前庭和平衡功能在患有严重单侧感觉神经性听力损失的儿童中经常受损。

Vestibular and balance function is often impaired in children with profound unilateral sensorineural hearing loss.

机构信息

Department of Otolaryngology, Head and Neck Surgery, Hospital for Sick Children, Toronto, ON Canada; Department of Otolaryngology, Head and Neck Surgery, University of Toronto, Toronto, ON Canada; Archie's Cochlear Implant Laboratory, Hospital for Sick Children, Toronto, ON Canada.

Department of Otolaryngology, Head and Neck Surgery, University of Toronto, Toronto, ON Canada; Archie's Cochlear Implant Laboratory, Hospital for Sick Children, Toronto, ON Canada; Department of Communication Disorders, Hospital for Sick Children, Toronto, ON Canada.

出版信息

Hear Res. 2019 Feb;372:52-61. doi: 10.1016/j.heares.2018.03.032. Epub 2018 Apr 3.

DOI:10.1016/j.heares.2018.03.032

PMID:29655975

Abstract

RATIONALE

Children with unilateral deafness could have concurrent vestibular dysfunction which would be associated with balance deficits and potentially impair overall development. The prevalence of vestibular and balance deficits remains to be defined in these children.

METHODS

Twenty children with unilateral deafness underwent comprehensive vestibular and balance evaluation.

RESULTS

Retrospective review revealed that more than half of the cohort demonstrated some abnormality of the vestibular end organs (otoliths and horizontal canal), with the prevalence of end organ specific dysfunction ranging from 17 to 48% depending on organ tested and method used. In most children, impairment occurred only on the deaf side. Children with unilateral deafness also displayed significantly poorer balance function than their normal hearing peers.

CONCLUSIONS

The prevalence of vestibular dysfunction in children with unilateral deafness is high and similar to that of children with bilateral deafness. Vestibular and balance evaluation should be routine and the functional impact of combined vestibulo-cochlear sensory deficits considered.

摘要