Vestibular Implant Surgery

Schoo, Desi P.; Ward, Bryan K.; Chow, Margaret R.; Ayiotis, Andrianna I.; Fernández Brillet, Celia; Boutros, Peter J.; Lane, Kelly E.; Lee, Claudia N.; Morris, Brian J.; Carey, John P.; Della Santina, Charles C.

doi:10.1002/lary.31004

The Laryngoscope

2023

DOI: 10.1002/lary.31004

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Vestibular Implant Surgery

Desi P. Schoo,

Bryan K. Ward,

Margaret R. Chow

et al.

Abstract: The Multichannel Vestibular Implant Early Feasibility Study is supported by NIH (NIDCD R01DC013536 and U01DC019364; NIA R01AG076701) and by Labyrinth Devices, LLC in collaboration with MED-EL GmbH. DPS and BKW received support from NIDCD T32DC000027. MRC, AIA, PJB, and BJM received support from NIDCD T32DC000023. CFB currently receives support from "la Caixa" Foundation (ID 100010434), fellowship code LCF/BQ/EU21/11890107. CCDS founded and holds an equity interest in Labyrinth Devices, LLC. The terms of this a… Show more

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2024

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Cited by 2 publications

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Vestibular Implantation

Vesper,

Sun,

Della Santina

et al. 2024

Curr Otorhinolaryngol Rep

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Purpose of Review This review aims to introduce vestibular implants as investigational devices with the potential to provide a novel rehabilitative treatment for patients with vestibular dysfunction. Recent Findings Vestibular implants are being investigated in clinical trials in the USA and Europe as a treatment option for patients with bilateral vestibular hypofunction (also called bilateral vestibulopathy). Analogous to cochlear implants, vestibular implants aim to encode head motion information and provide electric stimulation targeting the vestibular nerve of the inner ear. Published clinical trial results suggest vestibular implants can electrically drive vestibular mediated reflexes, including the vestibulo-ocular reflex and vestibulo-cervical reflex, as well as decreasing dizziness-specific symptoms and improving measures of quality of life. Summary Vestibular implants are an investigational technology with the potential to provide treatment options for patients with chronic bilateral vestibulopathy.

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Vestibular Implantation

Vesper,

Sun,

Della Santina

et al. 2024

Curr Otorhinolaryngol Rep

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Restoring vestibular function during natural self-motion: Progress and challenges

Wiboonsaksakul,

Leavitt Brown,

Cullen

2024

eLife

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The vestibular system is integral to behavior; the loss of peripheral vestibular function leads to disabling consequences, such as blurred vision, dizziness, and unstable posture, severely limiting activities of daily living. Fortunately, the vestibular system’s well-defined peripheral structure and well-understood encoding strategies offer unique opportunities for developing sensory prostheses to restore vestibular function. While these devices show promising results in both animal models and implanted patients, substantial room for improvement remains. Research from an engineering perspective has largely focused on optimizing stimulation protocol to improve outcomes. However, this approach has often been pursued in isolation from research in neuroscience that has enriched our understanding of neural responses at the synaptic, cellular, and circuit levels. Accordingly, this review bridges the domains of neuroscience and engineering to consider recent progress and challenges in vestibular prosthesis development. We advocate for interdisciplinary approaches that leverage studies of neural circuits at the population level, especially in light of recent advancement in large-scale recording technology, to identify impediments still to overcome and to develop more naturalistic stimulation strategies. Fully integrating neuroscience and engineering in the context of prosthesis development will help advance the field forward and ultimately improve patient outcomes.

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Vestibular Implant Surgery

Cited by 2 publications

References 5 publications

Vestibular Implantation

Vestibular Implantation

Restoring vestibular function during natural self-motion: Progress and challenges

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