title: Enlarged vestibular aqueduct in pediatric sensorineural hearing loss.
abstract: OBJECTIVE
  Comparison of the Cincinnati criteria (midpoint >0.9 mm or operculum >1.9 mm) to the Valvassori criterion (midpoint > or =1.5 mm) for enlarged vestibular aqueduct (EVA) in pediatric cochlear implant patients.
  
  
  METHODS
  Cohort study.
  
  
  METHODS
  One hundred thirty pediatric cochlear implant recipients.
  
  
  METHODS
  We reviewed temporal bone CT scans to measure the vestibular aqueduct midpoint and opercular width.
  
  
  RESULTS
  The Cincinnati criteria identified 44 percent of patients with EVA versus 16 percent with the Valvassori criterion (P < 0.01). Of those with EVA, 45 percent were unilateral and 55 percent were bilateral using Cincinnati criteria; 64 percent were unilateral and 36 percent bilateral using Valvassori criterion (P < 0.01). The Cincinnati criteria diagnosed 70 ears with EVA classified as normal using the Valvassori criterion (P < 0.01); 59 lacked another medical explanation for their hearing loss.
  
  
  CONCLUSIONS
  The Cincinnati criteria identified a large percentage of pediatric cochlear implant patients with EVA who might otherwise have no known etiology for their deafness.
authors.affiliation: Department of Otolaryngyology, Head and Neck Surgery, Washington University, St Louis, MO 63110, USA.
authors.forename: Karuna
authors.initials: K
authors.lastname: Dewan
authors.forename: Franz J
authors.initials: FJ
authors.lastname: Wippold
authors.forename: Judith E C
authors.initials: JE
authors.lastname: Lieu