Visual-Induced Postural Sway in Children with and without Otitis Media

Casselbrant, Margaretha L.; Redfern, Mark S.; Fall, Patricia A.; Furman, Joseph M.; Mandel, Ellen M.

doi:10.1177/000348949810700507

Cited by 47 publications

(39 citation statements)

References 13 publications

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“…OME has a direct and reversible impact on the vestibular system. [69][70][71][72][73] Children with chronic OME have significantly poorer vestibular function and gross motor proficiency when compared with non-OME controls. Moreover, these deficiencies tend to resolve promptly following tympanostomy tube insertion, although 1 case-control study did not show vestibular benefits with rotational chair testing.…”

Section: Supporting Textmentioning

confidence: 99%

Clinical Practice Guideline: Tympanostomy Tubes in Children

Rosenfeld

Schwartz

Pynnonen

et al. 2013

Otolaryngol.--head neck surg.

342

134

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Objective. Insertion of tympanostomy tubes is the most common ambulatory surgery performed on children in the United States. Tympanostomy tubes are most often inserted because of persistent middle ear fluid, frequent ear infections, or ear infections that persist after antibiotic therapy. Despite the frequency of tympanostomy tube insertion, there are currently no clinical practice guidelines in the United States that address specific indications for surgery. This guideline is intended for any clinician involved in managing children, aged 6 months to 12 years, with tympanostomy tubes or being considered for tympanostomy tubes in any care setting, as an intervention for otitis media of any type.Purpose. The primary purpose of this clinical practice guideline is to provide clinicians with evidence-based recommendations on patient selection and surgical indications for and management of tympanostomy tubes in children. The development group broadly discussed indications for tube placement, perioperative management, care of children with indwelling tubes, and outcomes of tympanostomy tube surgery. Given the lack of current published guidance on surgical indications, the group focused on situations in which tube insertion would be optional, recommended, or not recommended. Additional emphasis was placed on opportunities for quality improvement, particularly regarding shared decision making and care of children with existing tubes.Action Statements. The development group made a strong recommendation that clinicians should prescribe topical antibiotic eardrops only, without oral antibiotics, for children with uncomplicated acute tympanostomy tube otorrhea. The panel made recommendations that (1) clinicians should not perform tympanostomy tube insertion in children with a single episode of otitis media with effusion (OME) of less than 3 months' duration; (2) clinicians should obtain an age-appropriate hearing test if OME persists for 3 months or longer (chronic OME) or prior to surgery when a child becomes a candidate for tympanostomy tube insertion; (3) clinicians should offer bilateral tympanostomy tube insertion to children with bilateral OME for 3 months or longer (chronic OME) and documented hearing difficulties; (4) clinicians should reevaluate, at 3-to 6-month intervals, children with chronic OME who did not receive tympanostomy tubes until the effusion is no longer present, significant hearing loss is detected, or structural abnormalities of the tympanic membrane or middle ear are suspected; (5) clinicians should not perform tympanostomy tube insertion in children with recurrent acute otitis media (AOM) who do not have middle ear effusion in either ear at the time of assessment for tube candidacy; (6) clinicians should offer bilateral tympanostomy tube insertion to children with recurrent AOM who have unilateral or bilateral middle ear effusion at the time of assessment for tube candidacy; (7) clinicians should determine if a child with recurrent AOM or with OME of any duration is at increased risk for sp...

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Section: Supporting Textmentioning

confidence: 99%

Clinical Practice Guideline: Tympanostomy Tubes in Children

Rosenfeld

Schwartz

Pynnonen

et al. 2013

Otolaryngol.--head neck surg.

342

134

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“…Persistent OME may be associated with hyperactivity, poor attention, behavioral problems [8,9,29] and a reduced childhood quality of life [59]. Children with chronic OME have also significantly a poorer vestibular function and gross motor proficiency, when compared with non-OME controls [14,15,27,48]. Additional short or long-term sequelae of OME may include retraction pockets, cholesteatoma formation, atelectasis and ossicular fixation.…”

Section: Introductionmentioning

confidence: 99%

Grommets in otitis media with effusion: the most frequent operation in children. But is it associated with significant complications?

Vlastarakos

Nikolopoulos²,

Korres

et al. 2007

Eur J Pediatr

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“…At present most authors agree that chronic otitis media with effusion (OME) and the presence of fluid in the middle ear are the main causes of vertigo and balance disturbances in children [1,2,7]. Most of the reports provide information on the influence of OME on the postural stability of children [2]; we did not, however, find any report analysing how postural stability changes depending on the functional condition of the middle ear.…”

Section: Introductionmentioning

confidence: 71%

“…There are many different reports concerning the epidemiology and pathogenesis of vestibular disturbances in children [1][2][3][4][5][6]. At present most authors agree that chronic otitis media with effusion (OME) and the presence of fluid in the middle ear are the main causes of vertigo and balance disturbances in children [1,2,7].…”

Section: Introductionmentioning

confidence: 99%