Can Video Head Impulse Test Determine the Early Effect of Cochlear Implantation on the Semicircular Canals Function?
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Abstract
Background and Aim: Although cochlear implantation (CI) is a safe surgical procedure for severe to profound sensorineural hearing loss (SNHL) but, due to the embryological and anatomical connection between the vestibular and cochlear structures, vestibular dysfunction may occur after CI. Video head impulse test (vHIT) is a reliable test for assessing the function of semicircular canals (SCCs). This study aimed to determine the early effect of CI on SCCs function, by comparing pre- and post-operative vHIT results.
Methods: In this cross-sectional study, participants were 22 adults with SNHL scheduled for unilateral CI in the right ear and 22 age-matched healthy subjects as a control group. The vHIT was conducted before and two weeks after CI.
Results: The mean vHIT gains in the SNHL group were significantly lower than in controls, with a large effect size. Furthermore, the mean vHIT gains in the right lateral SCCs (p<0.001) and right anterior SCCs (p=0.003) were significantly reduced after CI, compared to the gain values before CI, with a large pooled effect size. However, these differences were not statistically significant for the right posterior SCCs. The comparison of vHIT gains in the nonimplanted ear showed no statistically significant difference between pre- and post-operative phases.
Conclusion: The vHIT is a useful clinical method to detect the early effects of CI on the function of SCCs. These effects are more obvious in the lateral and superior SCCs in the implanted ear.
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[13] Hamilton SS, Zhou G, Brodsky JR. Video head impulse testing (VHIT) in the pediatric population. Int J Pediatr Otorhinolaryngol. 2015;79(8):1283-7. [DOI:10.1016/j.ijporl.2015.05.033]
[14] Halmagyi GM, Chen L, MacDougall HG, Weber KP, McGarvie LA, Curthoys IS. Front Neurol. 2017;8:258. [DOI:10.3389/fneur.2017.00258]
[15] Hülse R, Hörmann K, Servais JJ, Hülse M, Wenzel A. Clinical experience with video Head Impulse Test in children. Int J Pediatr Otorhinolaryngol. 2015;79(8):1288-93. [DOI:10.1016/j.ijporl.2015.05.034]
[16] Guinand N, Van de Berg R, Cavuscens S, Ranieri M, Schneider E, Lucieer F, et al. The Video Head Impulse Test to Assess the Efficacy of Vestibular Implants in Humans. Front Neurol. 2017;8:600. [DOI:10.3389/fneur.2017.00600]
[17] Mukherjee P, Chiarovano E, Cheng K, Manzari L, McGarvie LA, MacDougall HG. Video-head impulse test in superior canal dehiscence. Acta Otolaryngol. 2021;141(5):471-5.
[18] Vallim MGB, Gabriel GP, Mezzalira R, Stoler G, Chone CT. Does the video head impulse test replace caloric testing in the assessment of patients with chronic dizziness? A systematic review and meta-analysis. Braz J Otorhinolaryngol. 2021;87(6):733-41. [DOI:10.1016/j.bjorl.2021.01.002]
[19] 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. [DOI:10.3389/fneur.2015.00154]
[20] Alhabib SF, Saliba I. Video head impulse test: a review of the literature. Eur Arch Otorhinolaryngol. 2017;274(3):1215-22. [DOI:10.1007/s00405-016-4157-4]
[21] Saki N, Bayat A, Nikakhlagh S, Karimi M, Nikafrooz M, Daneshi A, et al. A national Iranian cochlear implant registry (ICIR): cochlear implanted recipient observational study. Int Tinnitus J. 2019;23(2):74-8. [DOI:10.5935/0946-5448.20190013]
[22] Bittar RSM, Sato E, Ribeiro DJS, Oiticica J, Grasel SS, Mezzalira R, et al. Video head impulse test relevance in the early postoperative period after cochlear implantation. Acta Otolaryngol. 2019;139(1):6-10. [DOI:10.1080/00016489.2018.1535194]
[23] Normani Zakaria M. The values of effect size in statistical decision for clinical research. Aud Vest Res. 2017; 26(1): 1-3.
