Bista Ranishma, Datta Rakesh, Nilakantan Ajith, Gupta Abhishek, Singh Anubhav
1Department of ORL-HNS, Armed Forces Medical College, Wanowari, Pune, 411040 India.
167 MH, C/o 56 APO, Pathankot, India.
Indian J Otolaryngol Head Neck Surg. 2019 Dec;71(4):537-541. doi: 10.1007/s12070-019-01720-z. Epub 2019 Aug 9.
Otitis media with effusion (OME) has a detrimental effect on balance, which may not present as a clear symptom in children. This effect can be improved by the insertion of ventilation tubes. This study assesses balance in children suffering from OME pre and post operatively using computerized static posturography. 50 children of 3-6 years, suffering from OME were included in this observational descriptive study. These patients underwent myringotomy and grommet insertion. The balance was evaluated pre and post operatively after 3 months using computerized static posturography with Modified Clinical Test of Sensory Interaction on Balance under four conditions, namely eyes open/closed on firm surface/foam. Posturography mean sway velocity was deranged in these children preoperatively and it showed statistically significant improvement post operatively at 3 months. There is occult vestibular dysfunction in children with OME as assessed by static posturography which improves significantly 3 months after myringotomy and grommet insertion.
中耳积液（OME）对平衡有不利影响，而这在儿童中可能不会表现为明显症状。通过插入通气管可改善这种影响。本研究使用计算机化静态姿势描记法评估患OME儿童手术前后的平衡情况。本观察性描述性研究纳入了50名3至6岁患OME的儿童。这些患者接受了鼓膜切开术和鼓膜置管术。术后3个月，使用计算机化静态姿势描记法并结合改良的平衡感觉交互临床测试，在睁眼/闭眼、在坚实表面/泡沫四种条件下对平衡进行术前和术后评估。这些儿童术前姿势描记法的平均摆动速度紊乱，术后3个月有统计学意义的显著改善。通过静态姿势描记法评估发现，患OME的儿童存在隐匿性前庭功能障碍，鼓膜切开术和鼓膜置管术后3个月这种情况有显著改善。
