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No1-2(5) 2022

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DOI 10.37219/2528-8253-2022-1-38
Lozova Y
Evaluation of posturographic indicators in children with non-purulent acute otitis media
Lozova Iuliia
Kharkiv Academy of Postgraduate Education,
Postgraduate student of the Department of Otolaryngology and Pediatric Otolaryngology;
Kharkiv City Clinical Hospital №30
Head of the Children's Otolaryngology Department
Е-mail: ukrlor@gmail.com
ORCID ID: https://orcid.org/0000-0002-7094-7086

Abstract

Nowadays otitis media still remains one of the most common diseases of the middle ear in children [1]. The interconnection between otitis media and its effect on vestibular function in children has not been thoroughly studied yet.
The aim of the study is to conduct a comparative analysis of stabilometric indicators of preschool children, diagnosed with non-purulent acute otitis media, and their relatively healthy typically developed peers.
Materials and methods: 22 children, diagnosed with non-purulent acute otitis media, and their 25 relatively healthy typically developed peers aged 4 to 7, have been examined on the device "MPFI Stabilograph 1" (AS-TER IT, LLC, Kharkiv, Ukraine). The research has taken into account indicators of variation and shape of pressure center distribution, spectral-correlation indicators of stabilograms, as well as integral indicators of stability (length, velocity and angle of postural oscillations) and quality of equilibrium function in two sensory states (open and closed eyes). The obtained data have been calculated in the StabiliS software.
Results: In children with non-purulent otitis, the coordinates of the pressure center are (7.04 [2.16 – 10.09]; -1.14 [-28.90 - 9.11]), and in the control group – (7.04 [3.30-16.16]; -13.72 [(-25.17) – (-10.30)]) with eyes closed. The average project ion figure of the pressure center in the sample with closed eyes is actually represented by a circle (ratio of Y / X axes = 0.98 [0.88; 1.14]) in non-purulent otitis media, and in the control group - an ellipse (Y / X axis ratio) = 1.16 [1.01; 1.33]). This indicates the lack of dominance of the ankle strategy to maintain posture in non-purulent otitis in the absence of visual control, and points to the presence of hidden vestibular disorders in non-purulent acute otitis media.
Conclusion: The main result of our study is the discovery of the statistically significant decrease in the stability of the main posture and predictability of oscillatory movements in preschool children with acute nonpurulent otitis media compared with the control group only in the absence of visual control, i.e. in closed eyes. Also, statistically significant (p ≤ 0.05) differences have been found between children with acute non-purulent otitis media and control, namely the coefficient of equilibrium function only in the state with closed eyes. Decreased KFR values in children with non-purulent otitis indicate a decrease in the quality of postural control compared to control group.
Given the almost asymptomatic nature of otitis media in preschool children, violations of postural control in non-purulent otitis media indicate the presence of latent vestibular disorders, which must be considered for the diagnosis and treatment of otitis media in children.

Keywords

non-purulent and purulent otitis media, stabilometry, balance, vestibular function, preschool age (first childhood).


