Skip to main content
SpringerLink
Log in

Impaired Vestibular Function After Cochlear Implantation in Children: Role of Static Posturography

  • Original Article
  • Published:
Indian Journal of Otolaryngology and Head & Neck Surgery Aims and scope Submit manuscript

Abstract

To identify vestibular dysfunction in children after cochlear implant surgery and to study the utility of static posturography in evaluating vestibular function in children. A prospective study was carried out on 25 children between 2 and 7 years of age with sensorineural hearing loss with no overt vestibular dysfunction. All children underwent static posturography using Synapsis Posturographic System (SPS) software (Version 3.0, REV C) using a static platform with foam. The centre of pressure (COP) shift was recorded as statokinesiogram on the software and the mean vestibular, visual and somesthetic scores were obtained. Cochlear implantation (CI) surgery was done with insertion of Med-El Pulsar standard cochlear implant with 12 twin electrodes. Children were evaluated again after 4 weeks of CI surgery (2 weeks after switch on) with static posturography on the same SPS software. The scores obtained were compared with pre op value and data analyzed statistically by paired t tests on SPSS 18 software. The mean age was 4.6 years with range 2–7 years. All the children in the study were able to complete the test with no difficulty and the mean time required for each child was 10.2 min. The mean pre op somesthetic score was 95.16 (SD 1.52) and post op score was 94.06 (SD 1.79). The mean pre op visual score was 86.64 (SD 2.24) and post op score was 82.55 (2.89). The mean pre op vestibular score was 84.11 (SD 2.20) and post op score was 73.66 (SD 4.25). Correlation and statistical analysis of the pre and post values of each score revealed statistically significant reduction in vestibular scores post CI. The vestibular system is at high risk of injury leading to vestibular dysfunction in children during CI. Our study found the static posturography as a simple, fast and efficient tool to screen children for vestibular dysfunction post CI. Identifying the dysfunction early can help in initiating early rehabilitation measures.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1
Fig. 2
Fig. 3
Fig. 4
Fig. 5
Fig. 6

Similar content being viewed by others

References

  1. Fina M, Skinner M, Goebel JA, Piccirillo JF, Neely JG, Black O (2003) Vestibular dysfunction after cochlear implantation. Otol Neurotol 24(2):234–242 (discussion 242)

    Article  PubMed  Google Scholar 

  2. Enticott JC, Tari S, Koh SM, Dowell RC, O’Leary SJ (2006) Cochlear implant and vestibular function. Otol Neurotol 27(6):824–830

    Article  PubMed  Google Scholar 

  3. Migliaccio AA, Della Santina CC, Carey JP, Niparko JK, Minor LB (2005) The vestibulo-ocular reflex response to head impulses rarely decreases after cochlear implantation. Otol Neurotol 26(4):655–660

    Article  PubMed  Google Scholar 

  4. Huygen PLM, Van den Broek P, Spies TH, Mens LHM, Admiraal RJC (1994) Does intra cochlear implantation jeopardise vestibular function? Ann otol Rhinol Laryngol 103:609–614

    Article  CAS  PubMed  Google Scholar 

  5. Black FO, Lilly DJ, Petrka RJ, Fowler LP, Simmons FB (1987) Vestibule ocular and vestibule spinal function before and after cochlear implant surgery. Ann Otol Rhinol Laryngol Suppl 128:106–109

    Article  Google Scholar 

  6. Krause E, Louza JP, Hempel JM, Wechtenbruch J, Rader T, Gürkov R (2009) Effect of cochlear implantation on horizontal semicircular canal function. Eur Arch Otorhinolaryngol 266(6):811–817. doi:10.1007/s00405-008-0815-5 (Epub 2008 Sep 20)

    Article  PubMed  Google Scholar 

  7. Buchman CA, Joy J, Hodges A, Telischi FF, Balkany TJ (2004) Vestibular effects of cochlear implantation. Laryngoscope 114(10 Pt 2 Suppl 103):1–22

    Article  PubMed  Google Scholar 

  8. Todt I, Basta D, Ernst A (2008) Does the surgical approach in cochlear implantation influence the occurrence of postoperative vertigo? Otolaryngol Head Neck Surg 138(1):8–12

