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Long-term vestibular evoked myogenic potential responses in children with cochlear implant

Year 2017, Volume: 27 Issue: 5, 209 - 213, 13.11.2017

Abstract

Objectives: This study aims to evaluate the long-term functions of vestibular system via vestibular evoked myogenic potentials VEMPs in patients who were administered cochlear implant surgery. Patients and Methods: Our study included 35 patients aged under 18 years 19 males, 16 females; mean age 13.0±3.6 years; range 5 to 18 years who were followed-up for at least one year after cochlear implant surgery. Control group included 35 voluntary individuals aged under 18 years 21 males, 14 females; mean age 14.6±3.2 years; range 5 to 18 years , who had no history of any complaint related to the vestibular system. Cervical and ocular VEMP responses acquired in both ears of study and control groups were compared between the groups. Results: Rates of cervical VEMP wave acquisition in children with cochlear implants did not show any significant difference between the operated and opposite side ears p=0.802 . In children with cochlear implants, there was also no significant difference between the operated and opposite side ears in terms of rates of ocular VEMP wave acquisition p=0.078 . In the ears of children in the control group, cervical VEMP and ocular VEMP waves were acquired at significantly higher rates compared to those in both operated and opposite side ears of children with implants p<0.001 . Conclusion: In this study, VEMP testing impairments were detected in long-term follow-ups of patients with cochlear implants compared to healthy controls. Some of the VEMP testing impairments may be related to the primary diagnosis leading to the implant requirement, while others may be secondary to surgery-related vestibular damage. Preoperative vestibular tests should also be performed particularly in patients for whom bilateral cochlear implantation is planned.

