Abstract
Otitis media with effusion (OME) has a detrimental effect on balance, which may not present as a clear symptom in children. This effect can be improved by the insertion of ventilation tubes. This study assesses balance in children suffering from OME pre and post operatively using computerized static posturography. 50 children of 3–6 years, suffering from OME were included in this observational descriptive study. These patients underwent myringotomy and grommet insertion. The balance was evaluated pre and post operatively after 3 months using computerized static posturography with Modified Clinical Test of Sensory Interaction on Balance under four conditions, namely eyes open/closed on firm surface/foam. Posturography mean sway velocity was deranged in these children preoperatively and it showed statistically significant improvement post operatively at 3 months. There is occult vestibular dysfunction in children with OME as assessed by static posturography which improves significantly 3 months after myringotomy and grommet insertion.
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References
Robb P, Williamson I (2018) Otitis media with effusion. In: Watkinson JC, Clarke RW (eds) Scott Brown’s otolaryngology head & neck surgery, 8th edn. CRC Press, Boca Raton, pp 115–131
Rosenfeld RM, Culpepper L, Doyle KJ, Grundfast KM, Hoberman A, Kenna MA et al (2004) Clinical practice guideline: otitis media with effusion. Otolaryngol Head Neck Surg 130(5):S95–S118
Gawron W, Pośpiech L, Orendorz-Frczkowska K (2004) An evaluation of postural stability and the effects of middle-ear drainage on vestibulo-spinal reflexes of children with chronic otitis media with effusion. Int J Pediatr Otorhinolaryngol 68(9):1175–1179
Jones NS, Prichard AJN, Radomskij P, Snashall SE (1990) Imbalance and chronic secretory otitis media in children: effect of myringotomy and insertion of ventilation tubes on body sway. Ann Otol Rhinol Laryngol 99(6):477–481
Monsanto RC, Kasemodel ALP, Tomaz A, Paparella MM, Penido NO (2018) Current evidence of peripheral vestibular symptoms secondary to otitis media. Ann Med 50(5):391–401
Hart MC, Nichols DS, Butler EM, Barin K (1998) Childhood imbalance and chronic otitis media with effusion: effect of tympanostomy tube insertion on standardized tests of balance and locomotion. Laryngoscope 108(5):665–670
Christy JB, Payne J, Azuero A, Formby C (2014) Reliability and diagnostic accuracy of clinical tests of vestibular function for children. Pediatr Phys Ther 26(2):180
Waldron MNH, Matthews JNS, Johnson IJM (2004) The effect of otitis media with effusions on balance in children. Clin Otolaryngol Allied Sci 29(4):318–320
Ben-David J, Podoshin L, Fradis M, Faraggi D (1993) Is the vestibular system affected by middle ear effusion? Otolaryngol Neck Surg 109(3):421–426
Blayney AW, Colman BH (1984) Dizziness in childhood. Clin Otolaryngol Allied Sci 9(2):77–85
Gates GA (1980) Vertigo in children. Ear Nose Throat J 59(9):358–365
Black FO (2001) Clinical status of computerized dynamic posturography in neurotology. Curr Opin Otolaryngol Head Neck Surg 9(5):314
Grace ARH, Pfleiderer AG (1990) Dysequilibrium and otitis media with effusion: what is the association? J Laryngol Otol 104(9):682–684
Singh A, Datta R, Prasad BK, Nilakantan A, Rajguru R, Kanzhuly MK et al (2018) Post stapedotomy vestibular deficit: is CO2 laser better than conventional technique? A non-randomized controlled trial. Indian J Otolaryngol Head Neck Surg 70(2):306–312
Pazdro-Zastawny K, Pośpiech L, Zatoński T (2018) Long-term evaluation of the effect of middle ear effusion on the vestibular system in children. Int J Pediatr Otorhinolaryngol 1(109):13–16
Myers EN, Koyuncu M, Saka MM, Tanyeri Y, Şleşlen T, Ünal R et al (1999) Effects of otitis media with effusion on the vestibular system in children. Otolaryngol Neck Surg 120(1):117–121
Asai M, Watanabe Y, Ohashi N, Mizukoshi K (1993) Evaluation of vestibular function by dynamic posturography and other equilibrium examinations. Acta Otolaryngol (Stockh) 113(sup504):120–124
Balaguer García R, Pitarch Corresa S, Baydal Bertomeu JM, Morales Suárez-Varela MM (2012) Static posturography with dynamic tests. Usefulness of biomechanical parameters in assessing vestibular patients. Acta Otorrinolaringol Esp 63(5):332–338
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Bista, R., Datta, R., Nilakantan, A. et al. Vestibular Dysfunction in Children Suffering from Otitis Media with Effusion: Does Grommet Help? An Observational Study Using Computerized Static Posturography. Indian J Otolaryngol Head Neck Surg 71, 537–541 (2019). https://doi.org/10.1007/s12070-019-01720-z
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DOI: https://doi.org/10.1007/s12070-019-01720-z