Titre:	The effect of cochlear implant surgery on vestibular function in adults : a meta-analysis study
Auteur(s):	Vaz, Fabiane de Castro Petrus, Leonardo Martins, Wagner Rodrigues Silva, Isabella Monteiro de Castro Lima, Jade Arielly Oliveira Santos, Nycolle Margarida da Silva Turri-Silva, Natália Bahmad Júnior, Fayez
metadata.dc.contributor.affiliation:	Universidade de Brasília, Faculdade de Ciências da Saúde Universidade de Brasília, Faculdade de Ceilândia, Programa de Pós-Graduação em Ciências e Tecnologias em Saúde Universidade de Brasília, Faculdade de Ceilândia Universidade de Brasília, Faculdade de Ceilândia Universidade de Brasília, Faculdade de Ceilândia Universidade de Brasília, Faculdade de Ceilândia Universidade de Brasília, Faculdade de Ceilândia Universidade de Brasília, Faculdade de Ciências da Saúde
Assunto::	Perda vestibular Implante coclear Função vestibular Vertigem Equilíbrio
Date de publication:	10-aoû-2022
Editeur:	Frontiers
Référence bibliographique:	VAZ, Fabiane de Castro et al. The effect of cochlear implant surgery on vestibular function in adults: a meta-analysis study. Front. Neurol., [S.l.], v. 13, n. 26, 2022. DOI: https://doi.org/10.3389/fneur.2022.947589. Disponível em: https://www.frontiersin.org/journals/neurology/articles/10.3389/fneur.2022.947589/full. Acesso em: 11 nov. 2024.
Abstract:	Issue: The findings in literature indicate inconsistency in the complications caused by the implant of electrodes in the cochlea; vestibular alterations and balance disorders are mentioned as the most likely. Purpose: To evaluate, in literature, through the results of multiple vestibular function tests, the effects of cochlear implant surgery on postural stability in adult patients and to analyze. Hypothesis: From the PICO strategy, where the Population focuses on adults, Intervention is cochlear implant surgery, Comparisons are between implanted patients, and Outcomes are the results of the assessment of cochlear function, the research question was formulated: Are there deficits in vestibular function in adults undergoing cochlear implant placement? Method: Systematic review based on cohort, case-control, and cross-sectional observational studies. Information sources: Databases between 1980 and 2021, namely, PubMed, Cinahl, Web Of Science, Cochrane, and Scopus. Search strategy using Mesh terms: "Adult," "Cochlear Implant," "Postural Balance," "Posturography," "Cochlear Implant," "Dizziness," "Vertigo," "Vestibular Functional Tests,"and "Caloric Tests." Populational inclusion criteria: studies with adult patients; intervention: cochlear implant placement surgery; comparison: analysis of a vestibular function with vestibular test results and pre- and postoperative symptoms; outcome: studies with at least one of the vestibular function tests, such as computerized vectoelectronystagmography (VENG), vestibular-evoked myogenic potentials (VEMPs), caloric test, video head impulse test (VHIT), head impulse test (HIT), videonystagmography, (VNG) and static and dynamic posturography. Exclusion criteria: studies without records of pre- and postoperative data collection and studies with populations under 18 years of age. Screening based on the reading of abstracts and titles was performed independently by two reviewers. In the end, with the intermediation of a third reviewer, manuscripts were included. Risk of bias analysis, performed by two other authors, occurred using the JBI "Critical Appraisal Checklist." Results: Of the 757 studies, 38 articles met the inclusion criteria. VEMP was the most commonly used test by the studies (44.7%), followed by the caloric test (36.8%) and vHIT (23.6%). Most studies performed more than one test to assess vestibular function. Conclusion: Among all vestibular tests investigated, the deleterious effects on vestibular function after cochlear implant surgery were detected with statistical significance (P < 0.05) using VEMP and caloric test. Comparing abnormal and normal results after implant surgery, the vestibular apparatus was evaluated as having abnormal results after cochlear implant surgery only in the VEMP test. The other tests analyzed maintained a percentage mostly considered normal results.
metadata.dc.description.unidade:	Faculdade UnB Ceilândia (FCE) Faculdade de Ciências da Saúde (FS)
metadata.dc.description.ppg:	Programa de Pós-Graduação em Ciências e Tecnologias em Saúde Programa de Pós-Graduação em Ciências da Saúde
Licença::	© 2022 Vaz, Petrus, Martins, Silva, Lima, Santos, Turri-Silva and Bahmad. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these term.
DOI:	https://doi.org/10.3389/fneur.2022.947589
Collection(s) :	Artigos publicados em periódicos e afins

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