[24] Thierry B, Blanchard M, Leboulanger N, Parodi M, Wiener-Vacher SR, Garabedian E-N, et al. Cochlear implantation and vestibular function in children. Int J Pediatr Otorhinolaryngol. 2015;79(2):101-4. [DOI:10.1016/j.ijporl.2014.11.002]
[25] Nassif N, Balzanelli C, de Zinis LOR. Preliminary results of video head impulse testing (vHIT) in children with cochlear implants. Int J Pediatr Otorhinolaryngol. 2016;88:30-3. [DOI:10.1016/j.ijporl.2016.06.034]
[26] 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. [DOI:10.1016/j.ijporl.2008.10.024]
[27] Krause E, Louza JPR, Wechtenbruch J, Gürkov R. Influence of cochlear implantation on peripheral vestibular receptor function. Otolaryngol Head Neck Surg. 2010;142(6):809-13. [DOI:10.1016/j.otohns.2010.01.017]
[28] Fina M, Skinner M, Goebel JA, Piccirillo JF, Neely JG, Black O. Vestibular dysfunction after cochlear implantation. Otol Neurotol. 2003;24(2):234-42; discussion 242. [DOI:10.1097/00129492-200303000-00018]
[29] Jutila T, Aalto H, Hirvonen TP. Cochlear implantation rarely alters horizontal vestibulo-ocular reflex in motorized head impulse Test. Otol Neurotol. 2013;34(1):48-52. [DOI:10.1097/MAO.0b013e318277a430]
[30] Todt I, Basta D, Ernst A. Does the surgical approach in cochlear implantation influence the occurrence of postoperative vertigo? Otolaryngol Head Neck Surg. 2008;138(1):8-12. [DOI:10.1016/j.otohns.2007.09.003]
[31] Korsager LEH, Schmidt JH, Faber C, Wanscher JH. Vestibular outcome after cochlear implantation is not related to surgical technique: a double blinded, randomized clinical trial of round window approach versus cochleostomy. Otol Neurotol. 2018;39(3):306-12. [DOI:10.1097/MAO.0000000000001695]
[32] Nordfalk KF, Rasmussen K, Hopp E, Bunne M, Silvola JT, Jablonski GE. Insertion depth in cochlear implantation and outcome in residual hearing and vestibular function. Ear Hear. 2016;37(2):e129-37. [DOI:10.1097/AUD.0000000000000241]
[2] Naples JG, Ruckenstein MJ. Cochlear Implant. Otolaryngol Clin North Am. 2020;53(1):87-102. [DOI:10.1016/j.otc.2019.09.004]
[3] Sarafraz M, Heidari M, Bayat A, Hanafi MG, Fahimi A, Farasat M, et al. Role of HRCT imaging in predicting the visibility of Round window (RW) on patients underwent cochlear implant surgery. Clin Epidemiol Glob Health. 2020;8(2):432-6. [DOI:10.1016/j.cegh.2019.10.003]
[4] Barbara M, Talamonti R, Benincasa AT, Tarentini S, Filippi C, Covelli E, et al. Early Assessment of Vestibular Function after Unilateral Cochlear Implant Surgery. Audiol Neurootol. 2020;25(1-2):50-9. [DOI:10.1159/000502252]
[5] Melvin TA, Della Santina CC, Carey JP, Migliaccio AA. The effects of cochlear implantation on vestibular function. Otol Neurotol. 2009;30(1):87-94. [DOI:10.1097/mao.0b013e31818d1cba]
[6] Krause E, Louza JP, Hempel JM, Wechtenbruch J, Rader T, Gürkov R. Effect of cochlear implantation on horizontal semicircular canal function. Eur Arch Otorhinolaryngol. 2009;266(6):811-7. [DOI:10.1007/s00405-008-0815-5]
[7] Stultiens JJA, Kieft HW, Mylanus EAM, Pennings RJE, Terwoert L, Beynon AJ. Impact of cochlear implantation on the function of the three semicircular canals. Int J Audiol. 2020;59(11):843-9. [DOI:10.1080/14992027.2020.1768310]
[8] Wang R, Zhang D, Luo J, Chao X, Xu J, Liu X, et al. Influence of Cochlear Implantation on Vestibular Function in Children with an Enlarged Vestibular Aqueduct. Front Neurol. 2021;12:663123. [DOI:10.3389/fneur.2021.663123]
[9] Ibrahim I, da Silva SD, Segal B, Zeitouni A. Effect of cochlear implant surgery on vestibular function: meta-analysis study. J Otolaryngol Head Neck Surg. 2017;46(1):44. [DOI:10.1186/s40463-017-0224-0]
[10] Webb RL, Clark GM, Shepherd RK, Franz BK, Pyman BC. The biologic safety of the Cochlear Corporation multiple-electrode intracochlear implant. Am J Otol. 1988;9(1):8-13.
[11] MacDougall HG, Weber KP, McGarvie LA, Halmagyi GM, Curthoys IS. The video head impulse test: diagnostic accuracy in peripheral vestibulopathy. Neurology. 2009;73(14):1134-41. [DOI:10.1212/WNL.0b013e3181bacf85]
[12] Bartl K, Lehnen N, Kohlbecher S, Schneider E. Head impulse testing using video-oculography. Ann N Y Acad Sci. 2009;1164:331-3. [DOI:10.1111/j.1749-6632.2009.03850.x]
[13] Hamilton SS, Zhou G, Brodsky JR. Video head impulse testing (VHIT) in the pediatric population. Int J Pediatr Otorhinolaryngol. 2015;79(8):1283-7. [DOI:10.1016/j.ijporl.2015.05.033]
[14] Halmagyi GM, Chen L, MacDougall HG, Weber KP, McGarvie LA, Curthoys IS. Front Neurol. 2017;8:258. [DOI:10.3389/fneur.2017.00258]
[15] Hülse R, Hörmann K, Servais JJ, Hülse M, Wenzel A. Clinical experience with video Head Impulse Test in children. Int J Pediatr Otorhinolaryngol. 2015;79(8):1288-93. [DOI:10.1016/j.ijporl.2015.05.034]
[16] Guinand N, Van de Berg R, Cavuscens S, Ranieri M, Schneider E, Lucieer F, et al. The Video Head Impulse Test to Assess the Efficacy of Vestibular Implants in Humans. Front Neurol. 2017;8:600. [DOI:10.3389/fneur.2017.00600]
[17] Mukherjee P, Chiarovano E, Cheng K, Manzari L, McGarvie LA, MacDougall HG. Video-head impulse test in superior canal dehiscence. Acta Otolaryngol. 2021;141(5):471-5.
