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Characteristics and clinical use of ocular and cervical vestibular evoked myogenic potentials for evaluating paediatric candidates for cochlear implants

Published online by Cambridge University Press:  05 December 2016

X-D Xu ,
J Hu ,
Q Zhang ,
Y Zhang ,
X-T Zhang ,
Y-F Chen  and
M Xu
X-D Xu
Affiliation:
Department of Otorhinolaryngology Head and Neck Surgery, Second Affiliated Hospital of Xi'an Jiaotong University College of Medicine, Xi'an, China Department of Otology and Skull Base Surgery, Eye Ear Nose & Throat Hospital, Fudan University, Shanghai, China Shanghai Auditory Medical Center, Ministry of Health, Shanghai, China Key Laboratory of Hearing Science, Ministry of Health, Shanghai, China
J Hu
Affiliation:
Department of Otorhinolaryngology Head and Neck Surgery, Second Affiliated Hospital of Xi'an Jiaotong University College of Medicine, Xi'an, China
Q Zhang*
Affiliation:
Department of Otorhinolaryngology Head and Neck Surgery, Second Affiliated Hospital of Xi'an Jiaotong University College of Medicine, Xi'an, China
Y Zhang
Affiliation:
Department of Otorhinolaryngology Head and Neck Surgery, Second Affiliated Hospital of Xi'an Jiaotong University College of Medicine, Xi'an, China
X-T Zhang
Affiliation:
Department of Otorhinolaryngology Head and Neck Surgery, Second Affiliated Hospital of Xi'an Jiaotong University College of Medicine, Xi'an, China
Y-F Chen
Affiliation:
Department of Otorhinolaryngology Head and Neck Surgery, Second Affiliated Hospital of Xi'an Jiaotong University College of Medicine, Xi'an, China
M Xu
Affiliation:
Department of Otorhinolaryngology Head and Neck Surgery, Second Affiliated Hospital of Xi'an Jiaotong University College of Medicine, Xi'an, China
*
Address for correspondence: Dr Q Zhang, 157 Xiwu Road, Xincheng District, Xi'an 710004, China Fax: +86 29 87275892 E-mail: [email protected]
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Abstract

Objective:

This study aimed to define the characteristics and use of ocular and cervical vestibular evoked myogenic potentials for evaluating paediatric cochlear implant candidates.

Methods:

Ocular and cervical vestibular evoked myogenic potentials of 34 paediatric cochlear implant candidates were analysed. All patients also underwent a routine audiological examination, including computed tomography.

Results:

In all, 27 patients with normal inner-ear structures had absent or impaired vestibular evoked myogenic potential responses. In paediatric candidates with inner-ear malformations, ocular and cervical vestibular evoked myogenic potentials had lower thresholds and higher amplitudes. Vestibular evoked myogenic potential responses in this cohort were classified into three groups. There was significant concordance between vestibular evoked myogenic potentials and temporal bone computed tomography findings.

Conclusion:

Ocular and cervical vestibular evoked myogenic potential waveforms were different in paediatric candidates with normal and abnormal inner-ear structures. Therefore, vestibular evoked myogenic potential responses can indicate temporal bone structure.

Keywords

Vestibular Evoked Myogenic PotentialsCochlear ImplantsVestibular Function TestsEar, Inner
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 131 , Issue 1 , January 2017 , pp. 56 - 63
Copyright
Copyright © JLO (1984) Limited 2016 

