A new and simple test for diagnosis and prognosis in children with otitis media with effusion: cVEMP

Abstract

Aim/objectives: A typical vestibular stimulated myogenic potential (VEMP) response depends on suitable sound transfer from the middle ear to inner ear. This transfer is degraded at various degrees in otitis media with effusion (OME). In cases where the effusion is reduced by treating the OME, response to VEMP test can be obtained

Backgrounds: In this study we aimed to compare preoperative and postoperative VEMP values of children who were applied ventilation tube for OME and to compare these values and VEMP values of healthy children.

Materials and methods: Forty healthy and 40 patients with OME aged between 4 and 16 years were used for the study. VEMP test was performed before and after the surgery.

Results: Significant decrease was seen in p13 and n23 values of patient group (p < .05). Statistically significant increase was seen in postoperative amplitudes of patient group (p < .05).

Conclusions: Increased VEMP responses in children with OME have shown that dysfunction of middle ear caused vestibular dysfunction. We think that VEMP test can be used to follow up children with OME as a test for showing improvement.

Significance: The VEMP test can be used a diagnostic and prognostic test in the diagnosis and follow-up of children with OME.

目的：典型的前庭刺激肌源性（VEMP）反应取决于从中耳到内耳的适当的声音传递。对于慢性中耳炎伴有积液（COMWE）患者, 这种传递在不同程度上降低。在通过治疗COMWE而减少积液的情况下, 可以获得对VEMP测试的反应。

背景：在这项研究中, 我们的目的是比较应用通气管治疗慢性中耳炎伴有积液的儿童的术前和术后VEMP值, 并将这些值与健康儿童的VEMP值进行比较。

材料和方法：40名年龄在4至16岁之间的健康儿童和40名COMWE患者被纳入该研究。在手术前后进行了VEMP测试。

结果：患者组的p13和n23值显著下降（p <.05）。患者组的术后振幅有统计学意义上的显著增加（p <.05）。

结论：COMWE患者的VEMP反应增加表明中耳功能障碍引起前庭功能障碍。我们认为VEMP测试可用于跟踪COM伴有积液患者, 作为显示改善的一种测试。

意义：中耳炎积液患者的VEMP反应受损。该疾病的诊断和治疗可以是诊断和预后测试。

Keywords:

• Otitis media with effusion
• cervical vestibular evoked myogenic potential
• vestibular function failure

Acknowledgment

This study was presented as verbal presentation at the 39th National Otolaryngology and Head and Neck Surgery Congress.

Ethical approval statement

Ethics committee approval was obtained.

Informed consent

Informed consent was obtained from the family of patients.

Disclosure statement

No potential conflict of interest was reported by the authors.