Evaluation of vestibular function in children with purulent media otitis by computer stabilometry

Keywords: purulent otitis media, posturography, balance, vestibular function, preschool age

Abstract

The aim of the research – assessment of vestibular function in children with acute purulent otitis media by computer static stabilometry compared with typically developed children of the same age.

Materials and methods: 22 children with purulent otitis media aged 4 to 7 years and 30 practically healthy peers were examined by static stabilometry on the device “MPFI stabilograph 1” (Kharkiv, Ukraine). Indicators of variation and shape of the pressure center distribution, spectral-correlation indicators of stabilograms, as well as integral indicators of stability (length, velocity and angle of postural oscillations) were taken into account and the equilibrium functions of the two sensory states (open and closed eyes) are calculated in the StabiliS software.

Results: purulent otitis media causes posterior displacement of the absolute coordinates of the pressure center. In the state with closed eyes, children with purulent otitis differ from their healthy coevals by 14 of 24 stabilometric parameters, including stabilogram length, speed, angle and amplitude of oscillations, giving way to them in the stability of equilibrium. Children with purulent otitis media are more sensitive to the visual canal of postural control than their coevals. Involvement of visual afferents in postural control significantly improves balance maintenance in children with purulent otitis by reducing deviations of postural oscillations, which is reflected in the probable changes of 9 out of 24 stabilometric parameters compared to control.

Conclusions: In preschool age, purulent otitis media leads to latent vestibular dysfunction, which is manifested by a violation of the stability of the vertical posture in a state with closed eyes and is compensated by visual-vestibulo-proprioceptive integration in the process of postural control.

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Author Biographies

Iuliia Lozova, Kharkiv Academy of Postgraduate Education; Kharkiv City Hospital No. 30

Department of Otorhinolaryngology and Pediatric Otolaryngology

Children's Department

Grigoriy Garyuk, Kharkiv Academy of Postgraduate Education

Department of Otorhinolaryngology and Pediatric Otolaryngology

Tatiana Pochuiеva, Kharkiv Academy of Postgraduate Education

Department of Otorhinolaryngology and Pediatric Otolaryngology

Iryna Redka, V. N. Karazin Кharkiv National University

Department of Hygiene and Social Medicine

References

Cohen, H. S., Mulavara, A. P., Stitz, J., Sangi-Haghpeykar, H., Williams, S. P., Peters, B. T., Bloomberg, J. J. (2019). Screening for Vestibular Disorders Using the Modified Clinical Test of Sensory Interaction and Balance and Tandem Walking With Eyes Closed. Otology & Neurotology, 40 (5), 658–665. doi: http://doi.org/10.1097/mao.0000000000002173

Halmágyi, G. M., Curthoys, I. S. (2021). Vestibular contributions to the Romberg test: Testing semicircular canal and otolith function. European Journal of Neurology, 28 (9), 3211–3219. doi: http://doi.org/10.1111/ene.14942

Nishino, L. K., Rocha, G. D., Souza, T. S. A. de, Ribeiro, F. de A. Q., Cóser, P. L. (2021). Protocolo para posturografia estática com provas dinâmicas em indivíduos sem queixas vestibulares utilizando o sistema Horus. CoDAS, 33 (3). doi: http://doi.org/10.1590/2317-1782/20202019270

Inojosa, H., Schriefer, D., Klöditz, A., Trentzsch, K., Ziemssen, T. (2020). Balance Testing in Multiple Sclerosis – Improving Neurological Assessment With Static Posturography? Frontiers in Neurology, 11. doi: http://doi.org/10.3389/fneur.2020.00135

Prosperini, L., Castelli, L. (2018). Spotlight on postural control in patients with multiple sclerosis. Degenerative Neurological and Neuromuscular Disease, 8, 25–34. doi: http://doi.org/10.2147/dnnd.s135755

Orendorz-Frączkowska, K., & Kubacka, M. (2019). The development of postural control in 6–17 old years healthy children. Part I Postural control evaluation in modified Clinical Test for The Sensory Interaction on Balance in 6–17 old year children (mctsib). Otolaryngologia Polska, 74 (1), 1–7. doi: http://doi.org/10.5604/01.3001.0013.2965

