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一种用于诊断和预测小儿分泌性中耳炎的新型简易检查:颈肌源性前庭诱发肌源性电位(cVEMP)

A new and simple test for diagnosis and prognosis in children with otitis media with effusion: cVEMP.

作者信息

Yıldız Erkan, Bucak Abdulkadir, Kuzu Selçuk

机构信息

Department of Otorhinolaryngology, Afyonkarahisar Suhut State Hospital , Afyon , Turkey.

Department of Otorhinolaryngology, Afyonkarahisar Healty Science University Medical School , Afyon , Turkey.

出版信息

Acta Otolaryngol. 2019 Nov;139(11):998-1003. doi: 10.1080/00016489.2019.1650199. Epub 2019 Aug 29.

Abstract

A typical vestibular stimulated myogenic potential (VEMP) response depends on suitable sound transfer from the middle ear to inner ear. This transfer is degraded at various degrees in otitis media with effusion (OME). In cases where the effusion is reduced by treating the OME, response to VEMP test can be obtained In this study we aimed to compare preoperative and postoperative VEMP values of children who were applied ventilation tube for OME and to compare these values and VEMP values of healthy children. Forty healthy and 40 patients with OME aged between 4 and 16 years were used for the study. VEMP test was performed before and after the surgery. Significant decrease was seen in p13 and n23 values of patient group ( < .05). Statistically significant increase was seen in postoperative amplitudes of patient group ( < .05). Increased VEMP responses in children with OME have shown that dysfunction of middle ear caused vestibular dysfunction. We think that VEMP test can be used to follow up children with OME as a test for showing improvement. The VEMP test can be used a diagnostic and prognostic test in the diagnosis and follow-up of children with OME.

摘要

典型的前庭刺激肌源性电位(VEMP)反应取决于从中耳到内耳的合适声音传导。在分泌性中耳炎(OME)中,这种传导会不同程度地受损。在通过治疗OME使积液减少的情况下,可以获得VEMP测试的反应。在本研究中,我们旨在比较接受OME通气管治疗的儿童术前和术后的VEMP值,并将这些值与健康儿童的VEMP值进行比较。本研究使用了40名4至16岁的健康儿童和40名OME患者。在手术前后进行VEMP测试。患者组的p13和n23值显著降低(<0.05)。患者组术后振幅有统计学意义的增加(<0.05)。OME患儿VEMP反应增强表明中耳功能障碍导致了前庭功能障碍。我们认为VEMP测试可作为一种显示改善情况的测试,用于OME患儿的随访。VEMP测试可作为OME患儿诊断和随访中的一种诊断和预后测试。

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