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Vestibular Assessment in Cochlear Implanted Children: How to Do? When to Do? A Review of Literature

  • Otology (E Truy, Section Editor)
  • Published:
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Abstract

Purpose of Review

The aims of this report are to summarize the main vestibular tests and their relevance in cochlear implantation and to perform a relevant review of literature on this topic in pediatric populations.

Findings

Vestibular evaluation is essential when cochlear implantation is planned, and it should be performed before and after the procedure. Of children with sensorineural deafness, 60% have an associated vestibular deficit. This impairment could be increased by a cochlear implantation.

Summary

Four vestibular tests are essential to explore a wide range of vestibular frequencies: the caloric test, the rotatory test, the Video Head Impulse Test and the Vestibular Evoked Myogenic Potentials. These should be systematically performed in each cochlear implant center. Moreover, parents should be informed of the risk of vestibular deficit after cochlear implant surgery. Additional studies are needed to evaluate long term vestibular recovery abilities after auditory rehabilitation.

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References

Papers of particular interest, published recently, have been highlighted as: • Of importance

  1. 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.

    Article  PubMed  Google Scholar 

  2. • Oyewumi M, Wolter NE, Heon E, Gordon KA, Papsin BC, Cushing SL. Using balance function to screen for vestibular impairment in children with sensorineural hearing loss and cochlear implants. Otol Neurotol. 2016;37(7):926–32. Recent recommendations for vestibular assessment in cochlear implanted children.

    Article  PubMed  Google Scholar 

  3. • Wiener-Vacher SR. Vertigo and balance disorders in children. Monographie Amplifon number. 2017:62. Recent review of all vestibular examinations available in children.

  4. Shinjo Y, Jin Y, Kaga K. Assessment of vestibular function of infants and children with congenital and acquired deafness using the ice-water caloric test, rotational chair test and vestibular-evoked myogenic potential recording. Acta Otolaryngol. 2007;127(7):736–47.

    Article  PubMed  Google Scholar 

  5. Murnane O, Mabrey H, Pearson A, Byrd S, Akin F. Normative data and test-retest reliability of the SYNAPSYS video head impulse test. J Am Acad Audiol. 2014;25(3):244–52.

    Article  PubMed  Google Scholar 

  6. Ulmer E, Bernard-Demanze L, Lacour M. Statistical study of normal canal deficit variation range. Measurement using the head impulse test video system. Eur Ann Otorhinolaryngol Head Neck Dis. 2011;128(5):278–82.

    Article  CAS  PubMed  Google Scholar 

  7. Lehnen N, Ramaioli C, Todd N, Bartl K, Kohlbecher S, Jahn K, et al. Clinical and video head impulses: a simple bedside test in children. J Neurol. 2017;264(5):1002–4.

    Article  PubMed  Google Scholar 

  8. McGarvie LA, MacDougall HG, Halmagyi GM, Burgess AM, Weber KP, Curthoys IS. The video head impulse test (vHIT) of semicircular canal function - Age-dependent normative values of VOR gain in healthy subjects. Front Neurol. 2015;6:154.

    PubMed  PubMed Central  Google Scholar 

  9. Matiño-Soler E, Esteller-More E, Martin-Sanchez JC, Martinez-Sanchez JM, Perez-Fernandez N. Normative data on angular vestibulo-ocular responses in the yaw axis measured using the video head impulse test. Otol Neurotol. 2015;36(3):466–71.

    Article  PubMed  Google Scholar 

  10. Kelsh TA, Schaefer LA, Esquivel CR. Vestibular evoked myogenic potentials in young children: Test parameters and normative data. Laryngoscope. 2006;116:895–900.

    Article  Google Scholar 

  11. Jacot E, Wiener-Vacher S. Potential value of vestibular evoked myogenic potentials in paediatric neuropathies. J Vestib Res. 2008;18(4):231–7.

    CAS  PubMed  Google Scholar 

  12. Rine RM, Braswell JA. clinical test of dynamic visual acuity for children. Int J Pediatr Otorhinolaryngol. 2003;67(11):1195–201.

    Article  PubMed  Google Scholar 

  13. Nashner LM. Computerized Dynamic Posturography. In: Jacobson GP, Newman CW, Kartush JM, editors. Handbook of Balance Function Testing. St. Louis: Mosby Year Book; 1993. p. 280–307.