Howcroft, J., Lemaire, E. D., Kofman, J., McIlroy, W. E. (2017). Elderly fall risk prediction using static posturography. PLOS ONE, 12 (2), e0172398. doi: http://doi.org/10.1371/journal.pone.0172398

Gorski, L. P., Silva, A. M. da, Cusin, F. S., Cesaroni, S., Ganança, M. M., Caovilla, H. H. (2019). Body balance at static posturography in vestibular migraine. Brazilian Journal of Otorhinolaryngology, 85 (2), 183–192. doi: http://doi.org/10.1016/j.bjorl.2017.12.001

Nair, S., Gupta, A., Nilakantan, A., Mittal, R., Dahiya, R., Saini, S. et. al. (2017). Impaired Vestibular Function After Cochlear Implantation in Children: Role of Static Posturography. Indian Journal of Otolaryngology and Head & Neck Surgery, 69 (2), 252–258. doi: http://doi.org/10.1007/s12070-017-1124-3

Janky, K. L., Givens, D. (2015). Vestibular, Visual Acuity, and Balance Outcomes in Children With Cochlear Implants. Ear & Hearing, 36 (6), e364–e372. doi: http://doi.org/10.1097/aud.0000000000000194

Monsanto, R. da C., Kasemodel, A. L. P., Tomaz, A., Paparella, M. M., Penido, N. de O. (2018). Current evidence of peripheral vestibular symptoms secondary to otitis media. Annals of Medicine, 50 (5), 391–401. doi: http://doi.org/10.1080/07853890.2018.1470665

Sabir, O. A., Johnson, E. G., Hafiz, A. E., Nelson, R. N., Hudlikar, M., Sheth, I., Daher, N. S. (2021). Chronic Effects of Pediatric Ear Infections on Postural Stability. International Journal of Pediatrics, 2021, 1–6. doi: http://doi.org/10.1155/2021/6688991

Xie, C. Y., Chen, D., Liu, F. X. (2021). Factors Related to Tympanic Membrane Perforation in Children with Acute Suppurative Otitis Media. Zhongguo Yi Xue Ke Xue Yuan Xue Bao, 43 (4), 531–535. doi: https://doi.org/10.3881/j.issn.1000-503X.13273

Hariuk, H. I., Pochuieva, T. V., Kulikova, O. O., Lozova, Yu. V. (2021). Main issues of children's incidence of acute otitis media and prospects to solve them. International Medical Journal, 27 (1), 73–76.

Kolkaila, E. A., Emara, A. A., Gabr, T. A. (2015). Vestibular evaluation in children with otitis media with effusion. The Journal of Laryngology & Otology, 129 (4), 326–336. doi: http://doi.org/10.1017/s0022215115000535

Bista, R., Datta, R., Nilakantan, A., Gupta, A., Singh, A. (2019). Vestibular Dysfunction in Children Suffering from Otitis Media with Effusion: Does Grommet Help? An Observational Study Using Computerized Static Posturography. Indian Journal of Otolaryngology and Head & Neck Surgery, 71 (4), 537–541. doi: http://doi.org/10.1007/s12070-019-01720-z

Cohen, M. S., Mandel, E. M., Furman, J. M., Sparto, P. J., Casselbrant, M. L. (2011). Tympanostomy Tube Placement and Vestibular Function in Children. Otolaryngology–Head and Neck Surgery, 145 (4), 666–672. doi: http://doi.org/10.1177/0194599811412038

Rehagen, S. K., Valente, M., Lieu, J. E. C. (2020). Vestibular Screening in Pediatric Patients with Otitis Media. Journal of the American Academy of Audiology, 31 (3), 209–216. doi: http://doi.org/10.3766/jaaa.18101

