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Dizziness and vestibular function before and after cochlear implantation

  • Otology
  • Published:
European Archives of Oto-Rhino-Laryngology Aims and scope Submit manuscript

Abstract

Vestibular problems after cochlear implantation (CI) were explored by categorizing them according to clinical course and changes in objective vestibular function. The changes in vestibular function of 62 patients (66 ears) were analyzed and vestibular symptoms were divided into three categories by their time course and nature. Etiologies were determined by analyzing the symptoms in combination with changes in objective vestibular function, measured using the caloric and/or video head impulse test. Before surgery, vestibular function was normal in 31 cases (47.0 %), unilaterally hypofunctional in 14 (21.2 %), and bilaterally hypofunctional in 21 (31.8 %). Eight cases (12.1 %) reported dizziness before surgery. A total of 18 cases (27.3 %) experienced postoperative dizziness. Ten patients experienced immediate transient dizziness (including 2 cases of benign positional paroxysmal vertigo); four experienced immediate prolonged dizziness (including 3 cases of bilateral vestibular hypofunction); and four experienced recurrent episodic dizziness (including 3 cases of suspicious endolymphatic hydrops). The sums of the maximal slow-phase velocities (SPVs) of the implanted ears were changed from 22.70 ± 17.31 to 12.55 ± 12.02°/s after implantation (p = 0.004) with very little changes in the other side (32.65 ± 24.85–31.40 ± 29.10°/s). Careful review of vestibular status is an important step, especially when deciding implantation in the only vestibular functioning ear or bilateral implantation.

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Authors and Affiliations

  1. Department of Otorhinolaryngology-Head and Neck Surgery, Seoul National University College of Medicine, Seoul National University Bundang Hospital, 166, Gumi-ro, Bundang-gu, Seongnam, Gyeonggi, 463-707, Republic of Korea

    Yoon Chan Rah, Joo Hyun Park, Jae Hong Park, Byung Yoon Choi & Ja-Won Koo

  2. Korea University College of Medicine, Korea University Ansan Hospital, Ansan, Republic of Korea

    Yoon Chan Rah

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  1. Yoon Chan Rah
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  2. Joo Hyun Park
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  3. Jae Hong Park
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  5. Ja-Won Koo
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Correspondence to Ja-Won Koo.

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The authors have no funding or financial relationship to disclose.

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The authors have no conflict of interest to disclose.

Ethical approval

 All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

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The present study was exempted from the informed consent according to the protocols of the IRB committee.

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Rah, Y.C., Park, J.H., Park, J.H. et al. Dizziness and vestibular function before and after cochlear implantation. Eur Arch Otorhinolaryngol 273, 3615–3621 (2016). https://doi.org/10.1007/s00405-016-3988-3

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  • DOI: https://doi.org/10.1007/s00405-016-3988-3

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