[18] Vallim MGB, Gabriel GP, Mezzalira R, Stoler G, Chone CT. Does the video head impulse test replace caloric testing in the assessment of patients with chronic dizziness? A systematic review and meta-analysis. Braz J Otorhinolaryngol. 2021;87(6):733-41. [DOI:10.1016/j.bjorl.2021.01.002]
[19] 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. [DOI:10.3389/fneur.2015.00154]
[20] Alhabib SF, Saliba I. Video head impulse test: a review of the literature. Eur Arch Otorhinolaryngol. 2017;274(3):1215-22. [DOI:10.1007/s00405-016-4157-4]
[21] Saki N, Bayat A, Nikakhlagh S, Karimi M, Nikafrooz M, Daneshi A, et al. A national Iranian cochlear implant registry (ICIR): cochlear implanted recipient observational study. Int Tinnitus J. 2019;23(2):74-8. [DOI:10.5935/0946-5448.20190013]
[22] Bittar RSM, Sato E, Ribeiro DJS, Oiticica J, Grasel SS, Mezzalira R, et al. Video head impulse test relevance in the early postoperative period after cochlear implantation. Acta Otolaryngol. 2019;139(1):6-10. [DOI:10.1080/00016489.2018.1535194]
[23] Normani Zakaria M. The values of effect size in statistical decision for clinical research. Aud Vest Res. 2017; 26(1): 1-3.
[24] Thierry B, Blanchard M, Leboulanger N, Parodi M, Wiener-Vacher SR, Garabedian E-N, et al. Cochlear implantation and vestibular function in children. Int J Pediatr Otorhinolaryngol. 2015;79(2):101-4. [DOI:10.1016/j.ijporl.2014.11.002]
[25] Nassif N, Balzanelli C, de Zinis LOR. Preliminary results of video head impulse testing (vHIT) in children with cochlear implants. Int J Pediatr Otorhinolaryngol. 2016;88:30-3. [DOI:10.1016/j.ijporl.2016.06.034]
[26] 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. [DOI:10.1016/j.ijporl.2008.10.024]
[27] Krause E, Louza JPR, Wechtenbruch J, Gürkov R. Influence of cochlear implantation on peripheral vestibular receptor function. Otolaryngol Head Neck Surg. 2010;142(6):809-13. [DOI:10.1016/j.otohns.2010.01.017]
[28] Fina M, Skinner M, Goebel JA, Piccirillo JF, Neely JG, Black O. Vestibular dysfunction after cochlear implantation. Otol Neurotol. 2003;24(2):234-42; discussion 242. [DOI:10.1097/00129492-200303000-00018]
[29] Jutila T, Aalto H, Hirvonen TP. Cochlear implantation rarely alters horizontal vestibulo-ocular reflex in motorized head impulse Test. Otol Neurotol. 2013;34(1):48-52. [DOI:10.1097/MAO.0b013e318277a430]
[30] Todt I, Basta D, Ernst A. Does the surgical approach in cochlear implantation influence the occurrence of postoperative vertigo? Otolaryngol Head Neck Surg. 2008;138(1):8-12. [DOI:10.1016/j.otohns.2007.09.003]
[31] Korsager LEH, Schmidt JH, Faber C, Wanscher JH. Vestibular outcome after cochlear implantation is not related to surgical technique: a double blinded, randomized clinical trial of round window approach versus cochleostomy. Otol Neurotol. 2018;39(3):306-12. [DOI:10.1097/MAO.0000000000001695]
[32] Nordfalk KF, Rasmussen K, Hopp E, Bunne M, Silvola JT, Jablonski GE. Insertion depth in cochlear implantation and outcome in residual hearing and vestibular function. Ear Hear. 2016;37(2):e129-37. [DOI:10.1097/AUD.0000000000000241]
| Files | ||
| Issue | Vol 31 No 4 (2022) | |
| Section | Research Article(s) | |
| DOI | https://doi.org/10.18502/avr.v31i4.10732 | |
| Keywords | ||
| Cochlear implantation semicircular canals video head impulse test | ||
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How to Cite
1.
Kardooni M, Ahmadi R, Saki Malehi A, Kiani A, Saki S. Can Video Head Impulse Test Determine the Early Effect of Cochlear Implantation on the Semicircular Canals Function?. Aud Vestib Res. 2022;31(4):282-288.
