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  • Title: Vestibular evaluation in children with otitis media with effusion.
    Author: Kolkaila EA, Emara AA, Gabr TA.
    Journal: J Laryngol Otol; 2015 Apr; 129(4):326-36. PubMed ID: 25787831.
    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.
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