Koklear implant cerrahisi sonrası vestibüler fonksiyon

Yıl 2020, Cilt: 3 Sayı: 2, 1 - 6, 29.08.2020

Elif Tuğba Saraç Hüseyin Deniz Şemsettin Okuyucu Ertap Akoğlu Özge Berber

Öz

Amaç: Bu çalışmanın amacı koklear implant (CI) cerrahisinin vestibüler fonksiyon üzerindeki etkilerini incelemektir.
Gereç ve Yöntemler: Ameliyat öncesi vertigo şikayeti olmayan ve ameliyat sonrası vestibüler problem yaşayan CI kullanıcıları vaka grubuna dahil edildi. Vestibüler veya işitme problemi olmayan sağlıklı bireyler kontrol grubuna dahil edildi. Periferik ve santral vestibüler yolaklar videonistagmografi (VNG) ile değerlendirildi.
Bulgular: Tracking ve sakkadik testler, koklear implant kullanan katılımcılar ile kontrol grubu karşılaştırıldığında, sağ sakkadik doğruluk ve sakkadik latans parametreleri dışında iki grup arasında istatistiksel olarak anlamlı bir fark bulunmadı. Vaka ve kontrol gruplarında spontan ve head shake nistagmus gözlenmedi, iki elektrodun VNG test pili üzerinde farklı bir etki oluşturmadığı belirlendi.
Sonuç: CI tarafının belirlenmesinde vestibüler değerlendirme, CI ekibine daha iyi rehberlik eder ve ameliyat sonrası ortaya çıkabilecek vestibüler disfonksiyonu azaltabilir

Anahtar Kelimeler

koklear implantasyon, vestibüler değerlendirme, videonistagmografi, vertigo, okulomotor testler, pozistonel testler

Vestibular function after cochlear implant surgery

Öz

Aim: Aim of this study is analyzing the effects of cochlear implant (CI)surgery on vestibular function.
Material and Methods: CI users who had no vertigo complaints pre-op, and who experienced vestibular problems post-op were included in the case group.Healthy individuals who did not have vestibular or hearing problems were included in the control group.The users’ peripheric and central vestibular pathways were evaluated with videonystagmography (VNG).
Results: Tracking and saccadic tests, when the participants who use cochlear implants and the control group were compared,no statistically significant difference was found between the two groups, except for right saccadic accuracy and saccadic latency parameters. In the CI and control groups,spontaneous and head shake nystagmus were not observed,it was determined that the two electrodes did not exert a different effect on the VNG test battery.
Conclusion: Vestibular evaluation in determining the CI side better guides the CI team and can reduce vestibular dysfunction which may occur after surgery.

Anahtar Kelimeler

cochlear implantation, vestibular evaluation, videonystagmography, vertigo, oculomotor tests, positional and positioning tests

Kaynakça

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