手术对小儿中耳炎伴积液前庭系统的影响

IF 1.3 4区医学 Q3 OTORHINOLARYNGOLOGY

International journal of pediatric otorhinolaryngology Pub Date : 2025-09-09 DOI:10.1016/j.ijporl.2025.112560

Serdar Hanzala Yaman , Ela Cömert , Ziya Şencan , Burak Mustafa Taş , Nuray Bayar Muluk

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引用次数: 0

摘要

目的应用视频头脉冲（vHIT）试验评价前庭系统积液性慢性中耳炎患儿中耳液抽吸和通气管插入的效果，并与健康受试者进行比较。方法研究人群分为两组：患者组和健康人组。患者组包括40例双侧慢性中耳炎伴积液患者，他们接受了中耳穿刺、中耳吸液和双侧通气管的放置。术前记录鼓室图曲线、vHIT增益和各半规管跳眼的存在，并于术后第2天、第1周和第2周重复vHIT测试。所有vHIT参数在患者组内以及患者与健康受试者之间进行比较。结果术后，慢性中耳炎伴积液患者与健康人相比，所有管道的vHIT增益相似。患者组术前隐蔽扫视20例，术后第2天隐蔽扫视11例，术后第1周隐蔽扫视2例。在大多数垂直管平面上，术前和术后的扫视次数明显减少。健康受试者未见眼跳。结论中耳液引流和通气管放置对前庭系统有积极的影响，术后2周隐匿性眼跳消失。

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Effect of surgery on vestibular system in pediatric patients with otitis media with effusion

Objective

The objectives of the study were to evaluate the effect of middle ear fluid aspiration and ventilation tube insertion in pediatric patients with chronic otitis media with effusion on the vestibular system using the video head impulse (vHIT) test and compare their results with healthy subjects.

Methods

The study population included two groups of subjects, a patient group and healthy subjects. The patient group consisted of 40 patients with bilateral chronic otitis media with effusion who underwent paracentesis, aspiration of the mucoid fluid from the middle ear, and placement of bilateral ventilation tubes. Tympanogram curves, vHIT gains, and the presence of saccades for each semicircular canal were documented before surgery, and the vHIT test was repeated on the 2nd day and the 1st and 2nd weeks postoperatively. All vHIT parameters were compared within the patient group and between patients and healthy subjects.

Results

Preoperatively, patients with chronic otitis media with effusion had similar vHIT gains in all canals when compared with healthy subjects. In the patient group, 20 covert saccades were observed preoperatively, 11 on the 2nd day postoperatively, and 2 on the 1st week postoperatively, and all saccades were in the vertical canal planes. A significant decrease was detected between the number of preoperative and postoperative saccades in most of the vertical canal planes. No saccade was observed in healthy subjects.

Conclusion

Our results support that middle ear fluid drainage and ventilation tube placement might have a positive effect on the vestibular system, as all covert saccades disappeared at 2 weeks postoperatively.

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来源期刊

International journal of pediatric otorhinolaryngology 医学-耳鼻喉科学

CiteScore

3.20

自引率

6.70%

发文量

276

审稿时长

62 days

期刊介绍： The purpose of the International Journal of Pediatric Otorhinolaryngology is to concentrate and disseminate information concerning prevention, cure and care of otorhinolaryngological disorders in infants and children due to developmental, degenerative, infectious, neoplastic, traumatic, social, psychiatric and economic causes. The Journal provides a medium for clinical and basic contributions in all of the areas of pediatric otorhinolaryngology. This includes medical and surgical otology, bronchoesophagology, laryngology, rhinology, diseases of the head and neck, and disorders of communication, including voice, speech and language disorders.