Complications after cochlear implantation in adult patients. 10-Year retrospective analysis of a tertiary academic centre

Estomba, Carlos Miguel Chiesa; Schmitz, Teresa Rivera; Reinoso, Frank Alberto Betances; Collado, Lenin Dominguez; Garcia, Manuel Estevez; Lorenzo, Ana Isabel Lorenzo

doi:10.1016/j.anl.2016.03.012

Cited by 29 publications

(15 citation statements)

References 39 publications

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“…In patients older than 18 years, 37 of 116 studies reported postoperative vertigo. A total of 16.8% (446 of 2,651) suffered from vertigo after cochlear implantation . Figure shows the mean age‐correlated occurrence of vertigo after cochlear implantation.…”

Section: Resultsmentioning

confidence: 99%

Meta‐analysis of subjective complaints of vertigo and vestibular tests after cochlear implantation

et al. 2018

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Cochlear implantation has a significant impact on subjective vertigo and vestibular receptor function. This is affected by the patient's age at the time of surgery. The surgical technique (round window or cochleostomy) may influence the outcome, but this requires further investigation. Younger patients may compensate better following vestibular dysfunction. Perioperative testing is required to correlate vestibular impairment and subjective complaints. Laryngoscope, 2018 Laryngoscope, 128:2110-2123, 2018.

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Section: Resultsmentioning

confidence: 99%

Meta‐analysis of subjective complaints of vertigo and vestibular tests after cochlear implantation

et al. 2018

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“…Cochlear implantation is a surgical procedure, and with any surgery comes concern and worry about complications. Estomba et al [ 17 ] conducted a retrospective analysis of patients over the age of 18 who all underwent cochlear implant surgery to review if there were any complications post-surgery. Of the 57 participants, 24.6% reported to have experienced minor complications and 17.5% reported major complications.…”

Section: Resultsmentioning

confidence: 99%

“…The most frequently reported minor complication was a vestibular disorder, and the most frequent major complication was device failure. The researchers were able to conclude from there results that the cochlear implant remains a safe surgical technique for rehabilitating hearing loss [ 17 ].…”

Section: Resultsmentioning

confidence: 99%

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The impact of rehabilitation on quality of life after hearing loss: a systematic review

Brodie

Smith

Ray

2018

Eur Arch Otorhinolaryngol

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PurposeHearing loss is a major health problem and is associated with several negative outcomes such as difficulties in communicating and poor quality of life. The aim of this study was to conduct a systematic literature review to evaluate the impact of different types of hearing rehabilitation after hearing loss and their impact on quality of life.MethodsA systematic literature search was conducted on Pubmed which retrieved 549 articles. Of these, 29 articles regarding cochlear implants, bone anchored hearing devices and traditional amplification hearing aids have been systematically reviewed. The search was limited to articles published from 1960/01/01 to 2017/05/22, included human participants and available in English.ResultsThe main finding was that hearing rehabilitation is beneficial in all types of hearing loss and treatment regarding quality of life. However, bone-anchored hearing devices and cochlear implants were shown to produce greater improvements in terms of quality of life than conventional hearing aids.ConclusionFrom these findings, we concluded that hearing rehabilitation does have a positive impact on quality of life after hearing loss.

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“…Bilateral CI has been reported to be beneficial for sound localization and for preverbal communication and language development, particularly in pediatric cases (1). However, CI can cause vestibular dysfunction (2)(3)(4). The importance of vestibular preservation has been widely acknowledged because bilateral CI recipients are at an increased risk of bilateral vestibular dysfunction.…”

Section: Introductionmentioning

confidence: 99%

Alteration of Vestibular Function in Pediatric Cochlear Implant Recipients

et al. 2021

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Background: Vestibular dysfunction is a complication of cochlear implantation (CI). Reports on the evaluation of vestibular function before and after CI are limited, especially in children. We investigated the effect of CI on vestibular function in pediatric patients.Patients and Methods: We routinely evaluated vestibular function before but not immediately after CI. Therefore, patients who underwent sequential bilateral CI were enrolled in this study. Seventy-three children who underwent sequential CI from 2003 to 2020 at our hospital were included. Since the vestibular function of the first implanted ear was evaluated before the second surgery for the contralateral ear, post-CI evaluation timing differed among the cases. The evaluation included a caloric test, a cervical vestibular-evoked myogenic potential (cVEMP) test, and a damped rotation test. The objective variables included the results of these tests, and the explanatory variables included the age at surgery, cause of hearing loss, electrode type, and surgical approach used. The associations of these tests were analyzed.Results: cVEMP was the most affected after CI (36.1%), followed by the caloric test (23.6%), and damped rotation test (7.8%). Cochleostomy was significantly more harmful than a round window (RW) approach or an extended RW approach based on the results of the caloric test (p = 0.035) and damped rotation test (p = 0.029). Perimodiolar electrodes affected the caloric test results greater than straight electrodes (p = 0.041). There were no significant associations among these tests' results.Conclusions: Minimally invasive surgery in children using a round window approach or an extended round window approach with straight electrodes is desirable to preserve vestibular function after CI.

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Complications after cochlear implantation in adult patients. 10-Year retrospective analysis of a tertiary academic centre

Cited by 29 publications

References 39 publications

Meta‐analysis of subjective complaints of vertigo and vestibular tests after cochlear implantation

Meta‐analysis of subjective complaints of vertigo and vestibular tests after cochlear implantation

The impact of rehabilitation on quality of life after hearing loss: a systematic review

Alteration of Vestibular Function in Pediatric Cochlear Implant Recipients

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