Reference

  1. De Antonio R, Yarzabal JP, Cruz JP, Schmidt JE, Kleijnen J. Epidemiology of otitis media in children from developing countries: A systematic review. Int J Pediatr Otorhinolaryngol. 2016;85:65-74. https://doi.org/10.1016/j.ijporl.2016.03.032.
  2. Zernotti ME, Pawankar R, Ansotegui I, Badellino H, Croce JS, Hossny E, Ebisawa M, Rosario N, Sanchez Borges M, Zhang Y, Zhang L. Ot itis media with effusion and atopy: is there a causal relationship? World Allergy Organ J. 2017;10(1):37. doi: 10.1186/s40413-017-0168-x.
  3. Said EAF. Vestibular assessment in children with sensorineural hearing loss using both electronystagmography and vestibular-evoked myogenic potential. Egypt J Otolaryngol. 2014;30:43-52. https://doi.org/10.4103/1012-5574.127203.
  4. da Costa Monsanto R, Erdil M, Pauna HF, Kwon G, Schachern PA, Tsuprun V, Paparella MM, Cureoglu S. Pathologic Changes of the Peripheral Vestibular System Secondary to Chronic Otitis Media. Otolaryngol Head Neck Surg. 2016;155(3):494-500. doi: 10.1177/0194599816646359.
  5. da Costa Monsanto R, Schachern P, Paparella MM, Cureoglu S, Penido NO. Progression of changes in the sensorial elements of the cochlear and peripheral vestibular systems: The otitis media continuum. Hear Res. 2017;351:2-10. doi: 10.1016/j.heares.2017.05.003.
  6. da Costa Monsanto R, Kasemodel A, Tomaz A, Paparella MM, Penido NO. Current evidence of peripheral vestibular symptoms secondary to otitis
    media. Ann Med. 2018;50(5):391-401. doi: 10.1080/07853890.2018.1470665.
  7. Grace AR, Pfleiderer AG. Dysequilibrium and otit is media with effusion: what is the association? J Laryngol Otol. 1990;104(9):682-4. doi:10.1017/s0022215100113611.
  8. Kolkaila EA, Emara AA, Gabr TA. Vestibular evaluat ion in children with otit is media with effusion. J Laryngol Otol. 2015;129(4):326-36. doi:10.1017/S0022215115000535.
  9. Koyuncu M, Saka MM, Tanyeri Y, Seşen T, Unal R, Tekat A, Yilmaz F. Effects of otitis media with effusion on the vestibular system in children. J Laryngol Otol. 2015;129(4):326-36. doi: 10.1017/S0022215115000535.
  10. Tozar M, Cцmert E, Şencan Z, Şimşek G, Muluk NB, Kılıз R. Video head impulse test in children with otit is media with effusion and dizziness. Int J
    Pediatr Otorhinolaryngol. 2020;129:109783. doi: 10.1016/j.ijporl.2019.109783.
  11. Said EA, Ahmed MK, Mohamed ES. Role of vestibular testing in deciding treatment strategies for children with otit is media with effusion. Egypt J Ear Nose Throat Allied Sci. 2015;16:151-9. https://doi.org/10.1016/j.ejenta.2015.05.003.
  12. Wang M-C, Lee G-S. Vestibular evoked myogenic potentials in middle ear effusion. Acta Otolaryngol. 2007;127(7):700-4. doi:10.1080/00016480601002070.
  13. Robb P, Williamson I. Otit is media with effusion. In: Watkinson JC, Clarke RW, editors. Scott Brown’s otolaryngology head & neck surgery. 8. Boca Raton: CRC Press; 2018. pp. 115-31.
  14. Barozzi S, Socci M, Soi D, Di Berardino F, Fabio G, Forti S, Gasbarre AM, Brambilla D, Cesarani A. Reliability of postural control measures in children and young adolescents. Eur Arch Otorhinolaryngol. 2014;271(7):2069-77. doi: 10.1007/s00405-014-2930-9.
  15. Von T, Deitz JC, McLaughlin J, DeButts S, Richardson M. The effects of chronic otitis media on motor performance in 5- and 6-year-old children. Am J Occup Ther. 1988;42(7):421-6. doi: 10.5014/ajot.42.7.421.
  16. Pazdro-Zastawny K, Pośpiech L, Zatoński T. Long-term evaluation of the effect of middle ear effusion on the vestibular system in children. Int J Pediatr Otorhinolaryngol. 2018;109:13-6. doi: 10.1016/j.ijporl.2018.03.015.
  17. Jones NS, Radomskij P, Prichard AJ, Snashall SE. Imbalance and chronic secretory otitis media in children: effect of myringotomy and insertion of ventilation tubes on body sway. Ann Otol Rhinol Laryngol. 1990;99(6 Pt 1):477-81. doi: 10.1177/000348949009900612.
  18. Casselbrant ML, Villardo RJ, Mandel EM. Balance and otitis media with effusion. Int J Audiol. 2008;47(9):584-9. doi: 10.1080/14992020802331230.
  19. Casselbrant ML, Furman JM, Mandel EM, Fall PA, Kurs-Lasky M, Rockette HE. Past history of otitis media and balance in four-year-old children. Laryngoscope. 2000;110(5 Pt 1):773-8. doi: 10.1097/00005537-200005000-00007.
  20. Ben-David J, Podoshin L, Fradis M, Faraggi D. Is the vestibular system affected by middle ear effusion? Otolaryngol Head Neck Surg. 1993;109(3 Pt 1):421-6. doi: 10.1177/019459989310900306.
  21. Aarhus L, Tambs K, Hoffman HJ, Engdahl B. Childhood otitis media is associated with dizziness in adulthood: the HUNT cohort study. Eur Arch Otorhinolaryngol. 2016;273(8):2047-54. doi: 10.1007/s00405-015-3764-9.
  22. Sabir OA, Johnson EG, Hafiz AE, Nelson RN, Hudlikar M, Sheth I, Daher NS. Chronic Effects of Pediatric Ear Infections on Postural Stability. Int J Pediatr. 2021;2021:6688991. doi: 10.1155/2021/6688991.
  23. Wang Z, Newell KM. Inter-foot coordination dynamics of quiet standing postures. Neurosci Biobehav Rev. 2014;47:194-202. doi:10.1016/j.neubiorev.2014.08.007.
  24. Paillard T, Noй F. Techniques and Methods for Testing the Postural Function in Healthy and Pathological Subjects. Biomed Res Int. 2015; 2015:891390. doi: 10.1155/2015/891390.
  25. Schilder AG, Chonmaitree T, Cripps AW, Rosenfeld RM, Casselbrant ML, Haggard MP, Venekamp RP. Otitis media. Nat Rev Dis Primers. 2016;2(1):16063. doi:10.1038/nrdp.2016.63.
  26. Rine RM. Vestibular Rehabilitation for Children. Semin Hear. 2018;39(3):334-344. doi: 10.1055/s-0038-1666822.
  27. Rehagen SK, Valente M, Lieu J. Vestibular Screening in Pediatric Patients with Otitis Media. J Am Acad Audiol. 2020;31(3):209-216. doi:10.3766/jaaa.18101.
  28. Lacroix E, Edwards MG, De Volder A, Noлl MP, Rombaux P, Deggouj N. Neuropsychological profiles of children with vestibular loss. J Vestib Res. 2020;30(1):25-33. doi: 10.3233/VES-200689.
  29. Choi JW, Han K, Nahm H, Shin JE, Kim CH. Direct ion-Changing Positional Nystagmus in Acute Otitis Media Complicated by Serous Labyrinthit is: New Insights into Posit ional Nystagmus. Otol Neurotol. 2019;40(4):e393-e398. doi: 10.1097/MAO.0000000000002104.
  30. Casselbrant ML, Villardo RJ, Mandel EM. Balance and otitis media with effusion. Int J Audiol. 2008;47(9):584-9. doi: 10.1080/14992020802331230.
  31. Meade ZS, Marmelat V, Mukherjee M, Sado T, Takahashi KZ. Comparison of a portable balance board for measures of persistence in postural sway. J Biomech. 2020;100:109600. doi: 10.1016/j.jbiomech.2020.109600.
 

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