Subjective and objective vestibular changes that occur following paediatric cochlear implantation: systematic review and meta-analysis.
Identifieur interne : 000232 ( Main/Corpus ); précédent : 000231; suivant : 000233Subjective and objective vestibular changes that occur following paediatric cochlear implantation: systematic review and meta-analysis.
Auteurs : Michael Yong ; Emily Young ; Jane Lea ; Hannah Foggin ; Erica Zaia ; Frederick K. Kozak ; Brian D. WesterbergSource :
- Journal of otolaryngology - head & neck surgery = Le Journal d'oto-rhino-laryngologie et de chirurgie cervico-faciale [ 1916-0216 ] ; 2019.
English descriptors
- KwdEn :
- MESH :
- adverse effects : Cochlear Implantation, Cochlear Implants.
- physiopathology : Hearing Loss, Vestibule, Labyrinth.
- surgery : Hearing Loss.
- Caloric Tests, Child, Humans, Vestibular Evoked Myogenic Potentials.
Abstract
OBJECTIVE
Cochlear implantation can result in post-operative vestibular dysfunction of unknown clinical significance. The objective of this study was to characterize the presence, magnitude, and clinical significance of vestibular dysfunction that occurs after pediatric cochlear implantation.
DATA SOURCES
The databases Embase, Medline (OvidSP), and PubMed were used. Only articles published in English were included. Grey literature and unpublished sources were also reviewed.
STUDY SELECTION
Articles published from 1980 until the present which documented pre-operative and post-operative vestibular testing on children under the age of 18 were used.
DATA EXTRACTION
Parameters that were assessed included number of patients, pre- and post-operative vestibular-evoked myogenic potentials (VEMPs), head impulse testing (HIT), calorics, and posturography, timing of pre- and post-operative testing, symptomatology, and other demographic data such as etiology of the hearing loss.
DATA SYNTHESIS
Ten articles were included. Relative risk values evaluating the effect of cochlear implantation on vestibular function were calculated for VEMPs and caloric testing due to the availability of published data. I
CONCLUSION
Pediatric cochlear implantation is associated with a statistically significant decrease in VEMP responses post-operatively (RR 1.8, p < 0.001, I
DOI: 10.1186/s40463-019-0341-z
PubMed: 31118089
PubMed Central: PMC6530180
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pubmed:31118089Le document en format XML
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Kozak</name><affiliation><nlm:affiliation>BC Rotary Hearing and Balance Centre, St. Paul's Hospital, 1081 Burrard St, Vancouver, BC, V6Z 1Y6, Canada.</nlm:affiliation></affiliation></author><author><name sortKey="Westerberg, Brian D" sort="Westerberg, Brian D" uniqKey="Westerberg B" first="Brian D" last="Westerberg">Brian D. Westerberg</name><affiliation><nlm:affiliation>BC Rotary Hearing and Balance Centre, St. Paul's Hospital, 1081 Burrard St, Vancouver, BC, V6Z 1Y6, Canada. BWesterberg@providencehealth.bc.ca.</nlm:affiliation></affiliation></author></analytic><series><title level="j">Journal of otolaryngology - head & neck surgery = Le Journal d'oto-rhino-laryngologie et de chirurgie cervico-faciale</title><idno type="eISSN">1916-0216</idno><imprint><date when="2019" type="published">2019</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Caloric Tests (MeSH)</term><term>Child (MeSH)</term><term>Cochlear Implantation (adverse effects)</term><term>Cochlear Implants (adverse effects)</term><term>Hearing Loss (physiopathology)</term><term>Hearing Loss (surgery)</term><term>Humans (MeSH)</term><term>Vestibular Evoked Myogenic Potentials (MeSH)</term><term>Vestibule, Labyrinth (physiopathology)</term></keywords><keywords scheme="MESH" qualifier="adverse effects" xml:lang="en"><term>Cochlear Implantation</term><term>Cochlear Implants</term></keywords><keywords scheme="MESH" qualifier="physiopathology" xml:lang="en"><term>Hearing Loss</term><term>Vestibule, Labyrinth</term></keywords><keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Hearing Loss</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Caloric Tests</term><term>Child</term><term>Humans</term><term>Vestibular Evoked Myogenic Potentials</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p><b>OBJECTIVE</b></p><p>Cochlear implantation can result in post-operative vestibular dysfunction of unknown clinical significance. The objective of this study was to characterize the presence, magnitude, and clinical significance of vestibular dysfunction that occurs after pediatric cochlear implantation.