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References

1 Colebatch, JG, Halmagyi, GM, Skuse, NF. Myogenic potentials generated by a click-evoked vestibulocollic reflex. J Neurol Neurosurg Psychiatry 1994;57:190–7CrossRefGoogle ScholarPubMed
2 Halmagyi, GM, Colebatch, JG. Vestibular evoked myogenic potentials in the sternomastoid muscle are not of lateral canal origin. Acta Otolaryngol Suppl 1995;520(Pt 1):1–3 Google Scholar
3 Curthoys, IS. A critical review of the neurophysiological evidence underlying clinical vestibular testing using sound, vibration and galvanic stimuli. Clin Neurophysiol 2010;121:132–44CrossRefGoogle ScholarPubMed
4 Govender, S, Rosengren, SM, Todd, NP, Colebatch, JG. Ocular vestibular evoked myogenic potentials produced by impulsive lateral acceleration in unilateral vestibular dysfunction. Clin Neurophysiol 2011;122:2498–504CrossRefGoogle ScholarPubMed
5 Iwasaki, S, Chihara, Y, Smulders, YE, Burgess, AM, Halmagyi, GM, Curthoys, IS et al. The role of the superior vestibular nerve in generating ocular vestibular-evoked myogenic potentials to bone conducted vibration at Fz. Clin Neurophysiol 2009;120:588–93Google Scholar
6 Todd, NP, Rosengren, SM, Colebatch, JG. Ocular vestibular evoked myogenic potentials (OVEMPs) produced by impulsive transmastoid accelerations. Clin Neurophysiol 2008;119:1638–51Google Scholar
7 Murofushi, T, Nakahara, H, Yoshimura, E, Tsuda, Y. Association of air-conducted sound oVEMP findings with cVEMP and caloric test findings in patients with unilateral peripheral vestibular disorders. Acta Otolaryngol 2011;131:945–50Google Scholar
8 Curthoys, IS, Vulovic, V, Manzari, L. Ocular vestibular-evoked myogenic potential (oVEMP) to test utricular function: neural and oculomotor evidence. Acta Otorhinolaryngol Ital 2012;32:41–5Google Scholar
9 Xu, XD, Zhang, Q, Hu, J, Zhang, Y, Chen, YF, Zhang, XT et al. The hidden loss of otolithic function in children with profound sensorineural hearing loss. Int J Pediatr Otorhinolaryngol 2015;79:852–7CrossRefGoogle ScholarPubMed
10 Xu, XD, Ding, CR, Yu, J, Han, Z, Gu, J, Gao, N et al. The hidden dysfunction of otolithic organs in patients with profound sensorineural hearing loss. Hear Res 2016;331:41–6Google Scholar
11 Zhou, G, Poe, D, Gopen, Q. Clinical use of vestibular evoked myogenic potentials in the evaluation of patients with air-bone gaps. Otol Neurotol 2012;33:1368–74Google Scholar
12 Sheykholeslami, K, Murofushi, T, Kaga, K. The effect of sternocleidomastoid electrode location on vestibular evoked myogenic potential. Auris Nasus Larynx 2001;28:41–3Google Scholar
13 Valvassori, GE, Clemis, JD. The large vestibular aqueduct syndrome. Laryngoscope 1978;88:723–8Google Scholar
14 Van Wermeskerken, GK, Dunnebier, EA, Van Olphen, AF, Van Zanten, BA, Albers, FW. Audiological performance after cochlear implantation: a 2-year follow-up in children with inner ear malformations. Acta Otolaryngol 2007;127:252–7Google Scholar
15 Xu, XD, Zhang, XT, Zhang, Q, Hu, J, Chen, YF, Xu, M. Ocular and cervical vestibular-evoked myogenic potentials in children with cochlear implant. Clin Neurophysiol 2015;126:1624–31Google Scholar
16 Sheykholeslami, K, Schmerber, S, Habiby Kermany, M, Kaga, K. Vestibular-evoked myogenic potentials in three patients with large vestibular aqueduct. Hear Res 2004;190:161–8Google Scholar
17 Merchant, SN, Nakajima, HH, Halpin, C, Nadol, JB Jr, Lee, DJ, Innis, WP et al. Clinical investigation and mechanism of air-bone gaps in large vestibular aqueduct syndrome. Ann Otol Rhinol Laryngol 2007;116:532–41Google Scholar
18 Zhou, G, Gopen, Q, Poe, DS. Clinical and diagnostic characterization of canal dehiscence syndrome: a great otologic mimicker. Otol Neurotol 2007;28:920–6Google Scholar
19 Minor, LB. Clinical manifestations of superior semicircular canal dehiscence. Laryngoscope 2005;115:1717–27CrossRefGoogle ScholarPubMed