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Objective:

Cochlear implantation (CI) carries a risk of loss of vestibular function following surgery. Thus, vestibular assessment presurgery is used to identify vestibulopathy that may contraindicate implantation and guide in selecting the candidate ear. The aim of this study was to evaluate the clinical implications of preoperative vestibular assessment, and to identify challenges in performing vestibular testing in patients with profound hearing loss, ie, CI candidates.

Study Design:

Retrospective study of all CI recipients implanted since the introduction of a vestibular screening program.

Setting:

Tertiary referral center in 2013.

Patients and Intervention:

CI candidates routinely underwent testing with the video head impulse test (VHIT) and the cervical vestibular evoked myogenic potential (cVEMP) test as a part of the CI work up.

Results:

Three hundred thirty-five individuals were screened before the first CI and 74 individuals …