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Vestibular evaluation in children with otitis media with effusion

Published online by Cambridge University Press:  19 March 2015

E A Kolkaila ,
A A Emara  and
T A Gabr
E A Kolkaila
Affiliation:
Audiology Unit, ENT department, Tanta University Hospitals, Egypt
A A Emara
Affiliation:
Audiology Unit, ENT department, Tanta University Hospitals, Egypt
T A Gabr*
Affiliation:
Audiology Unit, ENT department, Tanta University Hospitals, Egypt
*
Address for correspondence: Dr Takwa A Gabr, Audiology Unit, ENT Department, Tanta University Hospitals, El-Geesh Street, Tanta, Egypt E-mail: takwagabr@gmail.com
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Abstract

Background:

Fifty per cent of children with serous otitis media may have some balance disturbances.

Objective:

To evaluate vestibular function in children with otitis media with effusion.

Methods:

The control group comprised 25 children with bilateral normal hearing and middle-ear function. The study group consisted of 30 children with bilateral otitis media with effusion; these were divided into 2 subgroups according to air–bone gap size. Measures included the Arabic Dizziness Handicap Inventory, an imbalance evaluation sheet for children, vestibular bedside tests for children, and air- and bone-conducted vestibular-evoked myogenic potential testing.

Results:

Arabic Dizziness Handicap Inventory scores and some vestibular bedside test results were significantly abnormal, with normal video-nystagmography results, in children with otitis media with effusion. Air-conducted vestibular-evoked myogenic potentials were recorded in 73 per cent of children with otitis media with effusion, with significantly delayed latencies. Bone-conducted vestibular-evoked myogenic potentials were successfully detected in 100 per cent of children with otitis media with effusion with similar results to the control group.

Conclusion:

The Arabic Dizziness Handicap Inventory and vestibular bedside tests are valuable tools for detecting vestibular impairment in children. Bone-conducted vestibular-evoked myogenic potentials are useful for vestibular system evaluation.

Keywords

Otitis Media With EffusionVestibular ApparatusLabyrinthitisVertigo
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 129 , Issue 4 , April 2015 , pp. 326 - 336
Copyright
Copyright © JLO (1984) Limited 2015 

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Footnotes

Presented at the 5th International Conference of the Delta Society of Otorhinolaryngology, in collaboration with the Alexandria Society of Rhinology, 30 January – 1 February 2014, Alexandria, Egypt.

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