Research Article

Assessment of saccular function in pediatric candidates for cochlear implant by performing vestibular-evoked myogenic potentials

Abstract

Background and Aim: The cochlea and vestibule are related developmentally. Therefore individuals with severe to profound sensourineural hearing loss have additional risk for vestibular dysfunction. The aim of this study was to assess saccular function using vestibular evoked myogenic potentials (VEMP) in children with severe to profound sensorineural hearing loss (SNHL) who are candidates for cochlear implant.
Methods: Thirty children (17 males and 13 females) with bilateral severe to profound sensorineural hearing loss in the age range of 3-15 years participated in this study. 17 children (9 males and 8 females) with normal hearing in the age range of 3-13 years participated as the control group. All children in each group were evaluated for saccular function by performing vestibular-evoked myogenic potentials in both ears.
Results: Comparison of mean threshold values between the two groups revealed statistically significant difference (p<0.05). In addition, comparison of mean amplitude values between the two groups revealed statistically significant difference (p<0.05). However, comparison of p13 and n23 latency values between the two groups revealed no significant difference (p>0.05). Out of the 30 children with bilateral severe to profound sensorineural hearing loss eight children (26.66%) had absent VEMP responses in both ears.
Conclusion: Children with severe to profound sensorineural hearing loss who are candidates for cochlear implant had more potential for saccular abnormalities compared to normal-hearing children. Therefore, assessment of vestibular function is very important in this population.

1. Angeli S. Value of vestibular testing in young children with sensorineural hearing loss. Arch Otolaryngol Head Neck Surg. 2003;129(4):478-82.
2. Telian SA. Comments about the value of vestibular testing in young children with sensorineural hearing loss. Arch Otolaryngol Head Neck Surg. 2003;129(4):483-4.
3. Tien HC, Linthicum FH Jr. Histopathologic changes in the vestibule after cochlear implantation. Otolaryngol Head Neck Surg. 2002;127(4):260-4.
4. Krause E, Wechtenbruch J, Rader T, Gürkov R. Influence of cochlear implantation on sacculus function. Otolaryngol Head Neck Surg. 2009;140(1):108-13.
5. Zhou G, Kenna MA, Stevens K, Licameli G. Assessment of saccular function in children with sensorineural hearing loss. Arch Otolaryngol Head Neck Surg. 2009;135(1):40-4.
6. Goebel JA. Should we screen hearing-impaired children for vestibular dysfunction? Arch Otolaryngol Head Neck Surg. 2003;129(4):482-3.
7. Sheykholeslami K, Megerian CA, Arnold JE, Kaga K. Vestibular-evoked myogenic potentials in infancy and early childhood. Laryngoscope. 2005;115(8):1440-4.
8. Zhou G, Cox LC. Vestibular evoked myogenic potentials: history and overview. Am J Audiol. 2004;13(2):135-43.
9. 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.
10. Schwab B, Kontorinis G. Influencing factors on the vestibular function of deaf children and adolescents-evaluation by means of dynamic posturography. Open Otorhinolaryngol J. 2011;5:1-9.
11. 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.
12. Melvin TA, Della Santina CC, Carey JP, Migliaccio AA. The effects of cochlear implantation on vestibular function. Otol Neurotol. 2009;30(1):87-94.
13. Katsiari E, Balatsouras DG, Sengas J, Riga M, Korres GS, Xenelis J. Influence of cochlear implantation on the vestibular function. Eur Arch Otorhinolaryngol. 2013;270(2):489-95.
14. Shall MS. The importance of saccular function to motor development in children with hearing impairments. Int J Otolaryngol. 2009;2009:972565.
15. Fayad JN, Linthicum FH Jr. Multichannel cochlear implants: relation of histopathology to performance. Laryngoscope. 2006;116(8):1310-20.
IssueVol 23 No 4 (2014) QRcode
SectionResearch Article(s)
Keywords
Vestibular evoked myogenic potentials sensorineural hearing loss cochlear implant saccule

Rights and permissions
Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
How to Cite
1.
Lotfi Y, Farahani A, Moossavi A, Eftekharian A, Ajalloian M, Bakhshi E. Assessment of saccular function in pediatric candidates for cochlear implant by performing vestibular-evoked myogenic potentials. Aud Vestib Res. 2017;23(4):84-92.