Thirty-five patients receiving a cochlear implant were evaluated using
vestibular function tests. Twenty-five patients received an intracoch
lear implant (Nucleus). Three out of 6 patients with normo- or hyporef
lexia before implantation showed postoperative vestibular damage. In o
ne case this was iatrogenic. Together with available data from the lit
erature the risk of losing preoperative vestibular function is estimat
ed to be around 60%. Improvement of implantation techniques can probab
ly reduce this risk considerably.