Cochlear Implantation in Adults and Pediatrics With Enlarged Vestibular Aqueduct: A Systematic Review on the Surgical Findings and Patients’ Performance

European Archives of Oto-Rhino-Laryngology

Alahmadi, A., Abdelsamad, Y., et al. (2022).

European Archives of Oto-Rhino-Laryngology , 279, 5497-5509.

This systematic review investigates the outcomes of cochlear implantation among patients with enlarged vestibular aqueduct.

No funding received



Not specified

Peer reviewed interventional or observational studies

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Findings demonstrated improved Pure Tone Average, Speech Reception Thresholds, Speech Intelligibility Rating, and language evaluation scores status post cochlear implant (CI) insertion. However, many patients had intra-operative complications (e.g., cerebrospinal fluid [CSF] gusher, perilymph gusher, CSF oozing, partial electrode insertion) and/or post-operative complications (e.g., nausea/vomiting, dizziness, infection, cholesteatoma) following implantation. Heterogeneity between outcome measures and participants within studies as well as lack of reporting on significance of and variability between outcomes were limitations to this study. Further research is warranted to determine the benefits and risks of CIs in this population.