{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,16]],"date-time":"2026-09-16T18:32:44Z","timestamp":1789583564744,"version":"build-2803163510"},"reference-count":32,"publisher":"MDPI AG","issue":"3","license":[{"start":{"date-parts":[[2025,6,15]],"date-time":"2025-06-15T00:00:00Z","timestamp":1749945600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Audiology Research"],"abstract":"<jats:p>Background\/Objectives: Vestibular dysfunction is one of the main complications after cochlear implant (CI) surgery, and there are currently no standardized protocols for vestibular assessment in CI candidates. Our objectives were to investigate the incidence of vestibular impairment after CI surgery, anamnestic (age, known systemic pathologies and cause of deafness) and surgical (intraoperative complications, malposition of the CI) risk factors, and the role of vestibular assessment in the selection of the suitable ear for implantation. Methods: We included 68 adult patients (80 ears) affected by moderate-to-profound SNHL undergoing CI. The dizziness handicap inventory (DHI), the video head impulse test (VHIT), the caloric test, and dynamic posturography (DP) were used to study the vestibular function and balance before and one month after CI. The DHI was also administered 24 h after surgery. Results: Despite significative impairment 24 h after surgery (29.6 \u00b1 30), the mean DHI score returned to preoperative values (17.9 \u00b1 26) after one month. Dizziness persisted in case of age \u2265 65 years old, surgical difficulties, simultaneous bilateral CI, Meniere\u2019s disease and otosclerosis, comorbidities \u2265 3, anxiety\/depression, and neurological diseases. The VHIT significantly worsened in 25% of ears, while the caloric test SPV nystagmus significantly decreased in 30% of ears. In cases of preoperative unilateral weakness, the implantation of the better ear was significantly related to higher DHI scores. Only 4\/68 patients had a significant persistent reduction in the postural composite score after surgery, with an increased risk of falls. Conclusions: Medical history and vestibular assessment predict the risk of vestibular damage and help to choose the CI\u2019s side and to manage vertigo after surgery.<\/jats:p>","DOI":"10.3390\/audiolres15030071","type":"journal-article","created":{"date-parts":[[2025,6,16]],"date-time":"2025-06-16T14:03:11Z","timestamp":1750082591000},"page":"71","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Clinical and Instrumental Evaluation of Vestibular Function Before and After Cochlear Implantation in Adults"],"prefix":"10.3390","volume":"15","author":[{"given":"Pasqualina Maria","family":"Picciotti","sequence":"first","affiliation":[{"name":"Complex Operational Unit of Ear Nose and Throat\u2014Department of Neuroscience, Sense Organs and Thorax, Foundation Polyclinic University A. Gemelli IRCCS, 00168 Rome, Italy"},{"name":"Department of Neuroscience, Sense Organs and Thorax\u2014Catholic University of the Sacred Heart, 00168 Rome, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9756-1880","authenticated-orcid":false,"given":"Tiziana","family":"Di Cesare","sequence":"additional","affiliation":[{"name":"Department of Neuroscience, Sense Organs and Thorax\u2014Catholic University of the Sacred Heart, 00168 Rome, Italy"},{"name":"Audiology and ENT, Institute for Maternal and Child Health\u2014IRCCS \u201cBurlo Garofolo\u201d, 34137 Trieste, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daniela","family":"Rodolico","sequence":"additional","affiliation":[{"name":"Department of Neuroscience, Sense Organs and Thorax\u2014Catholic University of the Sacred Heart, 00168 Rome, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Walter","family":"Di Nardo","sequence":"additional","affiliation":[{"name":"Complex Operational Unit of Ear Nose and Throat\u2014Department of Neuroscience, Sense Organs and Thorax, Foundation Polyclinic University A. Gemelli IRCCS, 00168 Rome, Italy"},{"name":"Department of Neuroscience, Sense Organs and Thorax\u2014Catholic University of the Sacred Heart, 00168 Rome, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jacopo","family":"Galli","sequence":"additional","affiliation":[{"name":"Complex Operational Unit of Ear Nose and Throat\u2014Department of Neuroscience, Sense Organs and Thorax, Foundation Polyclinic University A. Gemelli IRCCS, 00168 Rome, Italy"},{"name":"Department of Neuroscience, Sense Organs and Thorax\u2014Catholic University of the Sacred Heart, 00168 Rome, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2025,6,15]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"438","DOI":"10.1097\/MAO.0000000000002558","article-title":"Trends in Age of Cochlear Implant Recipients, and the Impact on Perioperative Complication Rates","volume":"41","author":"Fakurnejad","year":"2020","journal-title":"Otol. 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