Kastanioudakis Ioannis, Saravakos Panagiotis, Leontis Theodoros, Balatsouras Dimitrios G, Ziavra Nausica
Department of Otolaryngology Head and Neck Surgery, University Hospital of Ioannina, Ioannina, Greece.
Department of Otolaryngology Head and Neck Surgery, Siloah St. Trudpert Hospital, Pforzheim, Germany.
Eur Arch Otorhinolaryngol. 2016 Sep;273(9):2385-94. doi: 10.1007/s00405-015-3800-9. Epub 2015 Oct 24.
In the present prospective study, we both investigated positioning techniques for the enhancement of oVEMP procedures and the viability of oVEMP testing in a healthy children population. A total of 41 healthy children were enrolled in this study. 21 were boys and 20 were girls, with their ages ranging from 4 to 16 years. All children underwent audiometry and tympanometry prior to oVEMP test in upright and supine position. All subjects had normal hearing. The procedure was well tolerated by all children. Typical biphasic oVEMPs presented in 97.56 % in upright position and 90.25 % in the supine position. No statistically significant difference could be found concerning which position elicits the best or worst responses. However, a trend towards the supine position was noticed. It may be concluded that oVEMP test proved to be a well-tolerated examination of the vestibular system in children aged above 4 years old. Our results did not show a statistical difference on the oVEMP thresholds between the two body positions. However, further larger studies are needed to confirm these findings.
在本前瞻性研究中,我们既研究了用于增强眼震电图(oVEMP)检查的定位技术,也研究了oVEMP测试在健康儿童群体中的可行性。本研究共纳入41名健康儿童。其中21名男孩,20名女孩,年龄在4至16岁之间。所有儿童在直立位和仰卧位进行oVEMP测试前均接受了听力测定和鼓室图检查。所有受试者听力均正常。所有儿童对该检查耐受性良好。典型的双相oVEMP在直立位出现率为97.56%,在仰卧位出现率为90.25%。关于哪个体位能引出最佳或最差反应,未发现统计学上的显著差异。然而,注意到有向仰卧位发展的趋势。可以得出结论,oVEMP测试被证明是对4岁以上儿童前庭系统耐受性良好的检查。我们的结果未显示两种体位之间oVEMP阈值存在统计学差异。然而,需要进一步开展更大规模的研究来证实这些发现。