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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: [email protected]
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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.

References

1Nandi, R, Luxon, L. Development and assessment of the vestibular system. Int J Audiol 2008;47:566–77Google Scholar
2Casselbrant, L, Furman, M, Mandel, M, Rubenstein, E. Effect of otitis media on the vestibular system in children. Ann Otol Rhinol Laryngol 1995;104:620–4CrossRefGoogle ScholarPubMed
3Alho, O, Oja, H, Koivu, M, Sorri, M. Risk factors for chronic otitis media with effusion in infancy. Arch Otolaryngol Head Neck Surg 1995;121:839–43Google Scholar
4Golz, A, Angel-Yeger, B, Parush, S. Evaluation of balance disturbances in children with middle ear effusion. Int J Pediatr Otorhinolaryngol 1998;43:21–6Google Scholar
5Grace, A, Pfleiderer, A. Dysequilibrium and otitis media with effusion: what is the association? J Laryngol Otol 1990;104:682–4Google Scholar
6Hamidi, S. The relationship between pediatric vestibular disorders and otitis media. In: Speech Pathology & Audiology Capstone Anthology, vol 2. Morgantown, WV: Department of Speech Pathology and Audiology, West Virginia University, 2010;8–12Google Scholar
7Szirmai, A. Vestibular disorders in childhood and adolescents. Eur Arch Otorhinolaryngol 2010;267:1801–4CrossRefGoogle ScholarPubMed
8Golz, A, Westerman, S, Gilbert, L, Joachims, H, Netzer, A. Effect of middle ear effusion on the vestibular labyrinth. J Laryngol Otol 1991;105:987–9CrossRefGoogle ScholarPubMed
9Wang, M, Lee, G. Vestibular evoked myogenic potentials in middle ear effusion. Acta Otolaryngol 2007;127:700–4Google Scholar
10Halmagyi, G, Colebatch, J. Vestibular evoked myogenic potentials in the sternomastoid muscle are not of lateral canal origin. Acta Otolaryngol Suppl 1995;520:1–3Google Scholar
11Brantberg, K, Bergenius, J, Tribukait, A. Vestibular evoked myogenic potentials in patients with dehiscence of superior semicircular canal. Acta Otolaryngol 2003;119:633–40Google Scholar
12Ravid, S, Bienkovski, R, Eviatar, L. A simplified diagnostic approach to dizziness in children. Pediatr Neurol 2003;29:317–20CrossRefGoogle ScholarPubMed
13Niemensivu, R, Kentala, E, Wiener-Vacher, S, Pyykkö, I. Evaluation of vertiginous children. Eur Arch Otorhinolaryngol 2007;264:1129–35Google Scholar
14Isaacson, JE, Rubin, AM. Performing the physical exam: detecting spontaneous and gaze-evoked nystagmus. In: Goebel, JA, ed. Practical Management of the Dizzy Patient. Philadelphia: Lippincott Williams and Wilkins, 2001;61–71Google Scholar
15Cass, SP. Performing the physical exam: testing the vestibuloocular reflex. In: Goebel, JA, ed. Practical Management of the Dizzy Patient. Philadelphia: Lippincott Williams and Wilkins, 2001;78–80Google Scholar
16Driscoll, CLW, Green, JD Jr.Balance function tests. In: Calhoun, KH, Bailey, BJ, Newlands, SD, Johnson, JT, Deskin, RW, eds. Head and Neck Surgery – Otolaryngology, 4th edn.Philadelphia: Lippincott Publishing, 2001;1651–8Google Scholar
17Maki-Torkko, E, Magnusson, M. An office procedure to detect vestibular loss in children with hearing impairment. Eur Arch Otorhinolaryngol 2005;262:328–30CrossRefGoogle ScholarPubMed
18Honaker, JA, Boismier, TE, Shepard, NP, Shepard, NT. Fukuda stepping test: sensitivity and specificity. J Am Acad Audiol 2009;20:311–14Google Scholar
