{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,23]],"date-time":"2026-04-23T21:05:02Z","timestamp":1776978302964,"version":"3.51.4"},"reference-count":29,"publisher":"MDPI AG","issue":"1","license":[{"start":{"date-parts":[[2023,2,9]],"date-time":"2023-02-09T00:00:00Z","timestamp":1675900800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"Foundation for Support of Innovation and Research at Karolinska Institutet"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Audiology Research"],"abstract":"<jats:p>This is a single center cohort study regarding the prevalence of vestibular loss in hearing impaired children affected by large vestibular aqueduct syndrome (LVAS) with incomplete cochlear partition malformation type II (IP2), fitted with cochlear implant (CI). Twenty-seven children received CI operations at 0.4\u201313 years on one or both ears and tested for vestibular loss with head impulse test, video head impulse test, mini ice-water test and cervical VEMP. Vestibular loss was found in 19% of operated ears and in 13.9% of non-operated ears. The difference was not statistically significant and was not significantly modified by age at implantation, age at testing, sex, presence of SLC26A4 gene mutation or bilaterality. However, the presence of anatomic anomalies at the level of the vestibulum or semicircular canals was significantly associated with a higher incidence of vestibular loss in CI operated children but not in those non-operated. No other factors, such as the surgical access, the electrode type, the presence of Gusher perioperatively, or post-operative vertigo modified significantly the prevalence of vestibular loss. In conclusion, LVAS\/IP2 appears to be the major determinant of vestibular loss in these children, with a less obvious impact of CI, excluding the cases with vestibulum\/canal anomalies: this group might have a higher risk for vestibular loss after CI surgery.<\/jats:p>","DOI":"10.3390\/audiolres13010013","type":"journal-article","created":{"date-parts":[[2023,2,10]],"date-time":"2023-02-10T05:51:06Z","timestamp":1676008266000},"page":"130-142","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Vestibular Loss in Children Affected by LVAS and IP2 Malformation and Operated with Cochlear Implant"],"prefix":"10.3390","volume":"13","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7680-9592","authenticated-orcid":false,"given":"\u00c5sa","family":"Bonnard","sequence":"first","affiliation":[{"name":"Department of Clinical Science, Intervention and Technology, Division of Ear, Nose and Throat Diseases, Karolinska Institutet, Karolinska University Hospital, Huddinge, B61 141 86 Stockholm, Sweden"},{"name":"Department of Otorhinolaryngology Audiology and Neurotology, Karolinska University Hospital, Huddinge, M53 141 86 Stockholm, Sweden"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Eva","family":"Karltorp","sequence":"additional","affiliation":[{"name":"Department of Clinical Science, Intervention and Technology, Division of Ear, Nose and Throat Diseases, Karolinska Institutet, Karolinska University Hospital, Huddinge, B61 141 86 Stockholm, Sweden"},{"name":"Department of Otorhinolaryngology Audiology and Neurotology, Karolinska University Hospital, Huddinge, M53 141 86 Stockholm, Sweden"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Luca","family":"Verrecchia","sequence":"additional","affiliation":[{"name":"Department of Clinical Science, Intervention and Technology, Division of Ear, Nose and Throat Diseases, Karolinska Institutet, Karolinska University Hospital, Huddinge, B61 141 86 Stockholm, Sweden"},{"name":"Department of Otorhinolaryngology Audiology and Neurotology, Karolinska University Hospital, Huddinge, M53 141 86 Stockholm, Sweden"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2023,2,9]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"1053","DOI":"10.1097\/MAO.0b013e31815145e9","article-title":"Vestibular system in infants with hereditary nonsyndromic deafness","volume":"28","author":"Zagolski","year":"2007","journal-title":"Otol. 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