭功能评价的报道有限，尤其是儿童。我们调查了CI对儿童患者前庭功能的影响。患者和方法：我们常规评估前庭功能之前，但不立即CI。因此，接受序贯双侧CI的患者入组本研究。从2003年至2020年在我院接受序贯CI的73名儿童被纳入。由于第一个植入耳的前庭功能是在对侧耳的第二次手术之前进行评价的，因此CI后评价的时间在病例之间存在差异。评价包括冷热试验、颈前庭诱发肌源性电位（cVEMP）试验和阻尼旋转试验。客观变量包括这些测试的结果，解释变量包括手术时的年龄、听力损失的原因、电极类型和手术方法。分析了这些测试的关联性。结果：脑梗死后cVEMP受影响最大（36.1%），其次是冷热试验（23.6%）和阻尼旋转试验（7.8%）。根据热量试验（p = 0.035）和阻尼旋转试验（p = 0.029）的结果，结肠造口术比圆窗（RW）方法或扩展RW方法的危害性更大。环抱蜗轴电极对热量测试结果的影响大于直电极（p = 0.041）。这些测试结果之间没有显著的关联。结论：在儿童中使用圆窗方法或使用直电极的扩展圆窗方法的微创手术是理想的，以保留CI后的前庭功能。
Background: Vestibular dysfunction is a complication of cochlear implantation (CI). Reports on the evaluation of vestibular function before and after CI are limited, especially in children. We investigated the effect of CI on vestibular function in pediatric patients. Patients and Methods: We routinely evaluated vestibular function before but not immediately after CI. Therefore, patients who underwent sequential bilateral CI were enrolled in this study. Seventy-three children who underwent sequential CI from 2003 to 2020 at our hospital were included. Since the vestibular function of the first implanted ear was evaluated before the second surgery for the contralateral ear, post-CI evaluation timing differed among the cases. The evaluation included a caloric test, a cervical vestibular-evoked myogenic potential (cVEMP) test, and a damped rotation test. The objective variables included the results of these tests, and the explanatory variables included the age at surgery, cause of hearing loss, electrode type, and surgical approach used. The associations of these tests were analyzed. Results: cVEMP was the most affected after CI (36.1%), followed by the caloric test (23.6%), and damped rotation test (7.8%). Cochleostomy was significantly more harmful than a round window (RW) approach or an extended RW approach based on the results of the caloric test (p = 0.035) and damped rotation test (p = 0.029). Perimodiolar electrodes affected the caloric test results greater than straight electrodes (p = 0.041). There were no significant associations among these tests' results. Conclusions: Minimally invasive surgery in children using a round window approach or an extended round window approach with straight electrodes is desirable to preserve vestibular function after CI.
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DOI：
10.1097/mao.0000000000001199
发表时间：
2016-12
期刊：
Otology & neurotology : official publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology
影响因子：
--
作者：
Ishiyama A;Doherty J;Ishiyama G;Quesnel AM;Lopez I;Linthicum FH
通讯作者：
Linthicum FH
影响因子：
1.6
作者：
Basta, D.;Todt, I.;Ernst, A.
通讯作者：
Ernst, A.
DOI：
10.1016/j.ijporl.2017.01.019
发表时间：
2017-03-01
影响因子：
1.5
作者：
Ajalloueyan, Mohammad;Saeedi, Masoumeh;Abdollahi, Farzaneh Zamiri
通讯作者：
Abdollahi, Farzaneh Zamiri
影响因子：
1.7
作者：
Chiesa Estomba, Carlos Miguel;Schmitz, Teresa Rivera;Lorenzo Lorenzo, Ana Isabel
通讯作者：
Lorenzo Lorenzo, Ana Isabel
影响因子：
2.6
作者：
Bance, ML;O'Driscoll, M;Ramsden, RT
通讯作者：
Ramsden, RT