OBJECTIVES: Currently, cochlear implant procedures are becoming increasingly broad and have greatly expanded. Bilateral cochlear implants and cochlear implants are more frequently applied in children. Our hypothesis is that the video head impulse test may be more sensitive than the caloric test in detecting abnormal vestibular function before cochlear implant surgery. The objective of this study was to compare the video head impulse test and caloric test results of patients selected for cochlear implant procedures before surgery. METHODS: The patients selected for cochlear implant surgery were submitted to a bithermal caloric test and video head impulse test. RESULTS: By comparing angular slow phase velocity values below 5° in the bithermal caloric test (hypofunction) and video head impulse test with a gain lower than 0.8, we identified 37 (64.9%) patients with vestibular hypofunction or canal paresis and 21 (36.8%) patients with abnormal video head impulse test gain before the cochlear implant procedure. Of the 37 patients with caloric test vestibular hypofunction, 20 (54%) patients exhibited an abnormal gain in the video head impulse test. CONCLUSION: The caloric test is more sensitive than the video head impulse test (Fisher's exact test, p =0.0002) in detecting the impaired ear before cochlear implant delivery. The proportion of caloric test/video head impulse test positive identification of abnormal vestibular function or caloric test/video head impulse test sensitivity was 1.8:1.

The six clinical tests were able to identify the presence or absence of vestibular function and function asymmetry between the ears of the same individual.

A novel eco-friendly composite material made of polyurethane derived from castor oil reinforced with long cotton fibers was developed. A set of comparative analyses comprising static and dynamic tests was established using specimens made of castor oil-based polyurethane reinforced by glass fibers, and epoxy reinforced by glass and cotton fibers. The manufacturing method and estimation of fiber volume fraction of the specimens were described in detail. Tensile and flexural tests were performed to evaluate the mechanical performance of the novel laminate. Fractographic post-mortem examinations assessed the quality of the fiber–matrix interaction and allowed direct observation of the failure modes. Surface treatment of natural fibers appears necessary to improve the adhesion of the natural fibers to the matrix. Dynamic responses are discussed, considering natural frequencies and modal damping coefficients. In this context, the potentialities and the limitations of using the novel eco-friendly composite material as structural parts are discussed.

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