    Article  PubMed  Google Scholar 

  9. Filipo R, Patrizi M, La Gamma R, D’Elia C, La Rosa G, Barbara M (2006) Vestibular impairment and cochlear implantation. Acta Otolaryngol 126(12):1266–1274

    Article  PubMed  Google Scholar 

  10. Vibert D, Häusler R, Kompis M, Vischer M (2001) Vestibular function in patients with cochlear implantation. Acta Otolaryngol Suppl 545:29–34

    Article  CAS  PubMed  Google Scholar 

  11. Basta D, Todt I, Goepel F, Ernst A (2008) Loss of saccular function after cochlear implantation: the diagnostic impact of intracochlear electrically elicited vestibular evoked myogenic potentials. Audiol Neurootol 13(3):187–192

    Article  CAS  PubMed  Google Scholar 

  12. Oman CM, Young LR (1972) The physiological range of pressure difference and cupula deflections in the human semicircular canal. Acta Otolaryngol 74:324–331

    Article  CAS  PubMed  Google Scholar 

  13. Handzel O, Burgess BJ, Nadol JB Jr (2006) Histopathology of the peripheral vestibular system after cochlear implantation in the human. Otol Neurotol 27(1):57–64

    Article  PubMed  Google Scholar 

  14. Furman JMR, Baloh RW, Barin K et al (1993) Assessment: posturography. Report of the therapeutics and technology assessment subcommittee of the American Academy of Neurology. Neurology 43:1261–1264

    Article  Google Scholar 

  15. Black FO, Wall C (1981) Comparison of vestibuloocular and vestibulospinal screening tests. Otolaryngol Head Neck Surg 89:811–817

    Article  CAS  PubMed  Google Scholar 

  16. Norre ME, Forrez G, Beckers A (1987) Vestibular habituation training and posturography in be- nign paroxysmal positioning vertigo. OH J Otorhinolaryngol Relat Spec 49:22–25

    Article  CAS  Google Scholar 

  17. Wall C, Black FO (1983) Postural stability and rotational tests: their effectiveness for screening dizzy patients. Acta Otolaryngol (Stockh) 95:235–246

    Article  Google Scholar 

  18. Di Fabio RP (1995) Sensitivity and specificity of platformposturography for identifying patients with vestibular dysfunction. Phys Ther 75:290–305

    Article  PubMed  Google Scholar 

  19. Wagner JH, Basta D, Wagner F, Seidl RO, Ernst A, Todt I (2010) Vestibular and taste disorders after bilateral cochlear implantation. Eur Arch Otorhinolaryngol 267(12):1849–1854

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Otolaryngology and Head and Neck Surgery, Apollo Hospitals, Bangalore, India

    Satish Nair

  2. Department of ENT-HNS, Base Hospital Delhi Cantt, Delhi, 10010, India

    Atul Gupta

  3. Department of ENT-HNS, Armed Forces Medical College, Pune, Pune, 410040, India

    Ajith Nilakantan

  4. Department of ENT-HNS, Army Hospital Research & Referral, Delhi Cantt, Delhi, 10010, India

    Ruchika Mittal, Ruchi Dahiya & Sachin Saini

  5. Department of ENT-HNS, Command Hospital (EC), Kolkata, Kolkata, India

    Rachana Prasad & Deepika Vajpayee

Authors
  1. Satish Nair
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Atul Gupta
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Ajith Nilakantan
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Ruchika Mittal
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. Ruchi Dahiya
    View author publications

    You can also search for this author in PubMed Google Scholar

  6. Sachin Saini
    View author publications

    You can also search for this author in PubMed Google Scholar

  7. Rachana Prasad
    View author publications

    You can also search for this author in PubMed Google Scholar

  8. Deepika Vajpayee
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Satish Nair.

Ethics declarations

Conflict of interest

No author has received any research grants and have any conflict of interests.

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.

Informed Consent

Informed consent was obtained from all individual participants/parents or guardians included in the study.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Nair, S., Gupta, A., Nilakantan, A. et al. Impaired Vestibular Function After Cochlear Implantation in Children: Role of Static Posturography. Indian J Otolaryngol Head Neck Surg 69, 252–258 (2017). https://doi.org/10.1007/s12070-017-1124-3

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s12070-017-1124-3

Keywords

Search

Navigation