1. Caloric function as a predictor of cochlear implant performance.
- Author
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Quimby AE, Wen CZ, Ruckenstein MJ, Brant JA, and Bigelow DC
- Subjects
- Humans, Retrospective Studies, Male, Female, Middle Aged, Adult, Aged, Speech Perception, Treatment Outcome, Young Adult, Vestibule, Labyrinth physiopathology, Adolescent, Child, Aged, 80 and over, Cochlear Implantation, Cochlear Implants, Caloric Tests methods
- Abstract
Objectives: Changes in vestibular function have been demonstrated following cochlear implantation (CI). The functional impact of these changes on CI performance has not been well-studied. We sought to assess whether caloric changes postimplantation could predict CI performance., Methods: Retrospective review of a prospectively collected database at a tertiary care hospital. Patients who underwent CI over a 22-year period (1999-2021) and had videonystagmography (VNG) testing pre- and postimplantation were included. Caloric responses were compared pre- versus post-implantation, and assessed for their ability to predict CI performance as evaluated using AzBio +10 decibels signal-to-noise ratio (dB S/N) scores., Results: 43 CI recipients were included. There was a significant difference in the average maximal slow-phase velocity in response to caloric irrigation in the implanted ear pre- versus post-operatively (21.2 vs. 18.5 deg/s; p = 0.02). Controlling for age and pre-implantation speech recognition performance, pre- and post-implantation caloric responses in the implanted ear significantly predicted CI performance at 0-6 months and >6 months post-implantation. Caloric changes following implantation were not significantly correlated with CI performance., Conclusion: CI impacts vestibular function as evidenced by changes in caloric responses. Vestibular function pre- and possibly post-CI may be clinically useful metrics for predicting some proportion of CI performance variability.
- Published
- 2024
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