Tozar, M., Cömert, E., Şencan, Z., Şimşek, G., Muluk, N. B., Kılıç, R. (2020). Video head impulse test in children with otitis media with effusion and dizziness. International Journal of Pediatric Otorhinolaryngology, 129, 109783. doi: http://doi.org/10.1016/j.ijporl.2019.109783

Cömert, E., Şencan, Z., Koçak, F. M., Şimşek, G., Muluk, N. B. (2021). Clinical evaluation of the vestibular impairment using video head impulse test In children with acute otitis media. International Journal of Pediatric Otorhinolaryngology, 141, 110568. doi: http://doi.org/10.1016/j.ijporl.2020.110568

Pazdro-Zastawny, K., Zatoński, T. (2020). The effect of middle ear effusion on the inner ear condition in children. Advances in Clinical and Experimental Medicine, 29 (3), 325–330. doi: http://doi.org/10.17219/acem/112601

Pazdro-Zastawny, K., Pośpiech, L., Zatoński, T. (2018). Long-term evaluation of the effect of middle ear effusion on the vestibular system in children. International Journal of Pediatric Otorhinolaryngology, 109, 13–16. doi: http://doi.org/10.1016/j.ijporl.2018.03.015

Barozzi, S., Socci, M., Soi, D., Di Berardino, F., Fabio, G., Forti, S. et. al. (2014). Reliability of postural control measures in children and young adolescents. European Archives of Oto-Rhino-Laryngology, 271 (7), 2069–2077. doi: http://doi.org/10.1007/s00405-014-2930-9

Chen, B., Liu, P., Xiao, F., Liu, Z., Wang, Y. (2021). Review of the Upright Balance Assessment Based on the Force Plate. International Journal of Environmental Research and Public Health, 18 (5), 2696. doi: http://doi.org/10.3390/ijerph18052696

Aarhus, L., Tambs, K., Hoffman, H. J., Engdahl, B. (2015). Childhood otitis media is associated with dizziness in adulthood: the HUNT cohort study. European Archives of Oto-Rhino-Laryngology, 273 (8), 2047–2054. doi: http://doi.org/10.1007/s00405-015-3764-9

MacArthur, C. J., Pillers, D.-A. M., Pang, J., Kempton, J. B., Trune, D. R. (2011). Altered expression of middle and inner ear cytokines in mouse otitis media. The Laryngoscope, 121 (2), 365–371. doi: http://doi.org/10.1002/lary.21349

Kim, C.-H., Lee, J., Choi, B., Shin, J. E. (2021). Nystagmus in adult patients with acute otitis media or otitis media with effusion without dizziness. PLOS ONE, 16 (5), e0250357. doi: http://doi.org/10.1371/journal.pone.0250357

Monsanto, R. da C., Penido, N. de O., Uchiyama, M., Schachern, P., Paparella, M. M., Cureoglu, S. (2020). Quantitative assessment of cochlear and vestibular ganglion neurons in temporal bones with chronic otitis media. European Archives of Oto-Rhino-Laryngology, 278 (2), 331–338. doi: http://doi.org/10.1007/s00405-020-06094-5

Gurov, A. V., Levina, Y. V., Guseva, A. L., Elchueva, Z. G., Efimova, S. P., Gordienko, M. V. (2018). The specific microbiological and clinical features of acute otitis media. Vestnik Otorinolaringologii, 83 (1), 36–39. doi: http://doi.org/10.17116/otorino201883136-39

Turon-Skrzypinska, A., Uździcki, A., Przybylski, T., Szylinska, A., Marchelek-Myśliwiec, M., Rył, A., Rotter, I. (2020). Assessment of Selected Anthropometric Parameters Influence on Balance Parameters in Children. Medicina, 56 (4), 176. doi: http://doi.org/10.3390/medicina56040176


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Published
2021-11-30
How to Cite
Lozova, I., Garyuk, G., PochuiеvaT., Redka, I., & Samusenko, S. (2021). Evaluation of vestibular function in children with purulent media otitis by computer stabilometry. EUREKA: Health Sciences, (6), 30-42. https://doi.org/10.21303/2504-5679.2021.002172
Section
Medicine and Dentistry