Imbalance and Chronic Secretory Otitis Media in Children: Effect of Myringotomy and Insertion of Ventilation Tubes on Body Sway

Abstract

We studied balance in 34 children with chronic secretory otitis media and compared them with 34 age- and sex-matched control children between the ages of 3 and 5 years. In addition to history and examination, objective measurements were obtained by use of a fixed force plate body sway platform in both the control group and the group with chronic secretory otitis media. We took measurements in both groups at an interval of 4 months to ensure that any improvement in body sway could not be attributed to normal maturation. Eight parameters of body sway were compared, including three new parameters not described elsewhere (mean squared velocity, the number of intersections, and velocity moment). Our study showed that balance is significantly worse in children with chronic secretory otitis media compared to a control group. Furthermore, the increased body sway of children with chronic secretory otitis media was returned to the normal range by myringotomy and insertion of ventilation tubes.

Keywords

middle ear ventilation otitis media with effusion posturography vestibular function tests

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References

Snashall

. Vestibular function tests in children. J R Soc Med 1983; 76: 555–9.

Maw

. Is your grommet really necessary? Arch Dis Child 1987; 62: 656–8.

Busis

. Vertigo in children. Pediatr Ann 1976; 5: 478–81.

Bensel

Dzendolet

Power spectral density analysis of the standing sway of males. Percept Psychophys 1968; 4: 285–8.

Forssberg

Nashner

. Ontogenic development of postural control in men: Adaptation to altered support and visual conditions during stance. J Neurosci 1982; 2: 545–52.

Shumway-Cook

Woollecott

. The growth of stability: Postural control from a developmental perspective. J Motor Behav 1985; 17: 131–47.

Yoneda

Tokumasu

, Frequency analysis of body sway in the upright posture. Statistical study in cases of peripheral vestibular disease. Acta Otolaryngol (Stockh) 1986; 102: 87–92.

Owen

Lee

. Establishing a frame of reference for action. In: Wade

Whiting

, eds. Motor development: Aspects of coordination and control. Dordrecht, the Netherlands: Martinus Nijhoff, 1986: 64–87.

Romberg

. A manual of the nervous diseases of man. Vol 2. London: The Sydenham Society, 1853.

10.

Black

Wall

III Nashner

. Effects of visual and support surface orientation references upon postural control in vestibular deficient subjects. Acta Otolaryngol (Stockh) 1983; 95: 199–210.

11.

Shick

Balance performance under varied conditions of sensory cues. Percept Mot Skills 1982; 54: 951–4.

12.

Lishman

Lee

. The autonomy of visual kinaesthesis. Perception 1973; 2: 287–94.

13.

Black

Wall

Rockette

Kitch

Normal subject postural sway during the Romberg test. Am J Otolaryngol 1982; 3: 309–18.

14.

Schaaf

. The frequency of vestibular disorders in developmentally delayed preschoolers with otitis media. Am J Occup Ther 1985; 39: 247–52.

15.

Goycoolea

Paparella

Juhn

Carpenter

A-M.

, Oval and round window changes in otitis media. Potential pathways between middle and inner ear. Laryngoscope 1980; 90: 1387–91.

16.

Carroll

On the path length of postural sway. Agressologie 1986; 27: 431–2.