Imbalance and Chronic Secretory Otitis Media in Children: Effect of Myringotomy and Insertion of Ventilation Tubes on Body Sway

Jones, Nick; Prichard, A. J. N.; Radomskij, Paul; Snashall, Susan

doi:10.1177/000348949009900612

Cited by 51 publications

(28 citation statements)

References 14 publications

(6 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The epidemiological finding of clumsy behaviour associated with middle ear disease adds to clinical research,22 23 suggesting possible vestibular side effects of middle ear disease. The Dunedin study21 found deficits of motor skills from a history of middle ear disease.…”

Section: Discussionmentioning

confidence: 99%

Behaviour and cognitive outcomes from middle ear disease

Bennett

Haggard

1999

Archives of Disease in Childhood

View full text Add to dashboard Cite

Objectives-To resolve controversies over associations between a history of middle ear disease and psychosocial or cognitive/ educational outcomes Design-Multipurpose longitudinal birth cohort study. Original cohort comprised all UK births between 5 and 11 April 1970; data were available for approximately 12 000 children at 5 years old and 9000 children at 10 years old. Methods-For 5 year old children, parent reported data were available on health, social, and behavioural factors, including data on two validated markers of middle ear disease. Cognitive tests were administered at 5 and 10 years of age, and behavioural problems rated at 10 years by the child's teacher. Results-After adjustment for social background and maternal malaise, the developmental sequelae of middle ear disease remained significant even at 10 years. The largest eVects were observed in behaviour problems and language test data at age 5, but eVect sizes were modest overall. Implications-These results provide an epidemiological basis for policies that aim to minimise the sequelae of middle ear disease by awareness in parents and preschool teachers, early referral, and intervention for more serious or persistent cases. (Arch Dis Child 1999;80:28-35) Keywords: middle ear disease; behaviour problems; cognitive development; longitudinal study Otitis media with eVusion (OME) or "glue ear" is the most common cause of hearing loss in children; this fluctuating condition can persist in some children, leading to detrimental eVects on behaviour and development. Antisocial behaviour or inattentiveness are consequent on the child's inability to hear, leading to frustration, apparent disobedience, and less use of language as a means to ends. Deficits in speech, language, and behaviour, particularly in children with early onset OME, may lead to reduced cognitive ability. The balance of existing evidence suggests that in most aVected children the developmental and behavioural sequelae of otitis media are short lived and relatively mild.2 Psychosocial and educational outcomes have received less attention than measures of language. Clinical and epidemiological studies suggest some association, but the eVect appears small, and the variability wide, probably because of confounding factors that diVer between various small samples.

show abstract

Section: Discussionmentioning

confidence: 99%

Behaviour and cognitive outcomes from middle ear disease

Bennett

Haggard

1999

Archives of Disease in Childhood

View full text Add to dashboard Cite

show abstract

“…This difference resolved four months following myringotomy with tube insertion. 12 Hart and colleagues (1998) compared 19 four- to six-year-old children with OME scheduled for tympanostomy tube insertion to 14 matched controls using the Peabody Developmental Motor Scales and the Bruininks-Oseretsky Test of Motor Proficiency, two validated testing instruments of motor and balance development. The OME group demonstrated significantly lower performance in the balance subscales prior to tube insertion.…”

Section: Introductionmentioning

confidence: 99%

Tympanostomy Tube Placement and Vestibular Function in Children

Cohen

Mandel

Furman³

et al. 2011

Otolaryngol.--head neck surg.

View full text Add to dashboard Cite

Objective To determine the effect of bilateral myringotomy with tube placement (BMT) on balance in children 4 to 7 years old Study Design Case-control study Setting Tertiary-care academic hospital Subjects and Methods Children with otitis media with effusion (OME) who were scheduled for BMT underwent rotational chair testing (RCT) and computerized dynamic posturography (CDP) preoperatively and at 1, 3, and 6 months postoperatively. Control children without a significant history of middle-ear disease were tested at the same intervals. Analysis of covariance was performed to evaluate the effect of BMT on RCT and CDP outcomes with age as a covariate. Results Seventy-two cases and fifty-six controls were enrolled. Mean age was 69 (SD 12) months for cases and 72 (SD 15) months for controls. No difference was seen between groups on RCT outcomes or sensory organization test (SOT) scores. Higher sway velocity during CDP was observed in the OME group both preoperatively and one month postoperatively. This difference was not statistically significant. There was no difference between groups three months postoperatively. At six months, the BMT group had a statistically-significant decrease in sway velocity compared to the control group. Conclusion No difference was observed between children with OME and controls in RCT or SOT scores. Gradual improvement in sway velocity was observed after BMT. At the final time-point, the groups did significantly differ in speed of sway, though the preoperative baseline difference failed to reach statistical significance. We suggest that physicians continue to inquire about balance development in patients with OME.

show abstract

“…Jones et al [18] found much worse stabilogram parameters in 34 children with OME in comparison to the control group. Certain disturbances in posturographic tests performed on children with OME were also observed by Casselbrant et al [2], who maintain that those disturbances may impair the child's motor development.…”

Section: Discussionmentioning

confidence: 93%