title: Vestibular evaluation in children with otitis media with effusion.
abstract: BACKGROUND
  Fifty per cent of children with serous otitis media may have some balance disturbances.
  
  
  OBJECTIVE
  To evaluate vestibular function in children with otitis media with effusion.
  
  
  METHODS
  The control group comprised 25 children with bilateral normal hearing and middle-ear function. The study group consisted of 30 children with bilateral otitis media with effusion; these were divided into 2 subgroups according to air-bone gap size. Measures included the Arabic Dizziness Handicap Inventory, an imbalance evaluation sheet for children, vestibular bedside tests for children, and air- and bone-conducted vestibular-evoked myogenic potential testing.
  
  
  RESULTS
  Arabic Dizziness Handicap Inventory scores and some vestibular bedside test results were significantly abnormal, with normal video-nystagmography results, in children with otitis media with effusion. Air-conducted vestibular-evoked myogenic potentials were recorded in 73 per cent of children with otitis media with effusion, with significantly delayed latencies. Bone-conducted vestibular-evoked myogenic potentials were successfully detected in 100 per cent of children with otitis media with effusion with similar results to the control group.
  
  
  CONCLUSIONS
  The Arabic Dizziness Handicap Inventory and vestibular bedside tests are valuable tools for detecting vestibular impairment in children. Bone-conducted vestibular-evoked myogenic potentials are useful for vestibular system evaluation.
authors: Audiology Unit,ENT department,Tanta University Hospitals,Egypt.
authors: E A
authors: EA
authors: Kolkaila
authors: Audiology Unit,ENT department,Tanta University Hospitals,Egypt.
authors: A A
authors: AA
authors: Emara
authors: Audiology Unit,ENT department,Tanta University Hospitals,Egypt.
authors: T A
authors: TA
authors: Gabr
mesh_terms: D016022:Case-Control Studies; D002648:Child; D002675:Child, Preschool; D004244:Dizziness / Q000209:etiology; D005260:Female; D006801:Humans; D008297:Male; D010034:Otitis Media with Effusion / Q000150:complications / Q000503:physiopathology*; D011930:Reaction Time; D015837:Vestibular Diseases / Q000209:etiology / Q000503:physiopathology; D058585:Vestibular Evoked Myogenic Potentials / Q000502:physiology*; D014724:Vestibular Function Tests / Q000379:methods*; D014722:Vestibule, Labyrinth / Q000503:physiopathology*
keywords: Vertigo