References

  • Yorgancılar E, Yıldırım M, Gün R, Bakır S, Kınış V, Özbay M, et al. Analysis of 36 patients underwent cochlear implantation surgery. Dicle Med J 2012;39:262-8.
  • González-Navarro M, Manrique-Huarte R, Manrique- Rodríguez M, Huarte-Irujo A, Pérez-Fernández N. Long-term follow-up of late onset vestibular complaints in patients with cochlear implant. Acta Otolaryngol 2015;135:1245-52.
  • Abouzayd M, Smith PF, Moreau S, Hitier M. What vestibular tests to choose in symptomatic patients after a cochlear implant? A systematic review and meta- analysis. Eur Arch Otorhinolaryngol 2017;274:53-63.
  • Hızal E, H. Erbek S, Özlüoğlu LN. Vestibular evoked myogenic potentials. Bozok Med J 2014;1:26-37.
  • Kempf HG, Tempel S, Johann K, Lenarz T. Complications of cochlear implant surgery in children and adults. Laryngorhinootologie 1999;78:529-37. [Abstract]
  • Vibert D, Häusler R, Kompis M, Vischer M. Vestibular function in patients with cochlear implantation. Acta Otolaryngol Suppl 2001;545:29-34.
  • Basta D, Todt I, Goepel F, Ernst A. Loss of saccular function after cochlear implantation: the diagnostic impact of intracochlear electrically elicited vestibular evoked myogenic potentials. Audiol Neurootol 2008;13:187-92.
  • Jacot E, Van Den Abbeele T, Debre HR, Wiener-Vacher SR. Vestibular impairments pre- and post-cochlear implant in children. Int J Pediatr Otorhinolaryngol 2009;73:209-17.
  • Buchman CA, Joy J, Hodges A, Telischi FF, Balkany TJ. Vestibular effects of cochlear implantation. Laryngoscope 2004;114:1-22.
  • Jin Y, Nakamura M, Shinjo Y, Kaga K. Vestibular- evoked myogenic potentials in cochlear implant children. Acta Otolaryngol 2006;126:164-9.
  • Thierry B, Blanchard M, Leboulanger N, Parodi M, Wiener-Vacher SR, Garabedian EN, et al. Cochlear implantation and vestibular function in children. Int J Pediatr Otorhinolaryngol 2015;79:101-4.
  • Todt I, Basta D, Ernst A. Does the surgical approach in cochlear implantation influence the occurrence of postoperative vertigo? Otolaryngol Head Neck Surg 2008;138:8-12.
  • Xu XD, Zhang XT, Zhang Q, Hu J, Chen YF, Xu M. Ocular and cervical vestibular-evoked myogenic potentials in children with cochlear implant. Clin Neurophysiol 2015;126:1624-31.
  • Tien HC, Linthicum FH Jr. Histopathologic changes in the vestibule after cochlear implantation. Otolaryngol Head Neck Surg 2002;127:260-4.
  • Coordes A, Ernst A, Brademann G, Todt I. Round window membrane insertion with perimodiolar cochlear implant electrodes. Otol Neurotol 2013;34:1027-32.
  • Stöver T, Issing P, Graurock G, Erfurt P, ElBeltagy Y, Paasche G, et al. Evaluation of the advance off-stylet insertion technique and the cochlear insertion tool in temporal bones. Otol Neurotol 2005;26:1161-70.
  • Eisenberg LS, Nelson JR, House WF. Effects of the single-electrode cochlear implant on the vestibular system of the profoundly deaf adult. Ann Otol Rhinol Laryngol Suppl 1982;91:47-54.
  • Aschendorff A, Kubalek R, Turowski B, Zanella F, Hochmuth A, Schumacher M, et al. Quality control after cochlear implant surgery by means of rotational tomography. Otol Neurotol 2005;26:34-7.
  • van den Broek P, Huygen PL, Mens LH, Admiraal RJ, Spies T. Vestibular function in cochlear implant patients. Acta Otolaryngol 1993;113:263-5.
  • Brey RH, Facer GW, Trine MB, Lynn SG, Peterson AM, Suman VJ. Vestibular effects associated with implantation of a multiple channel cochlear prosthesis. Am J Otol 1995;16:424-30.
  • Huygen PL, Hinderink JB, van den Broek P, van den Borne S, Brokx JP, Mens LH, et al. The risk of vestibular function loss after intracochlear implantation. Acta Otolaryngol Suppl 1995;520:270-2.
  • Chiong CM, Nedzelski JM, McIlmoyl LD, Shipp DB. Electro-oculographic findings pre- and post-cochlear implantation. J Otolaryngol 1994;23:447-9.
  • Ito J. Influence of the multichannel cochlear implant on vestibular function. Otolaryngol Head Neck Surg 1998;118:900-2.
  • Fina M, Skinner M, Goebel JA, Piccirillo JF, Neely JG, Black O. Vestibular dysfunction after cochlear implantation. Otol Neurotol 2003;24:234-42.
  • Enticott JC, O’leary SJ, Briggs RJ. Effects of vestibulo- ocular reflex exercises on vestibular compensation after vestibular schwannoma surgery. Otol Neurotol 2005;26:265-9.

Koklear implantlı çocuklarda uzun dönem vestibüler uyarılmış miyojenik potansiyel yanıtları

Year 2017, Volume: 27 Issue: 5, 209 - 213, 13.11.2017

Abstract

Amaç: Bu çalışmada koklear implant cerrahisi uygulanan hastalarda vestibüler sistemin işlevleri vestibüler uyarılmış miyojenik potansiyeller VEMP üzerinden uzun dönemde değerlendirildi.Hastalar ve Yöntemler: Çalışmamıza koklear implant cerrahisi sonrası en az bir yıldır takip edilen 18 yaş altı 35 hasta 19 erkek, 16 kız; ort. yaş 13.0±3.6 yıl; dağılım 5-18 yıl dahil edildi. Kontrol grubu, öyküsünde vestibüler sistemle ilgili herhangi bir yakınması olmayan 35 gönüllü 18 yaş altı sağlıklı birey 21 erkek, 14 kız; ort. yaş 14.6±3.2 yıl; dağılım 5-18 yıl içerdi. Çalışma ve kontrol grubunun her iki kulaklarından elde edilen servikal ve oküler VEMP yanıtları gruplar arasında karşılaştırıldı.Bulgular: Koklear implantlı çocuklarda servikal VEMP dalgası elde edilme oranları ameliyat edilen ve karşı taraf kulaklar arasında istatistiksel olarak anlamlı bir farklılık göstermedi p=0.802 . Koklear implantlı çocuklarda ameliyat edilen ve karşı taraf kulaklar arasında oküler VEMP dalgası elde edilme oranlarında da anlamlı bir farklılık yoktu p=0.078 . Kontrol grubundaki çocukların kulaklarında servikal VEMP ve oküler VEMP dalgaları, implantlı hastaların hem ameliyat edilen hem karşı taraf kulaklarına kıyasla anlamlı olarak daha yüksek oranda elde edildi p

