Vestibular function assessment following cochlear implantation using rotatory chair testing
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OTOLOGY
Vestibular function assessment following cochlear implantation using rotatory chair testing Hossam Sanyelbhaa Talaat1 · Ahmed Ihab Fahime Chedid2 · Ghada Mohamed Wageih3 · Ahmed Mahmoud Zein El‑Abedein4 Received: 13 June 2020 / Accepted: 18 August 2020 © Springer-Verlag GmbH Germany, part of Springer Nature 2020
Abstract Purpose Study aimed to assess short- and long-term impact of unilateral cochlear implantation in children on the angular vestibulo-ocular reflex using rotatory chair test. Methods Two groups; A (early postoperative evaluation) and B (later on evaluation) were included, each consisted of 23 cochlear implant candidates’ children with unilateral implant surgeries were performed in El-Galaa Hospital, Cairo, Egypt. They were assessed by rotatory chair test; sinusoidal harmonic acceleration paradigm. Three parameters: average gain, asymmetry, and phase results of each group were compared with the manufacturer’s norms and with each other. Further analysis by comparing each group implanted side specific gain results with the same group non-implanted side specific gain and with the other group implanted side specific gain results. Results Group A versus norms showed only significant differences in average gain and phase at 0.02 Hz and 0.01 Hz test frequencies respectively. However, three parameters in group B showed no significant differences when compared with norms. When comparing the results of both groups relieved significant differences only in average gain at 0.02 Hz and in phase at both 0.01 Hz and 0.04 Hz. Comparing specific gain results for both sides of group A showed significance at 0.32 Hz test frequency, while those of group B showed no significant differences. The analysis of implanted sides gain results of both groups showed differences at 0.16 Hz and 0.32 Hz. Conclusion Bilateral restoration and improvement of angular vestibulo-ocular reflexes after unilateral cochlear implantation was reported with long-term assessment by rotatory chair test. Keywords Angular vestibulo-ocular reflex · VOR · Vestibular system · Lateral semicircular canal · Neural plasticity
Introduction Rehabilitation in a deaf child aims to enable the development of oral language and verbal communication. Nowadays, cochlear implantation (CI) is considered the procedure of choice for rehabilitation of children with severe * Ghada Mohamed Wageih [email protected] 1
Department of Otorhinolaryngology, Faculty of Medicine, Menoufia University, Shebin Alkom, Menoufia, Egypt
2
Department of Otorhinolaryngology, Military Medical Academy, Cairo, Egypt
3
Department of Otorhinolaryngology, Health Insurance, Cairo, Egypt
4
Department of Otorhinolaryngology, Faculty of Medicine, Menoufia University, Shebin Alkom, Menoufia 11835, Egypt
to profound sensorineural hearing loss [1]. Postoperative balance disorders in the cochlear implanted adults were reported in 30–75% of the cases, with higher proportion in children (50–85%) [2]. Different studies reported two types of dizziness after CI, one occurs
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