Masseteric Vestibular-Evoked Myogenic Potentials in Cochlear-Implanted Children: An Analysis of Dual Stimulation Modes

Cochlear implants (CIs) are widely used for auditory rehabilitation but have often been linked to adverse vestibular insults. While cervical vestibular-evoked myogenic potential (cVEMP) and ocular vestibular-evoked myogenic potential (oVEMP) have been studied, the vestibulo-trigeminal pathway via masseteric vestibular-evoked myogenic potential (mVEMP) in children with CIs remains unexplored....

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✦ The floor

Discussion

Signed responses from readers of the wire.

✦ Clinical Takeaway ✦

Masseteric VEMPs with dual stimulation modes may help detect subclinical vestibular changes in cochlear-implanted children, but routine clinical adoption requires larger validation studies before protocol changes are warranted.

✦ Why It Matters ✦

Vestibular dysfunction is a recognised but underscreened complication of cochlear implantation in children; validated VEMP protocols could become a standard post-implant monitoring tool.

✦ Key Points ✦

01Masseteric VEMPs were recorded using two stimulation modes in cochlear-implanted children.
02Study targets detection of vestibular side effects following cochlear implant surgery.
03Dual stimulation modes may improve sensitivity for vestibular pathway assessment.
04Cochlear-implanted children are at risk for vestibular damage that often goes undetected.
05Published in the International Archives of Otorhinolaryngology (IAO).

✦ Claims & Evidence ✦

ClaimEvidenceSupport

Masseteric VEMPs using dual stimulation modes can detect vestibular effects of cochlear implantation in children.

studypartially supported

Cochlear implantation has vestibular side effects detectable via electrophysiological testing.

studysupported

✦ Research metadata ✦

PMID: 42867350
DOI: 10.65717/iao.2026.262475.
Journal: International Archives of Otorhinolaryngology
Publication type: research_article
Evidence level: 4
Population: Children with cochlear implants
Intervention: Masseteric vestibular-evoked myogenic potentials (VEMPs) using dual stimulation modes

Primary outcomes

VEMP response characteristics across dual stimulation modes in cochlear-implanted children; Detection of vestibular side effects of cochlear implantation

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