Air caloric computer system application in monitoring vestibular function changes after cochlear implantation.
BACKGROUND
The computer-based ENG system's analytical routine refinements are available only in research laboratories. The computer-based system contains a stimulator for saccadic eye-movement and an air caloric stimulator interconnected to the registration program and analysis software. Several authors have reported the preoperative and postoperative vestibular functions in cochlear implant patients. The safe examination of the operated ear and comparison of the preoperative and postoperative average slow phase velocities of the caloric nystagmus is possible using the air caloric computer system.


METHODS
The authors have used a computer-based ENG system with caloric air stimulation, which is very useful for examination of the operated ear. The vestibular system of patients with total deafness was examined before and after the cochlear implantation. The results of 60 vestibular examinations of 64 patients are reported.


RESULTS
The vestibular function in the operated ear was found unchanged in 20 patients. In 14 patients the vestibular function was worse. In 16 patients the postoperative vestibular responsiveness improved. The detailed data analysis of 10 patients in whom preoperative and postoperative vestibular examination was similar was performed by the authors. The preoperative and postoperative average slow phase velocity values and the relative canal paresis was observed. The values demonstrated that the caloric responsiveness of the operated ear improved in few cases.


CONCLUSIONS
The computer-based air caloric system is a useful and safe method in evaluation of the vestibular system changes after ear surgery. The reason of the improvement of vestibular responsiveness is not clear. The results need further investigation to solve the problem of vestibular responsiveness improvement after cochlear implantation.
Szirmai
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A
Department of Oto-Rhino-Laryngology and Head and Neck Surgery, Semmelweis University, H-1083, Szigony u. 36, Budapest, Hungary.
Ribári
O
O
Répássy
G
G
D000293:Adolescent; D000328:Adult; D002150:Caloric Tests / Q000379:methods*; D002648:Child; D019929:Cochlear Implantation / Q000009:adverse effects; D003638:Deafness / Q000175:diagnosis* / Q000209:etiology / Q000601:surgery*; D003936:Diagnosis, Computer-Assisted / Q000379:methods* / Q000592:standards; D004584:Electronystagmography / Q000379:methods* / Q000592:standards; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D008991:Monitoring, Physiologic / Q000379:methods* / Q000592:standards; D009716:Numerical Analysis, Computer-Assisted; D011182:Postoperative Care / Q000379:methods* / Q000592:standards; D012449:Safety; D012680:Sensitivity and Specificity; D014724:Vestibular Function Tests / Q000379:methods* / Q000592:standards