Golz A, Angel-Yeger B, Parush S
Department of Otorhinolarynogology-Head and Neck Surgery, Rambam Medical Center and Faculty of Medicine, Technion-Israel Institute of Technology, Haifa.
Int J Pediatr Otorhinolaryngol. 1998 Feb;43(1):21-6. doi: 10.1016/s0165-5876(97)00150-x.
Vertigo and dizziness are not common complaints in childhood, but are present more often than formerly thought. These symptoms are usually caused by otitis media (OM) and middle ear effusion (MEE), two of the most common disorders in children, but were not studied until recently. The purpose of this study was to determine objectively the incidence of balance-related symptoms occurring in children with long lasting MEE and to determine if these symptoms resolve following the insertion of ventilation tubes (VT).
In total 64 children, aged between 4.5 and 7.5 years, were studied using the Bruininks-Oseretsky tests for motor proficiency, before and after insertion of VT. They were compared to 57 healthy children with no history of middle ear diseases.
Pathological findings were identified in 39 children with chronic MEE, as compared to only four children of the controls. Following VT insertion the symptoms and signs of balance disturbances resolved in mostly all the operated children.
The results of this study indicate that balance-related symptoms often encountered in young children may result from chronic MEE and that these symptoms resolve following ventilation of the middle ear.
眩晕和头晕在儿童中并非常见主诉，但实际出现频率高于以往认知。这些症状通常由中耳炎（OM）和中耳积液（MEE）引起，这两种是儿童最常见的病症，但直到最近才得到研究。本研究的目的是客观确定患有长期MEE的儿童中与平衡相关症状的发生率，并确定在插入通气管（VT）后这些症状是否会缓解。
对总共64名年龄在4.5至7.5岁之间的儿童，在插入VT前后使用布鲁因inks - 奥塞列茨基运动能力测试进行研究。将他们与57名无中耳疾病史的健康儿童进行比较。
在39名患有慢性MEE的儿童中发现了病理结果，而对照组中只有4名儿童有此类情况。插入VT后，大多数接受手术的儿童的平衡障碍症状和体征都得到了缓解。
本研究结果表明，幼儿中经常遇到的与平衡相关的症状可能由慢性MEE引起，并且这些症状在中耳通气后会得到缓解。
