{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,16]],"date-time":"2026-09-16T01:47:54Z","timestamp":1789523274785,"version":"build-2803163510"},"reference-count":46,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2023,8,16]],"date-time":"2023-08-16T00:00:00Z","timestamp":1692144000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["The Laryngoscope"],"published-print":{"date-parts":[[2024,4]]},"abstract":"<jats:sec><jats:title>Objectives<\/jats:title><jats:p>Evaluate the rate of preserved vestibular function in pediatric cochlear implant surgery.<\/jats:p><\/jats:sec><jats:sec><jats:title>Study Design<\/jats:title><jats:p>Retrospective case review.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Pre\u2010 and post\u2010operative vestibular tests were compared in children who underwent cochlear implantation at a tertiary level pediatric hospital over a 4\u2010year period.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Data from 59 implanted ears in 44 children was included. Median age was 2.8\u2009years at initial testing (range 7\u2009months \u2013 21\u2009years) with 1:1 male\/female ratio. Implant surgeries were 26 unilateral, 13 bilateral simultaneous, and 5 bilateral sequential. The majority were implanted with slim, non\u2010styletted electrodes (86.4%) via a round window approach (91.5%). Normal pre\u2010operative results were preserved post\u2010operatively on rotary chair testing in 75% (21\/28) of patients, cervical vestibular evoked myogenic potential testing in (75%) 30\/40 of ears tested, ocular vestibular evoked myogenic potential testing in 85.7% (6\/7) of ears tested, video head impulse testing in 100% (9\/9) of ears tested, and computerized dynamic posturography in 100% (5\/5) of patients tested. Overall, 62.5% of patients had no new deficits on any vestibular test performed post\u2010operatively.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Preservation rates of vestibular function following cochlear implant surgery were higher in this cohort than what has been reported in many earlier studies. Contemporary, less traumatic electrodes and insertion techniques may be a significant factor. The risk of causing a new, severe bilateral vestibular loss with long\u2010term functional impacts appears to be low. Further study is warranted on the impacts of different cochlear implant electrode designs and insertion approaches on post\u2010operative vestibular preservation.<\/jats:p><\/jats:sec><jats:sec><jats:title>Level of Evidence<\/jats:title><jats:p>4, Case Series <jats:italic>Laryngoscope<\/jats:italic>, 134:1913\u20131918, 2024<\/jats:p><\/jats:sec>","DOI":"10.1002\/lary.30978","type":"journal-article","created":{"date-parts":[[2023,8,19]],"date-time":"2023-08-19T05:42:02Z","timestamp":1692423722000},"page":"1913-1918","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Vestibular Preservation in Pediatric Cochlear Implantation"],"prefix":"10.1002","volume":"134","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2542-1621","authenticated-orcid":false,"given":"Greg R.","family":"Licameli","sequence":"first","affiliation":[{"name":"Department of Otolaryngology and Communication Enhancement Boston Children's Hospital  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