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This study will measure the effects of soft surgical techniques on vestibular function and quality of life in patients pre- and post-cochlear implant (CI) surgery. Additionally, the investigators will attempt to systematically evaluate the utility of different electrophysiological measures of vestibular system function in surgical ears.
Vestibular system function in CI patients will be evaluated pre-surgically and twice post-surgically, at 3 months and again at 1 year post-surgery. Traditional test techniques - such as VNG, rotational testing, and air conduction VEMPs - will be compared to and cross-checked with newer techniques including video head impulse testing (vHIT) and bone conduction VEMPs.
Design & Procedures: The current standard of care for CI patients includes a pre-op evaluation of the vestibular system. For this study, the investigators will compare subjects' routine pre-op test results to two additional post-op assessments performed for study purposes: one in the short term (~3 months post-op) and one in the long-term (~1 year post-op).
The vestibular assessment will take 2 hours and will include the following tests:
1. Video-nystagmography (VNG)
2. rotational testing
3. cervical VEMP testing (cVEMP)
4. ocular VEMP testing (oVEMP)
5. video head impulse testing (vHIT)
6. validated self-report quality of life questionnaire (Dizziness Handicap Inventory [DHI]).
Allocation: Non-Randomized, Intervention Model: Single Group Assignment, Masking: Open Label
Vestibular Function in Cochlear Implant Patients
Duke University Medical Center
Published on BioPortfolio: 2015-07-22T11:38:23-0400
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