{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,17]],"date-time":"2026-08-17T20:46:08Z","timestamp":1786999568908,"version":"build-2736575974"},"reference-count":34,"publisher":"Cambridge University Press (CUP)","issue":"6","license":[{"start":{"date-parts":[[2026,4,27]],"date-time":"2026-04-27T00:00:00Z","timestamp":1777248000000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J. Laryngol. Otol."],"published-print":{"date-parts":[[2026,6]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec id=\"S0022215126104782_sec1a\">\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To compare long-term vestibular function in cochlear implant recipients with enlarged vestibular aqueduct and those without inner-ear malformations.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S0022215126104782_sec2b\">\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A comparative analysis was conducted on 53 cochlear implant recipients (27 with enlarged vestibular aqueduct, 26 with no inner-ear malformations). Vestibular function was assessed using caloric testing, vestibular-evoked myogenic potential, the video head impulse test and age-appropriate symptom questionnaires.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S0022215126104782_sec3c\">\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Enlarged vestibular aqueduct patients demonstrated significantly better preservation of otolithic function post-implantation, with higher cervical vestibular-evoked myogenic potential response rates (56\n                      <jats:italic>vs<\/jats:italic>\n                      12 per cent,\n                      <jats:italic>p<\/jats:italic>\n                      = 0.001). Caloric testing showed similar vestibular dysfunction across both groups. Both cohorts exhibited significant asymmetry between implanted and non-implanted ears.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S0022215126104782_sec4d\">\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Cochlear implantation impairs vestibular function regardless of cochlear morphology, affecting both otolithic and low-frequency semicircular canal function. However, better saccular function preservation in enlarged vestibular aqueduct patients suggests unique vestibular adaptation, with implications for counselling and rehabilitation.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1017\/s0022215126104782","type":"journal-article","created":{"date-parts":[[2026,4,27]],"date-time":"2026-04-27T07:58:42Z","timestamp":1777276722000},"page":"626-634","source":"Crossref","is-referenced-by-count":0,"title":["Long-term analysis of vestibular function in cochlear implant recipients with enlarged vestibular aqueduct"],"prefix":"10.1017","volume":"140","author":[{"given":"Yanqi","family":"Wang","sequence":"first","affiliation":[{"id":[{"id":"https:\/\/ror.org\/04epb4p87","id-type":"ROR","asserted-by":"publisher"}],"name":"School of Medical Technology and Information Engineering, Zhejiang Chinese Medical University"},{"id":[{"id":"https:\/\/ror.org\/04c4dkn09","id-type":"ROR","asserted-by":"publisher"}],"name":"University of Science and 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