References

  • Yorgancılar E, Yıldırım M, Gün R, Bakır S, Kınış V, Özbay M, et al. Analysis of 36 patients underwent cochlear implantation surgery. Dicle Med J 2012;39:262-8.
  • González-Navarro M, Manrique-Huarte R, Manrique- Rodríguez M, Huarte-Irujo A, Pérez-Fernández N. Long-term follow-up of late onset vestibular complaints in patients with cochlear implant. Acta Otolaryngol 2015;135:1245-52.
  • Abouzayd M, Smith PF, Moreau S, Hitier M. What vestibular tests to choose in symptomatic patients after a cochlear implant? A systematic review and meta- analysis. Eur Arch Otorhinolaryngol 2017;274:53-63.
  • Hızal E, H. Erbek S, Özlüoğlu LN. Vestibular evoked myogenic potentials. Bozok Med J 2014;1:26-37.
  • Kempf HG, Tempel S, Johann K, Lenarz T. Complications of cochlear implant surgery in children and adults. Laryngorhinootologie 1999;78:529-37. [Abstract]
  • Vibert D, Häusler R, Kompis M, Vischer M. Vestibular function in patients with cochlear implantation. Acta Otolaryngol Suppl 2001;545:29-34.
  • Basta D, Todt I, Goepel F, Ernst A. Loss of saccular function after cochlear implantation: the diagnostic impact of intracochlear electrically elicited vestibular evoked myogenic potentials. Audiol Neurootol 2008;13:187-92.
  • Jacot E, Van Den Abbeele T, Debre HR, Wiener-Vacher SR. Vestibular impairments pre- and post-cochlear implant in children. Int J Pediatr Otorhinolaryngol 2009;73:209-17.
  • Buchman CA, Joy J, Hodges A, Telischi FF, Balkany TJ. Vestibular effects of cochlear implantation. Laryngoscope 2004;114:1-22.
  • Jin Y, Nakamura M, Shinjo Y, Kaga K. Vestibular- evoked myogenic potentials in cochlear implant children. Acta Otolaryngol 2006;126:164-9.
  • Thierry B, Blanchard M, Leboulanger N, Parodi M, Wiener-Vacher SR, Garabedian EN, et al. Cochlear implantation and vestibular function in children. Int J Pediatr Otorhinolaryngol 2015;79:101-4.
  • Todt I, Basta D, Ernst A. Does the surgical approach in cochlear implantation influence the occurrence of postoperative vertigo? Otolaryngol Head Neck Surg 2008;138:8-12.
  • Xu XD, Zhang XT, Zhang Q, Hu J, Chen YF, Xu M. Ocular and cervical vestibular-evoked myogenic potentials in children with cochlear implant. Clin Neurophysiol 2015;126:1624-31.
  • Tien HC, Linthicum FH Jr. Histopathologic changes in the vestibule after cochlear implantation. Otolaryngol Head Neck Surg 2002;127:260-4.
  • Coordes A, Ernst A, Brademann G, Todt I. Round window membrane insertion with perimodiolar cochlear implant electrodes. Otol Neurotol 2013;34:1027-32.
  • Stöver T, Issing P, Graurock G, Erfurt P, ElBeltagy Y, Paasche G, et al. Evaluation of the advance off-stylet insertion technique and the cochlear insertion tool in temporal bones. Otol Neurotol 2005;26:1161-70.
  • Eisenberg LS, Nelson JR, House WF. Effects of the single-electrode cochlear implant on the vestibular system of the profoundly deaf adult. Ann Otol Rhinol Laryngol Suppl 1982;91:47-54.
  • Aschendorff A, Kubalek R, Turowski B, Zanella F, Hochmuth A, Schumacher M, et al. Quality control after cochlear implant surgery by means of rotational tomography. Otol Neurotol 2005;26:34-7.
  • van den Broek P, Huygen PL, Mens LH, Admiraal RJ, Spies T. Vestibular function in cochlear implant patients. Acta Otolaryngol 1993;113:263-5.
  • Brey RH, Facer GW, Trine MB, Lynn SG, Peterson AM, Suman VJ. Vestibular effects associated with implantation of a multiple channel cochlear prosthesis. Am J Otol 1995;16:424-30.
  • Huygen PL, Hinderink JB, van den Broek P, van den Borne S, Brokx JP, Mens LH, et al. The risk of vestibular function loss after intracochlear implantation. Acta Otolaryngol Suppl 1995;520:270-2.
  • Chiong CM, Nedzelski JM, McIlmoyl LD, Shipp DB. Electro-oculographic findings pre- and post-cochlear implantation. J Otolaryngol 1994;23:447-9.
  • Ito J. Influence of the multichannel cochlear implant on vestibular function. Otolaryngol Head Neck Surg 1998;118:900-2.
  • Fina M, Skinner M, Goebel JA, Piccirillo JF, Neely JG, Black O. Vestibular dysfunction after cochlear implantation. Otol Neurotol 2003;24:234-42.
  • Enticott JC, O’leary SJ, Briggs RJ. Effects of vestibulo- ocular reflex exercises on vestibular compensation after vestibular schwannoma surgery. Otol Neurotol 2005;26:265-9.
There are 25 citations in total.

