Clinical Study to Determine Occult Vestibular Dysfunction in Patients of Chronic Otitis Media using Computerized Static Posturography

Introduction Various studies have shown high incidence of subjective vestibular dysfunction in cases of chronic otitis media (COM). Evaluation of vestibular dysfunction in chronic otitis media patients is becoming an integral part of comprehensive management of COM. In our study, we have evaluate...

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Main Authors: D K Singh, Salil Kumar Gupta, Vijay Bhalla, Sheetal Raina, Abha Kumari
Format: Article
Language:English
Published: The Association of Otolaryngologists of India, West Bengal 2019-04-01
Series:Bengal Journal of Otolaryngology and Head Neck Surgery
Subjects:
Online Access:https://bjohns.in/journal3/index.php/bjohns/article/view/223
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author D K Singh
Salil Kumar Gupta
Vijay Bhalla
Sheetal Raina
Abha Kumari
author_facet D K Singh
Salil Kumar Gupta
Vijay Bhalla
Sheetal Raina
Abha Kumari
author_sort D K Singh
collection DOAJ
description Introduction Various studies have shown high incidence of subjective vestibular dysfunction in cases of chronic otitis media (COM). Evaluation of vestibular dysfunction in chronic otitis media patients is becoming an integral part of comprehensive management of COM. In our study, we have evaluated vestibular dysfunction in patients with COM, using computerized static posturography, an objective technique in contrast to other subjective tests of vestibular dysfunction. Materials and Methods In this prospective case control study done over a period of 1.5 years, 50 cases of COM and 50 healthy controls were included and they underwent Computerized Static Posturography. Parameters taken were Somaesthetic, visual and vestibular scores in both antero-posterior (AP) and medio-lateral (ML) axis; and in combined axis (Antero-posterior +Medio-lateral) and these scores were compared with those of healthy controls. Results Total 50 cases of COM (average disease period - 5.7 years), of both sexes, with age range of 15-60 years and mean age of 31.58 years were taken. On analyzing above mentioned parameters using SPSS software, we found no significant difference in vestibular function in cases of COM as compared with healthy individuals.  Discussion The outcome of computerized static posturography can be quantified with respect to changes in center-of-force sway amplitude, distance, or velocity, which, by virtue of not being burdened by subjective interpretation, its results can be, documented both graphically and numerically. Conclusion This study, further solidified with objective evidence, raises a question on COM without complications being directly responsible for vestibular dysfunction.
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spelling doaj.art-f1948e85d0ba4e10b9c26ff614b7502c2024-03-02T13:40:53ZengThe Association of Otolaryngologists of India, West BengalBengal Journal of Otolaryngology and Head Neck Surgery2395-24072019-04-0127110.47210/bjohns.2019.v27i1.223Clinical Study to Determine Occult Vestibular Dysfunction in Patients of Chronic Otitis Media using Computerized Static PosturographyD K Singh0Salil Kumar Gupta1Vijay Bhalla2Sheetal Raina3Abha Kumari4Command Hospital (Eastern Command), KolkataCommand Hospital (Eastern Command)Command Hospital (Eastern Command)Command Hospital (Eastern Command)Command Hospital (Eastern Command)Introduction Various studies have shown high incidence of subjective vestibular dysfunction in cases of chronic otitis media (COM). Evaluation of vestibular dysfunction in chronic otitis media patients is becoming an integral part of comprehensive management of COM. In our study, we have evaluated vestibular dysfunction in patients with COM, using computerized static posturography, an objective technique in contrast to other subjective tests of vestibular dysfunction. Materials and Methods In this prospective case control study done over a period of 1.5 years, 50 cases of COM and 50 healthy controls were included and they underwent Computerized Static Posturography. Parameters taken were Somaesthetic, visual and vestibular scores in both antero-posterior (AP) and medio-lateral (ML) axis; and in combined axis (Antero-posterior +Medio-lateral) and these scores were compared with those of healthy controls. Results Total 50 cases of COM (average disease period - 5.7 years), of both sexes, with age range of 15-60 years and mean age of 31.58 years were taken. On analyzing above mentioned parameters using SPSS software, we found no significant difference in vestibular function in cases of COM as compared with healthy individuals.  Discussion The outcome of computerized static posturography can be quantified with respect to changes in center-of-force sway amplitude, distance, or velocity, which, by virtue of not being burdened by subjective interpretation, its results can be, documented both graphically and numerically. Conclusion This study, further solidified with objective evidence, raises a question on COM without complications being directly responsible for vestibular dysfunction.https://bjohns.in/journal3/index.php/bjohns/article/view/223Otitis MediaVestibular DysfunctionPosturography
spellingShingle D K Singh
Salil Kumar Gupta
Vijay Bhalla
Sheetal Raina
Abha Kumari
Clinical Study to Determine Occult Vestibular Dysfunction in Patients of Chronic Otitis Media using Computerized Static Posturography
Bengal Journal of Otolaryngology and Head Neck Surgery
Otitis Media
Vestibular Dysfunction
Posturography
title Clinical Study to Determine Occult Vestibular Dysfunction in Patients of Chronic Otitis Media using Computerized Static Posturography
title_full Clinical Study to Determine Occult Vestibular Dysfunction in Patients of Chronic Otitis Media using Computerized Static Posturography
title_fullStr Clinical Study to Determine Occult Vestibular Dysfunction in Patients of Chronic Otitis Media using Computerized Static Posturography
title_full_unstemmed Clinical Study to Determine Occult Vestibular Dysfunction in Patients of Chronic Otitis Media using Computerized Static Posturography
title_short Clinical Study to Determine Occult Vestibular Dysfunction in Patients of Chronic Otitis Media using Computerized Static Posturography
title_sort clinical study to determine occult vestibular dysfunction in patients of chronic otitis media using computerized static posturography
topic Otitis Media
Vestibular Dysfunction
Posturography
url https://bjohns.in/journal3/index.php/bjohns/article/view/223
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