Self-perception of balance function in adults following cochlear implant surgery: A cross-sectional study

IF 1.7 4区医学 Q2 OTORHINOLARYNGOLOGY

American Journal of Otolaryngology Pub Date : 2026-05-01 Epub Date: 2026-04-25 DOI:10.1016/j.amjoto.2026.104843

Rania Alkahtani , Abeer Alotaibi , Arwa Alhussain , Layan Algharbi , Reenad Al-hlail , Reem Elbeltagy , Hadeel Alsaleh , Sahar Asqool

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Abstract

Objective

To assess self-perceived balance function in adults after cochlear implantation and explore factors associated with postoperative vertigo.

Methods

A cross-sectional questionnaire-based study was conducted among adult cochlear implant recipients (≥18 years). Collected data included demographics, hearing history, vestibular symptoms before and after implantation, and satisfaction with hearing outcomes. Chi-square analysis was used to examine associations between vertigo and clinical variables.

Results

A total of 50 adult participants were included. Perception of vertigo was reported by 38% prior to implantation and 48% post-implantation. Among those with post-implant symptoms, 58.3% experienced vertigo daily, and 54.2% rated their symptoms as moderate in severity. The majority of symptoms developed within one month post-surgery. Male sex was significantly associated with a higher incidence of post-implant vertigo (p = 0.049), while no significant associations were observed with other factors.

Conclusion

Nearly half of adult cochlear implant recipients reported postoperative vertigo, with many describing symptoms of moderate severity that interfered with daily activities. These findings underscore the importance of incorporating systematic pre- and post-operative vestibular assessment and follow-up into standard cochlear implant care.

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成人人工耳蜗术后平衡功能的自我感知：一项横断面研究

目的评估成人人工耳蜗植入术后的自我感觉平衡功能，探讨术后眩晕的相关因素。方法对18岁以上成人人工耳蜗受者进行横断面问卷调查。收集的数据包括人口统计学、听力史、植入前后前庭症状以及对听力结果的满意度。卡方分析用于检验眩晕与临床变量之间的关系。结果共纳入50名成人受试者。眩晕感在植入前和植入后分别为38%和48%。在有植入物后症状的患者中，58.3%的人每天都有眩晕，54.2%的人认为他们的症状严重程度为中度。大多数症状在术后一个月内出现。男性与植入后眩晕的高发生率显著相关（p = 0.049），而与其他因素无显著相关性。结论：近一半的成人人工耳蜗受术者报告了术后眩晕，许多人描述了中等严重程度的症状，干扰了日常活动。这些发现强调了将系统的术前和术后前庭评估和随访纳入标准人工耳蜗护理的重要性。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

American Journal of Otolaryngology 医学-耳鼻喉科学

CiteScore

4.40

自引率

4.00%

发文量

378

审稿时长

41 days

期刊介绍： Be fully informed about developments in otology, neurotology, audiology, rhinology, allergy, laryngology, speech science, bronchoesophagology, facial plastic surgery, and head and neck surgery. Featured sections include original contributions, grand rounds, current reviews, case reports and socioeconomics.