Effect of cochlear implant surgery on vestibular function: meta-analysis study.
Identifieur interne : 000524 ( Main/Curation ); précédent : 000523; suivant : 000525Effect of cochlear implant surgery on vestibular function: meta-analysis study.
Auteurs : Iman Ibrahim [Canada] ; Sabrina Daniela Da Silva [Canada] ; Bernard Segal [Canada] ; Anthony Zeitouni [Canada]Source :
- Journal of otolaryngology - head & neck surgery = Le Journal d'oto-rhino-laryngologie et de chirurgie cervico-faciale [ 1916-0216 ] ; 2017.
Descripteurs français
- KwdFr :
- MESH :
- chirurgie : Surdité neurosensorielle.
- effets indésirables : Implantation cochléaire, Surdité neurosensorielle.
- épidémiologie : Maladies vestibulaires.
- Humains, Implants cochléaires.
English descriptors
- KwdEn :
- MESH :
- adverse effects : Cochlear Implantation.
- complications : Hearing Loss, Sensorineural.
- epidemiology : Vestibular Diseases.
- surgery : Hearing Loss, Sensorineural.
- Cochlear Implants, Humans.
Abstract
IMPORTANCE
Vestibular disorders have been reported following cochlear implant (CI) surgery, but the literature shows a wide discrepancy in the reported clinical impact. The aim of this meta-analysis is to quantify the effect of CI before and after surgery on the outcomes of vestibular tests, postural stability, and subjective perception of dizziness.
OBJECTIVE
To evaluate the effects of CI surgery on vestibular function in adult patients (≥18 years) with sensorineural hearing loss who underwent unilateral or bilateral implantation.
DATA SOURCES
MEDLINE, PubMed, Web of Science and Cochrane Library from January 1, 1995, through July 12, 2016.
STUDY SELECTION
Published studies of adult patients who received unilateral or bilateral CIs and whose vestibular function or postural stability was assessed before and after surgery.
DATA EXTRACTION
From each study, test results before and after surgery were compared, for the following five tests: clinical head impulse test (HIT); bi-thermal caloric irrigation of the horizontal semicircular canal; vestibular evoked myogenic potential (VEMP); dizziness handicap inventory (DHI); and computerized dynamic posturography (CDP).
RESULTS
Twenty-seven studies met all inclusion criteria. Most studies performed either bi-thermal caloric irrigation and/or VEMP, with fewer studies investigating changes in HIT, posturography or DHI. CI surgery significantly affected the results of caloric and VEMP testing. However, HIT results, posturography, and DHI, scores were not significantly affected after CI surgery.
CONCLUSIONS AND RELEVANCE
CI surgery has a significant negative effect on the results of caloric as well as VEMP tests. No significant effect of CI surgery was detected in HIT, posturography, or DHI scores. Overall, the clinical effect of CI surgery on the vestibular function was found to be insignificant. Nonetheless, the potential effects of surgery on the vestibular system should be discussed with CI candidates before surgery.
DOI: 10.1186/s40463-017-0224-0
PubMed: 28595652
PubMed Central: PMC5465585
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study.</title><author><name sortKey="Ibrahim, Iman" sort="Ibrahim, Iman" uniqKey="Ibrahim I" first="Iman" last="Ibrahim">Iman Ibrahim</name><affiliation wicri:level="1"><nlm:affiliation>Department of Otolaryngology-Head and Neck Surgery, Royal Victoria Hospital, McGill University, Montréal, Canada.</nlm:affiliation><country xml:lang="fr">Canada</country><wicri:regionArea>Department of Otolaryngology-Head and Neck Surgery, Royal Victoria Hospital, McGill University, Montréal</wicri:regionArea></affiliation></author><author><name sortKey="Da Silva, Sabrina Daniela" sort="Da Silva, Sabrina Daniela" uniqKey="Da Silva S" first="Sabrina Daniela" last="Da Silva">Sabrina Daniela Da Silva</name><affiliation wicri:level="1"><nlm:affiliation>Department of Otolaryngology-Head and Neck Surgery, Jewish General Hospital, McGill University, Montréal, Canada.</nlm:affiliation><country xml:lang="fr">Canada</country><wicri:regionArea>Department of Otolaryngology-Head and Neck Surgery, Jewish General Hospital, McGill University, Montréal</wicri:regionArea></affiliation></author><author><name sortKey="Segal, Bernard" sort="Segal, Bernard" uniqKey="Segal B" first="Bernard" last="Segal">Bernard Segal</name><affiliation wicri:level="1"><nlm:affiliation>Department of Otolaryngology-Head and Neck Surgery, Jewish General Hospital, McGill University, Montréal, Canada.</nlm:affiliation><country xml:lang="fr">Canada</country><wicri:regionArea>Department of Otolaryngology-Head and Neck Surgery, Jewish General Hospital, McGill University, Montréal</wicri:regionArea></affiliation></author><author><name sortKey="Zeitouni, Anthony" sort="Zeitouni, Anthony" uniqKey="Zeitouni A" first="Anthony" last="Zeitouni">Anthony Zeitouni</name><affiliation wicri:level="1"><nlm:affiliation>Department of Otolaryngology-Head and Neck Surgery, Royal Victoria Hospital, McGill University, Montréal, Canada. anthony.zeitouni@mcgill.ca.