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Vestibular evaluation in children with otitis media with effusion
E A Kolkaila1, A A Emara1, T A Gabr1
1Audiology Unit,ENT department,Tanta University Hospitals,Egypt.
The Journal of Laryngology and Otology
|March 20, 2015
Summary
Children with otitis media with effusion often experience balance issues. Vestibular bedside tests and the Arabic Dizziness Handicap Inventory effectively identify these impairments, while bone-conducted vestibular-evoked myogenic potentials aid in evaluation.
Area of Science:
- Pediatric Otolaryngology
- Neurotology
- Vestibular Physiology
Background:
- Otitis media with effusion (OME) affects 50% of children, potentially causing balance disturbances.
- Vestibular system function in children with OME requires further investigation.
Purpose of the Study:
- To assess vestibular function in pediatric patients diagnosed with otitis media with effusion.
- To correlate OME severity with vestibular system impairments.
Main Methods:
- Study included 30 children with OME and 25 healthy controls.
- Evaluations comprised the Arabic Dizziness Handicap Inventory, pediatric vestibular bedside tests, and vestibular-evoked myogenic potential (VEMP) testing (air- and bone-conducted).
Main Results:
- Children with OME showed abnormal Arabic Dizziness Handicap Inventory scores and some bedside test results, despite normal video-nystagmography.
- Air-conducted VEMPs had delayed latencies in 73% of OME patients.
- Bone-conducted VEMPs were successfully recorded in all OME patients, with results comparable to controls.
Conclusions:
- The Arabic Dizziness Handicap Inventory and vestibular bedside tests are valuable for detecting vestibular impairment in children with OME.
- Bone-conducted VEMPs are a reliable tool for evaluating the vestibular system in this population.
Keywords:
Vertigo
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