SCIENTIFIC-PRACTICAL JOURNAL

| укр | рус |

 

 


No2(4) 2021

Back to the issue


DOI 10.37219/2528-8253-2021-2-13

Lutsenko V, Situkho M
Assessment of the peripheral vestibular analyzer in children after cochlear implantation
Lutsenko Viktor I.
State Institution “Institute of otolaryngology named after Prof. O.S. Kolomiychenko of the National Academy of Medical Sciences of Ukraine”; Kyiv, Ukraine
Head of Laboratory of Clinical Audiology and Vestibulology
Doctor of Medical Sciences
E-mail: amtc@kndio.kiev.ua
https://orcid.org/0000-0001-6517-2223

Situkho Maxim
State Institution “Institute of otolaryngology named after Prof. O.S. Kolomiychenko of the National Academy of Medical Sciences of Ukraine”; Kyiv, Ukraine
Laboratory of Clinical Audiology and Vestibulology
Researcher
email: maxim.situkho@gmail.com
https://orcid.org/0000-0002-9021-4621
Scopus Author ID: 57193791469

Abstract

Topicality: Despite the fact that during cochlear implantation can have negative impact on the peripheral part of the vestibular analyzer, in most clinics that perform CI, there is no routine examination of vestibular function in the pre- and postoperative periods.
Aim: to study the condition of the peripheral vestibular analyzer in children with sensorineural deafness before and after cochlear implantation through the analysis of quantitative characteristics of the rotational test.
Material and methods: The prospective study included 30 children with normal hearing and no vestibular complaints (control group), 34 children with sensorineural deafness, 65 children with sensorineural deafness after unilateral cochlear implantation. All children were tested on a rotatory chair according to the standard method, the average speed of the slow phase of post-rotation nystagmus was determined by stimulation of the left and right labyrinths.
Results: In children with sensorineural deafness, labyrinthine areflexia was detected on the right in 17.6% and on the left in 20.6% of cases. Bilateral labyrinthine areflexia was observed in 17.6% of subjects. Vestibular asymmetry was found in 29.4% of cases. In the remote period after unilateral cochlear implantation, labyrinthine function was within normal limits on the right in 38.5%, on the left in 44.6% of children, areflexia of the right labyrinth was detected in 20%, left - in 26.2% of children, bilateral areflexia in 18,5% of subjects, asymmetric impression was found in 30.8% of cases. Labyrinthine areflexia on the implanted ear was recorded in 32.7% after cochlear implantation on the right, a difference statistically significant compared with the group of unimplanted children with sensorineural deafness.

Keywords

cochlear implantation, vestibular dysfunction, children, rotation test.


Reference

  1. Ramsden RT. History of cochlear implantation. Cochlear Implants Int. 2013 Nov;14 Suppl 4:3-5.
    doi: 10.1179/1467010013Z.000000000140.
  2. Roche JP, Hansen MR. On the Horizon: Cochlear Implant Technology. Otolaryngol Clin North Am.
    2015 Dec;48(6):1097-116. doi: 10.1016/j.otc.2015.07.009.
  3. [History of the State Institution "O.S. Kolomiychenko Institute of otolaryngology of National academy of medical sciences of Ukraine"]. 2020. Mode of access: http://www.iol.com.ua/iol_history.shtml. [In Ukrainian].
  4. NIDCD Statistics about hearing disorders, ear infections, and deafness. 2010. Mode of access:
    https://www.nidcd.nih.gov/health/statistics/quickstatistics-hearing.
  5. Inoue A, Iwasaki S, Ushio M, Chihara Y, Fujimoto C, Egami N, Yamasoba T. Effect of vestibular dysfunction on the development of gross motor function in children with profound hearing loss. Audiol Neurootol. 2013;18(3):143-51.
    doi: 10.1159/000346344.
  6. Masuda T, Kaga K. Relationship between acquisition of motor function and vestibular function in children with bilateral severe hearing loss. Acta Otolaryngol. 2014;134(7):672-8. doi: 10.3109/00016489.2014.890290.
  7. Levinson HN. Dramatic favorable responses of children with learning disabilities or dyslexia and attention deficit disorder to antimotion sickness medications: four case reports. Percept Mot Skills. 1991;73(3 Pt 1):723-38.
    doi: 10.2466/pms.1991.73.3.723.
  8. Vallar G, Burani C, Arduino LS. Neglect dyslexia: a review of the neuropsychological literature. Exp Brain Res. 2010;
    206(2):219-35. doi: 10.1007/s00221-010-2386-0.
  9. Green GE, Scott DA, McDonald JM, Woodworth GG, Sheffield VC, Smith RJ. Carrier rates in the midwestern United States for GJB2 mutations causing inherited deafness. JAMA. 1999;281(23):2211-6. doi: 10.1001/jama.281.23.2211.
  10. Zabolotnyi DI, Rozkladka AI, Belyakova IA, Kholodenko TYu, Mykytenko DO, Lucenko VI, Lavrova KV. Clinical and diagnostic characteristics of severe hearing impairment in children based on a comprehensive clinical and molecular genetic
    examination. Zhurnal Nacional'noi' akademii' medychnyh nauk Ukrai'ny. 2014;20(1):74-82. [In Ukrainian].
  11. Teixido M, Isildak H. Anatomy and Embryology of the Vestibular Apparatus, ed 1. Manual of Pediatric Balance Disorders, Plural Publishing, 2013.
  12. Westerman ST, Gilbert LM, Schondel L. Vestibular dysfunction in a child with embryonic exposure to accutane. Am J Otol. 1994;15(3):400-3.
  13. Cushing SL, Papsin BC. Cochlear Implants and Children with Vestibular Impairments. Semin Hear. 2018;39(3):305-20.
    doi: 10.1055/s-0038- 1666820.
  14. 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(2):209-17. doi: 10.1016/j.ijporl.2008.10.024.
  15. Dagkiran M, Tuncer U, Surmelioglu O, Tarkan O, Ozdemir S, Cetik F, Kiroglu M. How does cochlear implantation affect five vestibular end-organ functions and dizziness? Auris Nasus Larynx. 2019;46(2):178-185. doi: 10.1016/j.anl.2018.07.004.
  16. Katsiari E, Balatsouras DG, Sengas J, Riga M, Korres GS, Xenelis J. Influence of cochlear implantation on the vestibular function. Eur Arch Otorhinolaryngol. 2013;270(2):489-95. doi: 10.1007/s00405-012-1950-6.
  17. Thierry B, Blanchard M, Leboulanger N, Parodi M, Wiener-Vacher SR, Garabedian EN, Loundon N. Cochlear implantation and vestibular function in children. Int J Pediatr Otorhinolaryngol. 2015;79(2):101-4. doi: 10.1016/j.ijporl.2014.11.002.
  18. Bazarov VG. [Clinical vestibulometry]. Kiev: Zdorov’ya; 1988. 200 p. [In Russian].
  19. Bazarov VG, Rozkladka AI. [Tables for determining the angular velocity of the slow phase of nystagmus]. Zhurnal ushnyh, nosovyh i gorlovyh boleznej. 1976;(2):85-91. [In Russian].
 

© 2019, Public Organization «Ukrainian Scientific Medical Society of Otorhinolaryngologists»