</nlm:affiliation><country xml:lang="fr">Canada</country><wicri:regionArea>Department of Otolaryngology-Head and Neck Surgery, Royal Victoria Hospital, McGill University, Montréal</wicri:regionArea></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="2017" type="published">2017</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Cochlear Implantation (adverse effects)</term><term>Cochlear Implants (MeSH)</term><term>Hearing Loss, Sensorineural (complications)</term><term>Hearing Loss, Sensorineural (surgery)</term><term>Humans (MeSH)</term><term>Vestibular Diseases (epidemiology)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Humains (MeSH)</term><term>Implantation cochléaire (effets indésirables)</term><term>Implants cochléaires (MeSH)</term><term>Maladies vestibulaires (épidémiologie)</term><term>Surdité neurosensorielle (chirurgie)</term><term>Surdité neurosensorielle (complications)</term></keywords><keywords scheme="MESH" qualifier="adverse effects" xml:lang="en"><term>Cochlear Implantation</term></keywords><keywords scheme="MESH" qualifier="chirurgie" xml:lang="fr"><term>Surdité neurosensorielle</term></keywords><keywords scheme="MESH" qualifier="complications" xml:lang="en"><term>Hearing Loss, Sensorineural</term></keywords><keywords scheme="MESH" qualifier="effets indésirables" xml:lang="fr"><term>Implantation cochléaire</term><term>Surdité neurosensorielle</term></keywords><keywords scheme="MESH" qualifier="epidemiology" xml:lang="en"><term>Vestibular Diseases</term></keywords><keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Hearing Loss, Sensorineural</term></keywords><keywords scheme="MESH" qualifier="épidémiologie" xml:lang="fr"><term>Maladies vestibulaires</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Cochlear Implants</term><term>Humans</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Humains</term><term>Implants cochléaires</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p><b>IMPORTANCE</b></p><p>Vestibular disorders have been reported following cochlear implant (CI) surgery, but the literature shows a wide discrepancy in the reported clinical impact. The aim of this meta-analysis is to quantify the effect of CI before and after surgery on the outcomes of vestibular tests, postural stability, and subjective perception of dizziness.</p></div><div type="abstract" xml:lang="en"><p><b>OBJECTIVE</b></p><p>To evaluate the effects of CI surgery on vestibular function in adult patients (≥18 years) with sensorineural hearing loss who underwent unilateral or bilateral implantation.</p></div><div type="abstract" xml:lang="en"><p><b>DATA SOURCES</b></p><p>MEDLINE, PubMed, Web of Science and Cochrane Library from January 1, 1995, through July 12, 2016.</p></div><div type="abstract" xml:lang="en"><p><b>STUDY SELECTION</b></p><p>Published studies of adult patients who received unilateral or bilateral CIs and whose vestibular function or postural stability was assessed before and after surgery.</p></div><div type="abstract" xml:lang="en"><p><b>DATA EXTRACTION</b></p><p>From each study, test results before and after surgery were compared, for the following five tests: clinical head impulse test (HIT); bi-thermal caloric irrigation of the horizontal semicircular canal; vestibular evoked myogenic potential (VEMP); dizziness handicap inventory (DHI); and computerized dynamic posturography (CDP).</p></div><div type="abstract" xml:lang="en"><p><b>RESULTS</b></p><p>Twenty-seven studies met all inclusion criteria. Most studies performed either bi-thermal caloric irrigation and/or VEMP, with fewer studies investigating changes in HIT, posturography or DHI. CI surgery significantly affected the results of caloric and VEMP testing. However, HIT results, posturography, and DHI, scores were not significantly affected after CI surgery.</p></div><div type="abstract" xml:lang="en"><p><b>CONCLUSIONS AND RELEVANCE</b></p><p>CI surgery has a significant negative effect on the results of caloric as well as VEMP tests. No significant effect of CI surgery was detected in HIT, posturography, or DHI scores. Overall, the clinical effect of CI surgery on the vestibular function was found to be insignificant. Nonetheless, the potential effects of surgery on the vestibular system should be discussed with CI candidates before surgery.</p></div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">28595652</PMID><DateCompleted><Year>2018</Year><Month>04</Month><Day>30</Day></DateCompleted><DateRevised><Year>2018</Year><Month>11</Month><Day>13</Day></DateRevised><Article PubModel="Electronic"><Journal><ISSN IssnType="Electronic">1916-0216</ISSN><JournalIssue CitedMedium="Internet"><Volume>46</Volume><Issue>1</Issue><PubDate><Year>2017</Year><Month>Jun</Month><Day>08</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>Effect of cochlear implant surgery on vestibular function: meta-analysis study.