Enlarged Vestibular Aqueduct, Sensorineural Hearing Loss
Conditions
Keywords
enlarged vestibular aqueduct, SLC26A4, cochlear implant
Brief summary
To explore the genotype-phenotype correlation of SLC26A4 mutations in cochlear-implanted patients with enlarged vestibular aqueduct.
Detailed description
Enlarged vestibular aqueduct (EVA) is one of the most common forms of inner ear malformation that cause sensorineural hearing loss (SNHL). Some patients with EVA present delayed, fluctuating, and progressive hearing loss, while the others are with congenital or sudden hearing loss. Cochlear implants (CI) have been widely used in patients with severe-profound SNHL. However, it is difficult to define the optimal timing of CI operations for patients with EVA. Mutations in SLC26A4 are known to be responsible for EVA. This study is to explore the genotype-phenotype correlation of SLC26A4 mutations in cochlear-implanted patients with EVA.
Interventions
Cochlear implantation
Sponsors
Study design
Eligibility
Inclusion criteria
1. Bilateral severe-to-profound sensorineural hearing loss who received cochlear implantation. 2. Bilateral or unilateral enlarged vestibular aqueduct (EVA) with or without Mondini malformation (IP-II) on temporal bone computed tomography (CT) and/or magnetic resonance imaging (MRI).
Exclusion criteria
1. Hearing loss that is associated with symptoms which meet the criteria of already known syndromes. 2. With other type of inner ear malformation.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Cochlear implant age | Immediately after cochlear implantation | Age of cochlear implantation. |
| Duration of hearing loss | Immediately after cochlear implantation | Time between found of hearing loss and cochlear implantation. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Type of initial hearing loss | On the 1 day of recruitment. | Prelingual or postlingual; Hearing aid can or cannot benefit |
| Type of hearing loss progression | Immediately after cochlear implantation | Initial profound, sudden, or fluctuating hearing loss. |