19Halmagyi, G, Curthoys, I, Colebatch, J. New tests of vestibular function. In: Baloh, R, ed. Bailliere's Clinical Neurology. London: Bailliere Tindall, 1994;485–500Google Scholar
20Rosengren, S, Welgampola, M, Colebatch, J. Vestibular evoked myogenic potentials: past, present, and future. Clin Neurophysiol 2010;12:636–51Google Scholar
21Waldron, M, Matthews, J, Johnson, I. The effect of otitis media with effusions on balance in children. Clin Otolaryngol 2004;29:318–20Google Scholar
22Williamson, I. Otitis media with effusion. Clinical Evidence Concise 2006;16:245–7Google Scholar
23Koyunco, M, Saka, M, Tanyeri, Y, Seşen, T, Unal, R, Tekat, A et al. Effects of otitis media with effusion on the vestibular system in children. Otolaryngol Head Neck Surg 1999;120:117–21Google Scholar
24Niemensivu, R, Pyykkö, I, Erna, K. Vertigo and imbalance in children. Arch Otolaryngol Head Neck Surg 2005;131:996–1000Google Scholar
25Cohen, H, Friedman, E, Lai, D, Pellicer, M, Duncan, N, Sulek, M. Balance in children with otitis media with effusion. Int J Pediatr Otorhinolaryngol 1997;42:107–15Google Scholar
26Engel-Yeger, B, Golz, A, Parush, S. Impact of middle ear effusion on balance performance in children. Disabil Rehabil 2004;26:97–102Google Scholar
27Salami, A, Dellepiane, M, Mora, R, Taborelli, G, Jankowska, B. Electronystagmography finding in children with peripheral and central vestibular disorders. Int J Pediatr Otorhinolaryngol 2006;70:13–18Google Scholar
28Valente, M. Maturational effects of the vestibular system: a study of rotary chair, computerized dynamic posturography, and vestibular evoked myogenic potentials with children. J Am Acad Audiol 2007;18:461–81Google Scholar
29Kelsch, TA, Schaefer, LA, Esquivel, CR. Vestibular evoked myogenic potentials in young children: test parameters and normative data. Laryngoscope 2006;116:895–900Google Scholar
30Bath, AP, Harris, N, McEwan, J, Yardley, MP. Effect of conductive hearing loss on vestibulo-collic reflex. Clin Otolaryngol Allied Sci 1999;24:181–3CrossRefGoogle ScholarPubMed
31Yang, T, Young, Y. Comparison of tone burst and tapping evocation of myogenic potentials in patients with chronic otitis media. Ear Hear 2003;24:191–4Google Scholar
32Sheykholeslami, K, Murofushi, T, Kermany, M, Kaga, K. Bone-conducted vestibular evoked myogenic potentials from the sternocleidomastoid muscle. Acta Otolaryngol 2000;120:731–4Google Scholar
33Sheykholeslami, K, Kermany, M, Kaga, K. Bone-conducted vestibular evoked myogenic potentials in patients with congenital atresia of the external auditory canal. Int J Pediatr Otorhinolaryngol 2001;57:25–9Google Scholar
34Welgampola, M, Rosengren, S, Halmagyi, G, Colebatch, J. Vestibular activation by bone conducted sound. J Neurol Neurosurg Psychiatry 2003;74:771–8Google Scholar
35Miyamoto, A, Seo, T, Node, M, Hashimoto, M, Sakagami, M. Preliminary study on vestibular-evoked myogenic potential induced by bone-conducted stimuli. Otol Neurotol 2006;27:1110–14Google Scholar
36Monobe, H, Murofushi, T. Vestibular neuritis in a child with otitis media with effusion; clinical application of vestibular evoked myogenic potential by bone conducted sound. Int J Pediatr Otorhinolaryngol 2004;68:1455–8Google Scholar
37Seo, T, Miyamoto, A, Saka, N, Shimano, K, Nishida, T, Hashimoto, M. Vestibular evoked myogenic potential induced by bone-conducted stimuli in patients with conductive hearing loss. Acta Otolaryngol 2008;128:639–43Google Scholar