</p></div><div type="abstract" xml:lang="en"><p><b>DATA SOURCES</b></p><p>The databases Embase, Medline (OvidSP), and PubMed were used. Only articles published in English were included. Grey literature and unpublished sources were also reviewed.</p></div><div type="abstract" xml:lang="en"><p><b>STUDY SELECTION</b></p><p>Articles published from 1980 until the present which documented pre-operative and post-operative vestibular testing on children under the age of 18 were used.</p></div><div type="abstract" xml:lang="en"><p><b>DATA EXTRACTION</b></p><p>Parameters that were assessed included number of patients, pre- and post-operative vestibular-evoked myogenic potentials (VEMPs), head impulse testing (HIT), calorics, and posturography, timing of pre- and post-operative testing, symptomatology, and other demographic data such as etiology of the hearing loss.</p></div><div type="abstract" xml:lang="en"><p><b>DATA SYNTHESIS</b></p><p>Ten articles were included. Relative risk values evaluating the effect of cochlear implantation on vestibular function were calculated for VEMPs and caloric testing due to the availability of published data. I</p></div><div type="abstract" xml:lang="en"><p><b>CONCLUSION</b></p><p>Pediatric cochlear implantation is associated with a statistically significant decrease in VEMP responses post-operatively (RR 1.8, p < 0.001, I</p></div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">31118089</PMID><DateCompleted><Year>2020</Year><Month>01</Month><Day>16</Day></DateCompleted><DateRevised><Year>2020</Year><Month>02</Month><Day>25</Day></DateRevised><Article PubModel="Electronic"><Journal><ISSN IssnType="Electronic">1916-0216</ISSN><JournalIssue CitedMedium="Internet"><Volume>48</Volume><Issue>1</Issue><PubDate><Year>2019</Year><Month>May</Month><Day>22</Day></PubDate></JournalIssue><Title>Journal of otolaryngology - head & neck surgery = Le Journal d'oto-rhino-laryngologie et de chirurgie cervico-faciale</Title><ISOAbbreviation>J Otolaryngol Head Neck Surg</ISOAbbreviation></Journal><ArticleTitle>Subjective and objective vestibular changes that occur following paediatric cochlear implantation: systematic review and meta-analysis.</ArticleTitle><Pagination><MedlinePgn>22</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1186/s40463-019-0341-z</ELocationID><Abstract><AbstractText Label="OBJECTIVE" NlmCategory="OBJECTIVE">Cochlear implantation can result in post-operative vestibular dysfunction of unknown clinical significance. The objective of this study was to characterize the presence, magnitude, and clinical significance of vestibular dysfunction that occurs after pediatric cochlear implantation.</AbstractText><AbstractText Label="DATA SOURCES" NlmCategory="METHODS">The databases Embase, Medline (OvidSP), and PubMed were used. Only articles published in English were included. Grey literature and unpublished sources were also reviewed.</AbstractText><AbstractText Label="STUDY SELECTION" NlmCategory="METHODS">Articles published from 1980 until the present which documented pre-operative and post-operative vestibular testing on children under the age of 18 were used.</AbstractText><AbstractText Label="DATA EXTRACTION" NlmCategory="METHODS">Parameters that were assessed included number of patients, pre- and post-operative vestibular-evoked myogenic potentials (VEMPs), head impulse testing (HIT), calorics, and posturography, timing of pre- and post-operative testing, symptomatology, and other demographic data such as etiology of the hearing loss.</AbstractText><AbstractText Label="DATA SYNTHESIS" NlmCategory="RESULTS">Ten articles were included. Relative risk values evaluating the effect of cochlear implantation on vestibular function were calculated for VEMPs and caloric testing due to the availability of published data. I<sup>2</sup> values were calculated and 95% confidence intervals were reported. Separate analyses were conducted for each individual study and a pooled analysis was conducted to yield an overall relative risk. Assessment on risk of bias in individual studies and overall was performed.