Vestibular function in cochlear implant users.
Balance alterations in the postoperative of cochlear implant surgeries varies from 31 to 75%.


OBJECTIVE
to analyze vestibular function in the pre and postoperative periods of cochlear implanted individuals.


METHODS
the vestibular function was assessed, through electronystagmography, in 38 patients, in the pre and postoperative of cochlear implant procedures.


RESULTS
The main complaint of unbalance reported by patients was dizziness, followed by postural vertigo and non-postural vertigo. Results: 13% of the patients did not show any balance disorder following cochlear implant surgery and just 5% showed symptoms worsening. 13 % of the patients showed an improvement, and this could be related to the vestibular compensation phenomenon and to electric stimulation. However, it was observed, in the caloric responses, a worsening in the vestibular system function, for both implanted and non-implanted ears. Thus, there is no evidence of more damage to the implanted ear.


CONCLUSIONS
the study showed that cochlear implant surgeries could injure the vestibular system in both ears. However, the vestibular symptoms take place in a smaller proportion, and can improve after cochlear implant surgery.
Head-Facial Anomalies Rehabilitation Hospital, University of São Paulo, HRAC/USP, Bauru/SP, Brazil.
Ariane Solci
AS
Bonucci
Orozimbo Alves
OA
Costa Filho
Luciane Domingues Figueiredo
LD
Mariotto
Regina Célia Bortoleto
RC
Amantini
Kátia de Freitas
Kde F
Alvarenga
D000293:Adolescent; D000328:Adult; D000704:Analysis of Variance; D002150:Caloric Tests; D016009:Chi-Square Distribution; D002648:Child; D002675:Child, Preschool; D019929:Cochlear Implantation / Q000009:adverse effects*; D004244:Dizziness / Q000175:diagnosis / Q000209:etiology* / Q000503:physiopathology; D004584:Electronystagmography; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D011184:Postoperative Period; D011187:Posture / Q000502:physiology; D011300:Preoperative Care; D012027:Reflex, Vestibulo-Ocular / Q000502:physiology; D014717:Vertigo / Q000175:diagnosis / Q000209:etiology* / Q000503:physiopathology; D014722:Vestibule, Labyrinth / Q000503:physiopathology