The specific microbiological and clinical features of acute otitis media

Гуров, А. В.; Levina, Yu. V.; Elchueva, Z. G.; Efimova, S. P.; Гордиенко, М. В.

doi:10.17116/otorino201883136-39

Cited by 10 publications

(2 citation statements)

References 5 publications

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“…Taking into account that in children 3-7 years of age, vision has little effect on the parameters of stability, and up to 12-15 years, children are not able to carry out full vestibular-visual integration to maintain the stability of posture [6,29,30], we tend to consider the identified phenomenon of better stability of vertical posture in children with purulent otitis media under visual control, as a compensatory mechanism for maintaining balance against the background of latent vestibular dysfunction. Study limitations.…”

Section: Discussionmentioning

confidence: 99%

Evaluation of vestibular function in children with purulent media otitis by computer stabilometry

Lozova¹,

Garyuk²,

Pochuiеva³

et al. 2021

Eureka: HS

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The aim of the research – assessment of vestibular function in children with acute purulent otitis media by computer static stabilometry compared with typically developed children of the same age. Materials and methods: 22 children with purulent otitis media aged 4 to 7 years and 30 practically healthy peers were examined by static stabilometry on the device “MPFI stabilograph 1” (Kharkiv, Ukraine). Indicators of variation and shape of the pressure center distribution, spectral-correlation indicators of stabilograms, as well as integral indicators of stability (length, velocity and angle of postural oscillations) were taken into account and the equilibrium functions of the two sensory states (open and closed eyes) are calculated in the StabiliS software. Results: purulent otitis media causes posterior displacement of the absolute coordinates of the pressure center. In the state with closed eyes, children with purulent otitis differ from their healthy coevals by 14 of 24 stabilometric parameters, including stabilogram length, speed, angle and amplitude of oscillations, giving way to them in the stability of equilibrium. Children with purulent otitis media are more sensitive to the visual canal of postural control than their coevals. Involvement of visual afferents in postural control significantly improves balance maintenance in children with purulent otitis by reducing deviations of postural oscillations, which is reflected in the probable changes of 9 out of 24 stabilometric parameters compared to control. Conclusions: In preschool age, purulent otitis media leads to latent vestibular dysfunction, which is manifested by a violation of the stability of the vertical posture in a state with closed eyes and is compensated by visual-vestibulo-proprioceptive integration in the process of postural control.

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Section: Discussionmentioning

confidence: 99%

Evaluation of vestibular function in children with purulent media otitis by computer stabilometry

Lozova¹,

Garyuk²,

Pochuiеva³

et al. 2021

Eureka: HS

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“…The social significance of AOM lies in the possibility of developing against its background various complications [4,5] and a negative impact on auditory function [6,7]. The main etiological factors and pathogenetic links of acute otitis media have been studied and are being studied: tubal dysfunction [8,9], the role of the microbial factor [10,11], disorders in the system of general and local immunity [12], pathology of the attic and morphological changes in the tissues of the mastoid process and snails [2,13]. The data of modern studies indicate the features of the clinical and pathogenetic course of acute otitis media with the threat of sensorineural hearing loss [2], latent mastoiditis [14], which are somewhat different from the classical approach.…”

Section: Introductionmentioning

confidence: 99%

Features of the clinical course of acute otitis media in patients with impaired carbohydrate metabolism

Pochuiеva

Filatova

2022

Eureka: HS

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The aim of the research: study of the features of the clinical course of acute otitis media (AOM) in patients with impaired carbohydrate metabolism. Materials and methods. We examined 140 patients with AOM aged 19 to 72 years, of which 75 patients with impaired carbohydrate metabolism constituted the main group and 65 patients were included in the comparison group. Taking into account the peculiarities of the pathogenesis of AOM and disorders of carbohydrate metabolism, patients were randomized into 4 groups: 1 – patients with AOM (36), 2 – patients with AOM on the background of sinusitis (29), 3 – patients with AOM on the background of non-insulin-dependent diabetes mellitus (DM type II) (37), 4 – AOM patients with impaired glucose metabolism (38). The patients underwent a general clinical examination, determination of glycosylated hemoglobin, leukocyte indices of intoxication, audiometry, computed tomography (CT) of the temporal bones (if indicated). Results. The proportion of patients with impaired carbohydrate metabolism in 2020 was 32.6 %, of which DM type II was diagnosed in 49.3 % earlier. It was shown that a feature of the clinical course of AOM against the background of impaired carbohydrate metabolism is the discrepancy between the duration of the disease history, complaints and objective data to the state of the cellular structure of the mastoid process according to CT data and impaired auditory function mainly by the type of sound perception, which indicates the formation of latent mastoiditis. Clinically significant complaints and objective data for the differential diagnosis of latent mastoiditis in these patients were determined. The absence of statistical significance of differences in indicators in patients with DM type II and against the background of transient hyperglycemia was revealed, and the concept of the latter was characterized. A direct correlation between blood glucose levels and glycated hemoglobin levels was established in patients with DM type II and AOM. Conclusions. DM type II creates a favorable background for the formation of the clinical course of AOM complicated by latent mastoiditis. From the general contingent of patients with AOM, patients should be distinguished not only with DM type II, but also with transient hyperglycemia for its timely diagnosis. Significant symptoms: pain and a feeling of “heaviness” in the behind-the-ear region in the absence of reactive phenomena, a feeling of “pulsation” in the ear, dizziness, a cloudy eardrum with a protrusion or perforation in the posterior or posterior-upper section, an asymmetric increase in sound perception thresholds above 25 dB. Such patients should be observed with “early” CT scan of the temporal bones.

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Acute otitis media in the first two months of life and the impact of pneumococcal conjugate vaccines: A retrospective cohort study

Sapir

Lasry

Hazan

et al. 2023

International Journal of Pediatric Otorhinolaryngology

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The specific microbiological and clinical features of acute otitis media

Cited by 10 publications

References 5 publications

Evaluation of vestibular function in children with purulent media otitis by computer stabilometry

Evaluation of vestibular function in children with purulent media otitis by computer stabilometry

Features of the clinical course of acute otitis media in patients with impaired carbohydrate metabolism

Acute otitis media in the first two months of life and the impact of pneumococcal conjugate vaccines: A retrospective cohort study

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