Publications by authors named "S R Wiener-Vacher"

Importance: Children with profound hearing loss (HL) and vestibular impairment have worse cochlear implant outcomes compared with those without vestibular impairment. However, the decision for cochlear implantation is rarely based on vestibular function assessment as a complement to audiologic testing.

Objectives: To identify the prevalence of vestibular impairment according to HL origin and to assess the association between vestibular impairment and delayed posturomotor development in children with profound HL.

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Objective: To compare the amplitude ratio and P-wave latency of cervical vestibular evoked myogenic potentials (c-VEMPs) for bone conduction (BC) and air conduction (AC) stimulation in children with otitis media with effusion (OME).

Material And Methods: This is an observational study of a cohort of 27 children and 46 ears with OME. The c-VEMP amplitude ratio and P-wave latency were compared between BC and AC in children with OME and healthy age-matched children.

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Objectives: To characterize cervical vestibular evoked myogenic potentials (c-VEMPs) in bone conduction (BC) and air conduction (AC) in healthy children, to compare the responses to adults and to provide normative values according to age and sex.

Design: Observational study in a large cohort of healthy children ( = 118) and adults ( = 41). The c-VEMPs were normalized with the individual EMG traces, the amplitude ratios were modeled with the Royston-Wright method.

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Article Synopsis
  • The study aimed to understand how congenital cytomegalovirus infection affects cochlear (hearing) and vestibular (balance) functions in children by conducting a retrospective evaluation of 130 children diagnosed with the infection.
  • Results showed that 64% had inner ear impairments, with vestibular dysfunction being more common than cochlear issues (ρ = 0.003), highlighting the critical need to assess both functions.
  • Among the children evaluated, nearly half exhibited hearing impairments, with profound losses often being bilateral; 97% of those with a history of normal hearing screening developed vestibular disorders, stressing the importance of ongoing evaluation beyond initial testing.
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Article Synopsis
  • - The study aimed to identify factors that predict hearing and vestibular impairment in children born with congenital cytomegalovirus (cCMV), analyzing clinical and imaging data from pregnancy and birth for 130 subjects between March 2014 and March 2020.
  • - Results showed that 64% of the children had inner ear impairments, but factors like sex, maternal infection type, and neonatal signs didn't significantly correlate with these impairments.
  • - The key findings highlight that antenatal imaging lesions and CMV infection during the first trimester are strong predictors of inner ear problems, while infections in the second and third trimesters were less likely to lead to such issues.
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