    Google Scholar 

  14. Foudriat BA, Di Fabio RP, Anderson JH. Sensory organisation of balance responses in children three to six years of age: a normative study with diagnostic implications. Int J Pediatr Otorhinolaryngol. 1993;27:255–71.

    Article  CAS  PubMed  Google Scholar 

  15. Charpiot A, Tringali S, Ionescu E, Vital-Durand F, Ferber-Viart C. Vestibulo-ocular reflex and balance maturation in healthy children aged from six to twelve years. Audiol Neurotol. 2010;15:203–10.

    Article  CAS  Google Scholar 

  16. Buchman CA, Joy J, Hodges A, Telischi FF, Balkany TJ. Vestibular effects of cochlear implantation. Laryngoscope. 2004;114:1–22.

    Article  PubMed  Google Scholar 

  17. Ionescu E, Mazzuca M, Viart-Ferber C. Static balance computerized dynamic posturography. In: O'Reilly RC, Morlet T, Cushing SL, editors. Manual of pediatric balance disorder: Plural Publishing; 2013. p. 85–98.

  18. Devroede B, Pauwels I, Le Bon SD, Monstrey J, Mansbach AL. Interest of vestibular evaluation in sequentially implanted children: Preliminary results. Eur Ann Otorhinolaryngol Head Neck Dis. 2016;30.

  19. • Briac T, Blanchard M, Leboulanger N, Parodi M, Wiener-Vacher SR, Garabedian EN, et al. Cochlear implantation and vestibular function in children. Int J Pediatr Otorhinolaryngol. 2015;79(2):101–4. Recent review of the impact of unilateral cochlear implant in vestibular function with the longest follow-up.

    Article  Google Scholar 

  20. Ferster APO, Cureoglu S, Keskin N, Paparella MM, Isildak H. Secondary endolymphatic hydrops. Otol Neurotol. 2017;38(5):774–9.

    Article  PubMed  Google Scholar 

  21. • De Kegel A, Maes L, Van Waelvelde H, Dhooge I. Examining the impact of cochlear implantation on the early gross motor development of children with a hearing loss. Ear Hear. 2015;36(3):e113–21. One of the largest prospective study on the motor development in very young children.

    Article  PubMed  Google Scholar 

  22. Abouzayd M, Smith PF, Moreau S, Hitier M. What vestibular tests to choose in symptomatic patients after a cochlear implant? A systematic review and meta-analysis. Eur Arch Otorhinolaryngol. 2017;274:53–63.

    Article  PubMed  Google Scholar 

  23. Licameli G, Zhou G, Kenna MA. Disturbance of Vestibular Function Attributable to Cochlear Implantation in Children. Laryngoscope. 2009;119

  24. Huang MW, Hsu CJ, Kuan CC, Chang WH. Static balance function in children with cochlear implants. Int J Pediatr Otorhinolaryngol. 2011;75:700–3.

    Article  PubMed  Google Scholar 

  25. Psillas G, Pavlidou A, Lefkidis N, et al. Vestibular evoked myogenic potentials in children after cochlear implantation. Auris Nasus Larynx. 2014;41:432–5.

    Article  PubMed  Google Scholar 

  26. Ajalloueyan M, Saeedi M, Sadeghi M, Abdollahi FZ. The effects of cochlear implantation on vestibular function in 1-4 years old children. Int J Pediatr Otorhinolaryngol. 2017;94:100–3.

    Article  PubMed  Google Scholar 

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Correspondence to Aurelie Coudert.

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Conflict of Interest

Dr. COUDERT, Dr. THAI VAN, Dr. AYARI-KHALFALLAH, Dr. HERMANN, Dr. LINA-GRANADE, Dr. TRUY, Dr. IONESCU have nothing to disclose.

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This article does not contain any studies with human or animal subjects performed by any of the authors.

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This article is part of the Topical Collection on Otology

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Coudert, A., Van, H.T., Ayari-Khalfallah, S. et al. Vestibular Assessment in Cochlear Implanted Children: How to Do? When to Do? A Review of Literature. Curr Otorhinolaryngol Rep 5, 259–267 (2017). https://doi.org/10.1007/s40136-017-0172-2

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  • DOI: https://doi.org/10.1007/s40136-017-0172-2

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