Rafael da Costa Monsanto1, Ana Luiza Papi Kasemodel1, Andreza Tomaz1, Michael M Paparella2,3, Norma de Oliveira Penido1. 1. a Department of Otorhinolaryngology, Head and Neck Surgery , Universidade Federal de São Paulo/Escola Paulista de Medicina (UNIFESP/EPM) , São Paulo , Brazil. 2. b Department of Otolaryngology , University of Minnesota , Minneapolis , MN , USA. 3. c Paparella Ear, Head & Neck Institute , Minneapolis , MN , USA.
Abstract
BACKGROUND: The association between otitis media and vestibular symptoms has been hypothesized in the past. Thus, in this study, we aimed to critically analyze (based in a systematic review of the literature) whether patients who have otitis media are at greater risk of developing vestibular impairment or not. METHODS: We performed a systematic review of the literature and identified potentially relevant articles reporting vestibular symptoms and results of vestibular function tests in patients with otitis media through searches of the PubMED, Web of Science, Scopus, and Google Scholar databases. The quality of the final set of records was assessed using the "Newcaste-Ottawa Scale". RESULTS: Of the 2334 records searched, 43 met our inclusion and exclusion criteria, and those included 2250 patients. The records comprised 20 longitudinal studies, 21 cross-sectional studies, and 2 case reports. Regarding the type of otitis media studied, 25 examined vestibular impairment in otitis media with effusion, 6 acute otitis media, and 12 chronic otitis media. Results of anamnesis, clinical exams, and several vestibular function tests are reported and critically discussed. CONCLUSION: Most studies evaluating the association between otitis media and vestibular symptoms have potential methodological flaws. Clinical evidence suggests that patients with otitis media have increased chances for having vestibular symptoms, delayed acquisition of developmental milestones, and abnormalities in several vestibular function tests as compared with controls. Future studies with rigorous methodology aiming to assess the clinical significance (and prognostic factors) of the association between otitis media and vestibular impairment are warranted. Key message Several studies demonstrated long-term sequelae secondary to otitis media. However, the evidence supporting those assumptions are based in low-quality evidence. Thus, better structured studies are warranted to better understand the clinical relevance of such association.
BACKGROUND: The association between otitis media and vestibular symptoms has been hypothesized in the past. Thus, in this study, we aimed to critically analyze (based in a systematic review of the literature) whether patients who have otitis media are at greater risk of developing vestibular impairment or not. METHODS: We performed a systematic review of the literature and identified potentially relevant articles reporting vestibular symptoms and results of vestibular function tests in patients with otitis media through searches of the PubMED, Web of Science, Scopus, and Google Scholar databases. The quality of the final set of records was assessed using the "Newcaste-Ottawa Scale". RESULTS: Of the 2334 records searched, 43 met our inclusion and exclusion criteria, and those included 2250 patients. The records comprised 20 longitudinal studies, 21 cross-sectional studies, and 2 case reports. Regarding the type of otitis media studied, 25 examined vestibular impairment in otitis media with effusion, 6 acute otitis media, and 12 chronic otitis media. Results of anamnesis, clinical exams, and several vestibular function tests are reported and critically discussed. CONCLUSION: Most studies evaluating the association between otitis media and vestibular symptoms have potential methodological flaws. Clinical evidence suggests that patients with otitis media have increased chances for having vestibular symptoms, delayed acquisition of developmental milestones, and abnormalities in several vestibular function tests as compared with controls. Future studies with rigorous methodology aiming to assess the clinical significance (and prognostic factors) of the association between otitis media and vestibular impairment are warranted. Key message Several studies demonstrated long-term sequelae secondary to otitis media. However, the evidence supporting those assumptions are based in low-quality evidence. Thus, better structured studies are warranted to better understand the clinical relevance of such association.
Authors: Rafael da Costa Monsanto; Norma de Oliveira Penido; Mio Uchiyama; Patricia Schachern; Michael M Paparella; Sebahattin Cureoglu Journal: Eur Arch Otorhinolaryngol Date: 2020-06-01 Impact factor: 2.503
Authors: Raymond van de Berg; Josine Widdershoven; Alexandre Bisdorff; Stefan Evers; Sylvette Wiener-Vacher; Sharon L Cushing; Kenneth J Mack; Ji Soo Kim; Klaus Jahn; Michael Strupp; Thomas Lempert Journal: J Vestib Res Date: 2021 Impact factor: 2.354
Authors: Andreza Tomaz; Rafael da Costa Monsanto; Flavia Salvaterra Cusin; Ana Luiza Papi Kasemodel; Norma de Oliveira Penido Journal: Braz J Otorhinolaryngol Date: 2020-10-16
Authors: Ana Luiza Papi Kasemodel; Ludmilla Emília Martins Costa; Rafael da Costa Monsanto; Andreza Tomaz; Norma de Oliveira Penido Journal: Braz J Otorhinolaryngol Date: 2019-07-02