Balance in Otitis Media With Effusion: A Prospective Study

Friedman, Ellen M.; Lai, Daniel C.; Duncan, Newton O.; Pellicer, Mark

doi:10.1016/s0194-5998(05)80720-x

Cited by 2 publications

(3 citation statements)

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“…In the past 15 years, several authors, by the use of different methods for the evaluation of the vestibular system in children, have demonstrated that the anecdotal evidence that children with OM or MEE are more clumsy, stumble more, and tend to fall frequently is supported by distinct clinical findings. 6,[11][12][13][14][15][16][17][18]20,21 The purpose of this study was to use other methods for the evaluation of imbalance in children with chronic MEE, and the results presented confirm the results of the previously published studies in which balance was significantly worse in children with persistent MEE as compared with that in healthy children. The evaluation of the vestibular system in children is somewhat more difficult than in adults.…”

Section: Discussionmentioning

confidence: 54%

“…3,5,8,23,26 Other efficient and reliable methods of evaluating peripheral vestibular output in the pediatric population are the harmonic acceleration test (computerized rotational testing), 26 moving-platform posturography, 6 craniocorpography, 19 Southern California Postrotatory Nystagmus Test and Lateral Labyrinthine Righting Reaction, 27 Miller Assessment for Preschooler (Stepping, Vertical Writing, Romberg, Walks Line, and Hand-Nose Test), 13 and Peabody Developmental Motor Scales. 21 In our study, we used two other methods: electronystagmography and the Bruininks-Oseretsky test for motor proficiency. We found both useful in the evaluation of dysequilibrium in young children.…”

Section: Discussionmentioning

confidence: 99%

“…At the 1995 meeting of the American Academy of Otolaryngology-Head and Neck Surgery, Friedman et al 21 reported their results on balance in children with OM with effusion obtained with use of the Peabody Developmental Motor Scales. Forty percent of the children with bilateral effusions performed significantly below the norm for their age group in balance tasks.…”

mentioning

confidence: 99%

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Effects of Middle Ear Effusion on the Vestibular System in Children

Golz

Netzer

Angel-Yeger

et al. 1998

Otolaryngol.--head neck surg.

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Vertigo and dizziness are not common in childhood, but are probably present more often than was formerly thought. These symptoms caused mainly by otitis media and middle ear effusion, two of the most common diseases in children, have been neglected for a long time, both in the literature and in practice, until recently. The purpose of this study was to determine objectively the incidence of balance-related symptoms in children with long-lasting middle ear effusion and to discover whether these symptoms resolve after the insertion of ventilation tubes. One hundred thirty-six children, ages 4 to 9 years, were given electronystagmographic tests and the Bruininks-Oseretsky tests for motor proficiency before and after tube ventilation of the middle ear. The results were compared with those in 74 healthy children with no history of middle ear diseases. Pathologic findings were found in 58% of the children with chronic middle ear effusion, as compared with only 4% of the control group. The symptoms and signs of balance disturbances resolved in 96% of the children after ventilation tube insertion. The results of this study indicate that balance-related symptoms often encountered in young children may result from chronic middle ear effusion and that these symptoms will resolve after evacuation of the effusion and ventilation of the middle ear.

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