Details

Primary Language Turkish
Journal Section Research Article
Authors

Mustafa Topal This is me

Özgül Topal This is me

Selim Sermed Erbek This is me

Hatice Seyra Erbek This is me

Publication Date November 13, 2017
Published in Issue Year 2017 Volume: 27 Issue: 5

Cite

APA Topal, M., Topal, Ö., Erbek, S. S., Erbek, H. S. (2017). Koklear implantlı çocuklarda uzun dönem vestibüler uyarılmış miyojenik potansiyel yanıtları. The Turkish Journal of Ear Nose and Throat, 27(5), 209-213.
AMA Topal M, Topal Ö, Erbek SS, Erbek HS. Koklear implantlı çocuklarda uzun dönem vestibüler uyarılmış miyojenik potansiyel yanıtları. Tr-ENT. November 2017;27(5):209-213.
Chicago Topal, Mustafa, Özgül Topal, Selim Sermed Erbek, and Hatice Seyra Erbek. “Koklear Implantlı çocuklarda Uzun dönem vestibüler uyarılmış Miyojenik Potansiyel yanıtları”. The Turkish Journal of Ear Nose and Throat 27, no. 5 (November 2017): 209-13.
EndNote Topal M, Topal Ö, Erbek SS, Erbek HS (November 1, 2017) Koklear implantlı çocuklarda uzun dönem vestibüler uyarılmış miyojenik potansiyel yanıtları. The Turkish Journal of Ear Nose and Throat 27 5 209–213.
IEEE M. Topal, Ö. Topal, S. S. Erbek, and H. S. Erbek, “Koklear implantlı çocuklarda uzun dönem vestibüler uyarılmış miyojenik potansiyel yanıtları”, Tr-ENT, vol. 27, no. 5, pp. 209–213, 2017.
ISNAD Topal, Mustafa et al. “Koklear Implantlı çocuklarda Uzun dönem vestibüler uyarılmış Miyojenik Potansiyel yanıtları”. The Turkish Journal of Ear Nose and Throat 27/5 (November 2017), 209-213.
JAMA Topal M, Topal Ö, Erbek SS, Erbek HS. Koklear implantlı çocuklarda uzun dönem vestibüler uyarılmış miyojenik potansiyel yanıtları. Tr-ENT. 2017;27:209–213.
MLA Topal, Mustafa et al. “Koklear Implantlı çocuklarda Uzun dönem vestibüler uyarılmış Miyojenik Potansiyel yanıtları”. The Turkish Journal of Ear Nose and Throat, vol. 27, no. 5, 2017, pp. 209-13.
Vancouver Topal M, Topal Ö, Erbek SS, Erbek HS. Koklear implantlı çocuklarda uzun dönem vestibüler uyarılmış miyojenik potansiyel yanıtları. Tr-ENT. 2017;27(5):209-13.