Long-term follow-up of late onset vestibular complaints in patients with cochlear implant.
Conclusion: Patients with cochlear implants should be treated no differently than non-implanted patients with similar symptomatology. Objectives: To describe the spectrum of symptomatology, treatment, and long-term follow-up of patients with cochlear implant and vestibular complaints. Methods: This...
| Publicado en: | Acta Oto-Laryngologica Vol. 135; no. 12; pp. 1245 - 1253 |
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| Autores principales: | , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Taylor & Francis Ltd
Dec2015
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=109966985&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 109966985 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 00016489 B6D jtl: Acta Oto-Laryngologica issn: 00016489 maglogo: Y pubinfo: dt: Dec2015 vid: 135 iid: 12 pid: 377 pub: Taylor & Francis Ltd place: Philadelphia, Pennsylvania artinfo: ui: 109966985 109966985 109966985 10.3109/00016489.2015.1072874 NLM26224013 109966985 ppf: 1245 ppct: 8 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Long-term follow-up of late onset vestibular complaints in patients with cochlear implant. aug: au: González-Navarro, Mauricio Manrique-Huarte, Raquel Manrique-Rodríguez, Manuel Huarte-Irujo, Alicia Pérez-Fernández, Nicolas affil: Subdivision of Otolaryngology Head and Neck Surgery, Instituto Nacional de Rehabilitacion, Distrito Federal, Mexico sug: subj: Cochlear Implant Adverse Effects Vestibular Diseases Symptoms Vestibular Diseases Diagnosis Human Retrospective Design Descriptive Statistics Male Female Middle Age Kruskal-Wallis Test Kaplan-Meier Estimator Data Analysis Software Posturography Vertigo Diagnosis Vestibular Diseases Therapy Child Adolescence Adult Aged Aged, 80 and Over Middle Aged: 45-64 years Child: 6-12 years Adolescent: 13-18 years Adult: 19-44 years Aged: 65+ years Aged, 80 & over Male Female ab: Conclusion: Patients with cochlear implants should be treated no differently than non-implanted patients with similar symptomatology. Objectives: To describe the spectrum of symptomatology, treatment, and long-term follow-up of patients with cochlear implant and vestibular complaints. Methods: This retrospective study included 25 patients with late onset vestibular complaints (more than 1 month post-implantation). Each patient underwent an extensive interrogatory and physical exam with ancillary test to complete a diagnosis. Treatment was given according to this and all patients followed a vestibular rehabilitation program. Results: The total population was 72% male and 28% female, median age was 58 years; minimal follow-up was 9 months (mean = 51, median = 34). Cochleostomy was performed in eight cases and round window insertion was performed in 19 (two patients were removed from each group in the analysis due to their bilateral implantation under a different approach). The mean time from implant to vestibular symptoms was 53 months, median = 32; a Kaplan Meier graphic showed the round window approach has faster onset of symptoms with statistical significance (p = 0.020). The most common complaint was instability in all patients and after both surgical approaches. No difference in symptoms was found with a Kruskall Wallis test except for vertigo spells (more common in the round window approach). In 12 patients the symptomatology was attributed to the implanted side. In the long-term follow-up a relatively high number of patients (20/25) recovered with standard treatment, suggesting the presence of the implant is not associated with poor recovery prognosis. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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