</AbstractText><AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">Pediatric cochlear implantation is associated with a statistically significant decrease in VEMP responses post-operatively (RR 1.8, p < 0.001, I<sup>2</sup> 91.86, 95%CI 1.57-2.02). Similar results are not seen in caloric testing. Insufficient data is available for analysis of HIT and posturography. Further studies are necessary to determine the effect of cochlear implantation on objective vestibular measures post-operatively and whether any changes seen are clinically relevant in this population.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Yong</LastName><ForeName>Michael</ForeName><Initials>M</Initials><AffiliationInfo><Affiliation>BC Rotary Hearing and Balance Centre, St. Paul's Hospital, 1081 Burrard St, Vancouver, BC, V6Z 1Y6, Canada.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Young</LastName><ForeName>Emily</ForeName><Initials>E</Initials><AffiliationInfo><Affiliation>BC Rotary Hearing and Balance Centre, St. Paul's Hospital, 1081 Burrard St, Vancouver, BC, V6Z 1Y6, Canada.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Lea</LastName><ForeName>Jane</ForeName><Initials>J</Initials><AffiliationInfo><Affiliation>BC Rotary Hearing and Balance Centre, St. Paul's Hospital, 1081 Burrard St, Vancouver, BC, V6Z 1Y6, Canada.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Foggin</LastName><ForeName>Hannah</ForeName><Initials>H</Initials><AffiliationInfo><Affiliation>BC Rotary Hearing and Balance Centre, St. Paul's Hospital, 1081 Burrard St, Vancouver, BC, V6Z 1Y6, Canada.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Zaia</LastName><ForeName>Erica</ForeName><Initials>E</Initials><AffiliationInfo><Affiliation>BC Rotary Hearing and Balance Centre, St. Paul's Hospital, 1081 Burrard St, Vancouver, BC, V6Z 1Y6, Canada.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Kozak</LastName><ForeName>Frederick K</ForeName><Initials>FK</Initials><AffiliationInfo><Affiliation>BC Rotary Hearing and Balance Centre, St. Paul's Hospital, 1081 Burrard St, Vancouver, BC, V6Z 1Y6, Canada.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Westerberg</LastName><ForeName>Brian D</ForeName><Initials>BD</Initials><AffiliationInfo><Affiliation>BC Rotary Hearing and Balance Centre, St. Paul's Hospital, 1081 Burrard St, Vancouver, BC, V6Z 1Y6, Canada. BWesterberg@providencehealth.bc.ca.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType><PublicationType UI="D017418">Meta-Analysis</PublicationType><PublicationType UI="D000078182">Systematic Review</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2019</Year><Month>05</Month><Day>22</Day></ArticleDate></Article><MedlineJournalInfo><Country>England</Country><MedlineTA>J Otolaryngol Head Neck Surg</MedlineTA><NlmUniqueID>101479544</NlmUniqueID><ISSNLinking>1916-0208</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D002150" MajorTopicYN="N">Caloric Tests</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D002648" MajorTopicYN="N">Child</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D019929" MajorTopicYN="N">Cochlear Implantation</DescriptorName><QualifierName UI="Q000009" MajorTopicYN="Y">adverse effects</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D003054" MajorTopicYN="Y">Cochlear Implants</DescriptorName><QualifierName UI="Q000009" MajorTopicYN="N">adverse effects</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D034381" MajorTopicYN="N">Hearing Loss</DescriptorName><QualifierName UI="Q000503" MajorTopicYN="N">physiopathology</QualifierName><QualifierName UI="Q000601" MajorTopicYN="Y">surgery</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D058585" MajorTopicYN="Y">Vestibular Evoked Myogenic Potentials</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D014722" MajorTopicYN="N">Vestibule, Labyrinth</DescriptorName><QualifierName UI="Q000503" 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