Golz A, Angel-Yeger B, Joachims H Z, Netzer A, Parush S
Dept. of Otolaryngology and Head and Neck Surgery, Rambam Medical Center, Haifa.
Harefuah. 1997 Dec 1;133(11):518-21, 591.
Vertigo and dizziness are not common complaints in childhood, but probably present more often than has been thought. These symptoms, caused mainly by otitis media (OM) and middle ear effusion (MEE), are 2 of the most common diseases in children, and until recently had long been neglected in the literature and in practice. We determined objectively the incidence of balance-related symptoms in children with long-lasting MEE, and resolution following insertion of ventilation tubes (VT). 36 children, aged 4-9 years, were studied using electronystagmography (ENG) and the Bruininks-Oseretsky tests for motor proficiency, before and after ventilation of the middle ear. Results were compared to those in 74 healthy children with no history of middle ear disease. Abnormal ENG findings were found in 58%, and 71% had low Bruininks-Oseretsky (BO) test scores. The ENG was abnormal in only 3 of the controls, 1 of whom also had low BO test scores. The symptoms and signs of balance disturbances resolved in 96% following VT insertion. These results indicate that balance-related symptoms often encountered in young children may result from chronic MEE, and that they resolve following evacuation of the effusion and ventilation of the middle ear.
眩晕和头晕在儿童期并非常见的主诉，但可能比人们想象的更为常见。这些主要由中耳炎（OM）和中耳积液（MEE）引起的症状，是儿童中最常见的两种疾病，直到最近在文献和实践中一直被长期忽视。我们客观地确定了患有长期中耳积液的儿童中与平衡相关症状的发生率，以及插入通气管（VT）后的症状缓解情况。对36名4至9岁的儿童在中耳通气前后使用眼震电图（ENG）和布鲁因inks - 奥塞雷茨基运动能力测试进行了研究。将结果与74名无中耳疾病史的健康儿童的结果进行了比较。发现58%的儿童ENG检查结果异常，71%的儿童布鲁因inks - 奥塞雷茨基（BO）测试分数较低。对照组中只有3名儿童ENG检查结果异常，其中1名儿童BO测试分数也较低。插入通气管后，96%的儿童平衡障碍的症状和体征得到缓解。这些结果表明，幼儿中经常遇到的与平衡相关的症状可能由慢性中耳积液引起，并且在积液排出和中耳通气后症状会得到缓解。
