Vestibular symptoms in paediatric patients with otitis media with effusion and/or Eustachian tube dysfunction
DOI:
https://doi.org/10.34631/sporl.2102Keywords:
Dizziness, Vestibular disorders, otitis media with effusion, eustachian tube dysfunctionAbstract
Vestibular disorders are common in children, generating avoidance and anxiety behaviours with an impact on development. Prompt diagnosis is crucial, but the low specificity of symptoms and poor patient co-operation make this difficult. Eustachian tube dysfunction (ET) and otitis media with effusion (OME) can cause vestibular disorders.
Here, we assess the prevalence of vestibular symptoms in children with OME and/or ET dysfunction. We used the Vanderbilt Pediatric Dizziness Handicap Inventory for Patient Caregivers questionnaire, translated and culturally adapted for Portugal, and carried out an otorhinolaryngological objective examination and audiometric evaluations. None of the patients had acute vestibular symptoms. The differences in the questionnaire between the control and test groups were statistically significant (p=0.002), as well as between patients with and without a Type B Tympanogram (p=0.014) and with and without effusion (p=0.003). Carers of children with middle ear pathology should be approached with questionnaires that help assess the presence, severity and impact of vestibular symptoms
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