Mesut Tozar1, Ela Cömert2, Ziya Şencan3, Gökçe Şimşek4, Nuray Bayar Muluk5, Rahmi Kılıç6. 1. Kırıkkale University Faculty of Medicine, Department of Otolaryngology, 1st Floor, Yenişehir, Yahşihan, Kırıkkale, Turkey. Electronic address: mesut_tozar@hotmail.com. 2. Kırıkkale University Faculty of Medicine, Department of Otolaryngology, 1st Floor, Yenişehir, Yahşihan, Kırıkkale, Turkey. Electronic address: drelacomert@gmail.com. 3. Kırıkkale University Faculty of Medicine, Department of Otolaryngology, 1st Floor, Yenişehir, Yahşihan, Kırıkkale, Turkey. Electronic address: drsencan@gmail.com. 4. Kırıkkale University Faculty of Medicine, Department of Otolaryngology, 1st Floor, Yenişehir, Yahşihan, Kırıkkale, Turkey. Electronic address: drgokcesimsek@hotmail.com. 5. Kırıkkale University Faculty of Medicine, Department of Otolaryngology, 1st Floor, Yenişehir, Yahşihan, Kırıkkale, Turkey. Electronic address: nbayarmuluk@yahoo.com. 6. Ankara Education and Research Hospital, Clinic of Otolaryngology Sakarya Mh. Ulucanlar Street No 89 Altındağ, Ankara, Turkey. Electronic address: drkilic@gmail.com.
Abstract
OBJECTIVE: The objectives of the study were to evaluate the vestibular impairment in children with otitis media with effusion (OME) and dizziness by using vHIT test, and to compare their results with healthy children. METHODS: The study population consisted of 30 pediatric patients with OME and dizziness and 30 healthy children, age between 4 and 15. Otoscopic and tympanometric examination and vHIT testing were performed to all subjects. vHIT test parameters were compared between pediatric patients with OME and dizziness and healthy children. Additionally, the differences of the mean vHIT gains between tympanogram types, otoscopic findings and the presence of saccades were analyzed. RESULTS: The mean vHIT gains and gain asymmetry values of patients with OME and dizziness and healthy children were comparable. No significant difference was observed between the mean vHIT gains of patients with type B and type C2 tympanogram. Covert saccades were observed in 57% of the patients with OME and dizziness. None of the patients had over saccades and none of the healthy children had saccades. CONCLUSION: Our study is a preliminary study analyzing the vestibular impairment in children with OME and dizziness using vHIT test. Based on our results, it can be assumed that the children with OME and dizziness usually don't have a great vestibular impairment that can be detected with vHIT test. The covert saccades detected in this patient group are accepted as a sign of slight vestibular impairment.
OBJECTIVE: The objectives of the study were to evaluate the vestibular impairment in children with otitis media with effusion (OME) and dizziness by using vHIT test, and to compare their results with healthy children. METHODS: The study population consisted of 30 pediatric patients with OME and dizziness and 30 healthy children, age between 4 and 15. Otoscopic and tympanometric examination and vHIT testing were performed to all subjects. vHIT test parameters were compared between pediatric patients with OME and dizziness and healthy children. Additionally, the differences of the mean vHIT gains between tympanogram types, otoscopic findings and the presence of saccades were analyzed. RESULTS: The mean vHIT gains and gain asymmetry values of patients with OME and dizziness and healthy children were comparable. No significant difference was observed between the mean vHIT gains of patients with type B and type C2 tympanogram. Covert saccades were observed in 57% of the patients with OME and dizziness. None of the patients had over saccades and none of the healthy children had saccades. CONCLUSION: Our study is a preliminary study analyzing the vestibular impairment in children with OME and dizziness using vHIT test. Based on our results, it can be assumed that the children with OME and dizziness usually don't have a great vestibular impairment that can be detected with vHIT test. The covert saccades detected in this patient group are accepted as a sign of slight vestibular impairment.