</ArticleTitle><Pagination><MedlinePgn>44</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1186/s40463-017-0224-0</ELocationID><Abstract><AbstractText Label="IMPORTANCE" NlmCategory="OBJECTIVE">Vestibular disorders have been reported following cochlear implant (CI) surgery, but the literature shows a wide discrepancy in the reported clinical impact. The aim of this meta-analysis is to quantify the effect of CI before and after surgery on the outcomes of vestibular tests, postural stability, and subjective perception of dizziness.</AbstractText><AbstractText Label="OBJECTIVE" NlmCategory="OBJECTIVE">To evaluate the effects of CI surgery on vestibular function in adult patients (≥18 years) with sensorineural hearing loss who underwent unilateral or bilateral implantation.</AbstractText><AbstractText Label="DATA SOURCES" NlmCategory="METHODS">MEDLINE, PubMed, Web of Science and Cochrane Library from January 1, 1995, through July 12, 2016.</AbstractText><AbstractText Label="STUDY SELECTION" NlmCategory="METHODS">Published studies of adult patients who received unilateral or bilateral CIs and whose vestibular function or postural stability was assessed before and after surgery.</AbstractText><AbstractText Label="DATA EXTRACTION" NlmCategory="METHODS">From each study, test results before and after surgery were compared, for the following five tests: clinical head impulse test (HIT); bi-thermal caloric irrigation of the horizontal semicircular canal; vestibular evoked myogenic potential (VEMP); dizziness handicap inventory (DHI); and computerized dynamic posturography (CDP).</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">Twenty-seven studies met all inclusion criteria. Most studies performed either bi-thermal caloric irrigation and/or VEMP, with fewer studies investigating changes in HIT, posturography or DHI. CI surgery significantly affected the results of caloric and VEMP testing. However, HIT results, posturography, and DHI, scores were not significantly affected after CI surgery.</AbstractText><AbstractText Label="CONCLUSIONS AND RELEVANCE" NlmCategory="CONCLUSIONS">CI surgery has a significant negative effect on the results of caloric as well as VEMP tests. No significant effect of CI surgery was detected in HIT, posturography, or DHI scores. Overall, the clinical effect of CI surgery on the vestibular function was found to be insignificant. Nonetheless, the potential effects of surgery on the vestibular system should be discussed with CI candidates before surgery.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Ibrahim</LastName><ForeName>Iman</ForeName><Initials>I</Initials><AffiliationInfo><Affiliation>Department of Otolaryngology-Head and Neck Surgery, Royal Victoria Hospital, McGill University, Montréal, Canada.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>da Silva</LastName><ForeName>Sabrina Daniela</ForeName><Initials>SD</Initials><AffiliationInfo><Affiliation>Department of Otolaryngology-Head and Neck Surgery, Jewish General Hospital, McGill University, Montréal, Canada.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Segal</LastName><ForeName>Bernard</ForeName><Initials>B</Initials><AffiliationInfo><Affiliation>Department of Otolaryngology-Head and Neck Surgery, Jewish General Hospital, McGill University, Montréal, Canada.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Zeitouni</LastName><ForeName>Anthony</ForeName><Initials>A</Initials><AffiliationInfo><Affiliation>Department of Otolaryngology-Head and Neck Surgery, Royal Victoria Hospital, McGill University, Montréal, Canada. anthony.zeitouni@mcgill.ca.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType><PublicationType UI="D017418">Meta-Analysis</PublicationType><PublicationType UI="D016454">Review</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2017</Year><Month>06</Month><Day>08</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="D019929" MajorTopicYN="N">Cochlear Implantation</DescriptorName><QualifierName UI="Q000009" MajorTopicYN="Y">adverse effects</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D003054" MajorTopicYN="Y">Cochlear Implants</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006319" MajorTopicYN="N">Hearing Loss, Sensorineural</DescriptorName><QualifierName UI="Q000150" MajorTopicYN="N">complications</QualifierName><QualifierName UI="Q000601" MajorTopicYN="Y">surgery</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D015837" MajorTopicYN="N">Vestibular Diseases</DescriptorName><QualifierName UI="Q000453" MajorTopicYN="Y">epidemiology</QualifierName></MeshHeading></MeshHeadingList><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="N">Cochlear Implant</Keyword><Keyword MajorTopicYN="N">Postural stability</Keyword><Keyword MajorTopicYN="N">Vestibular 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