Stabilometric assessment of vestibular function in children with a medium otitis




non-suppurative and suppurative otitis media, stabilometry, balance, vestibular function, preschool age


Otitis media is one of the most common infectious diseases of the middle ear in preschool age, but its relationship with vestibular dysfunction remains controversial.

The aim of the study was to carry out a comparative analysis of stabilometric indicators of preschool children with suppurative and non-suppurative otitis media.

Materials and methods: 22 children with suppurative otitis media and 22 children with non-suppurative otitis media at the age from 4 to 7 years were examined by the method of static stabilometry on the device “MPFI Stabilograph 1” (LLC "ASTER IT", Kharkov, Ukraine). We took into account the indices of variation and distribution of the center of pressure, spectral and correlation indices of the stabilogram, as well as integral indices of stability (length, velocity and angle of postural oscillations) and the quality of the balance function in two sensory states (open and closed eyes), which were calculated in the software providing StabiliS.

Results. In children with non-suppurative otitis media, the coordinates of the center-of-pressure corresponded (7.04 [2.16–10.09]; -1.14 [-28.90–9.11]), and with suppurative otitis media – (7.04 [3.30–16.16]; -13.72 [(-25.17)–(-10.30)]) with closed eyes. The averaged figure of the projection of the center-of-pressure in the test with eyes closed is actually represented by a circle in both groups, but with open eyes it is represented by an ellipse, which, in case of non-suppurative otitis media, is stretched along the sagittal axis, and in case of suppurative otitis media, along the frontal axis. In both sensory states, children with non-suppurative otitis media were characterized by large (p≤0.05) values of KurtosisX, Length and lower (p≤0.05) values of CC0X, Pup2Sigma compared with non-purulent otitis media.

Conclusions: In preschool age, suppurative otitis media more significantly disrupts the balance function compared with non-suppurative otitis media, which was manifested by a significant decrease in the stability of the main stance and the predictability of oscillatory movements compared with non-suppurative otitis media

Author Biographies

Iuliia Lozova, Kharkiv Medical Academy of Postgraduate Education; Kharkiv City Clinical Hospital No. 30

Postgraduate Student

Department of Otorhinolaryngology and Pediatric Otolaryngology

Нead of Department

Children's Otolaryngology Department

Grigoriy Garyuk, Kharkiv Medical Academy of Postgraduate Education

Doctor of Medical Sciences, Professor, Head of Department, Honored Worker of Science and Technology of Ukraine

Department of Otorhinolaryngology and Pediatric Otolaryngology

Iryna Redka, V. N. Karazin Kharkiv National University

PhD, Assosiate Professor

Department of Hygiene and Social Medicine

Tatiana Pochuеva, Kharkiv Medical Academy of Postgraduate Education

Doctor of Medical Sciences, Professor

Department of Otorhinolaryngology and Pediatric Otolaryngology


  1. DeAntonio, R., Yarzabal, J.-P., Cruz, J. P., Schmidt, J. E., Kleijnen, J. (2016). Epidemiology of otitis media in children from developing countries: A systematic review. International Journal of Pediatric Otorhinolaryngology, 85, 65–74. doi:
  2. Zernotti, M. E., Pawankar, R., Ansotegui, I., Badellino, H., Croce, J. S., Hossny, E. et. al. (2017). Otitis media with effusion and atopy: is there a causal relationship? World Allergy Organization Journal, 10, 37. doi:
  3. Said, E. A.-F. (2014). Vestibular assessment in children with sensorineural hearing loss using both electronystagmography and vestibular-evoked myogenic potential. The Egyptian Journal of Otolaryngology, 30 (1), 43–52. doi:
  4. Da Costa Monsanto, R., Erdil, M., Pauna, H. F., Kwon, G., Schachern, P. A., Tsuprun, V. et. al. (2016). Pathologic Changes of the Peripheral Vestibular System Secondary to Chronic Otitis Media. Otolaryngology–Head and Neck Surgery, 155 (3), 494–500. doi:
  5. Monsanto, R. da C., Schachern, P., Paparella, M. M., Cureoglu, S., Penido, N. de O. (2017). Progression of changes in the sensorial elements of the cochlear and peripheral vestibular systems: The otitis media continuum. Hearing Research, 351, 2–10. doi:
  6. Monsanto, R. da C., Kasemodel, A. L. P., Tomaz, A., Paparella, M. M., Penido, N. de O. (2018). Current evidence of peripheral vestibular symptoms secondary to otitis media. Annals of Medicine, 50 (5), 391–401. doi:
  7. Grace, A. R. H., Pfleiderer, A. G. (1990). Dysequilibrium and otitis media with effusion: What is the association? The Journal of Laryngology & Otology, 104 (9), 682–684. doi:
  8. Kolkaila, E. A., Emara, A. A., Gabr, T. A. (2015). Vestibular evaluation in children with otitis media with effusion. The Journal of Laryngology & Otology, 129 (4), 326–336. doi:
  9. Myers, E. N., Koyuncu, M., Saka, M. M., Tanyeri, Y., Şleşlen, T., ünal, R. et. al. (1999). Effects of Otitis Media with Effusion on the Vestibular System in Children. Otolaryngology–Head and Neck Surgery, 120 (1), 117–121. doi:
  10. Tozar, M., Cömert, E., Şencan, Z., Şimşek, G., Muluk, N. B., Kılıç, R. (2020). Video head impulse test in children with otitis media with effusion and dizziness. International Journal of Pediatric Otorhinolaryngology, 129, 109783. doi:
  11. Said, E. A., Ahmed, M. K., Mohamed, E. S. (2015). Role of vestibular testing in deciding treatment strategies for children with otitis media with effusion. Egyptian Journal of Ear, Nose, Throat and Allied Sciences, 16 (2), 151–159. doi:
  12. Wang, M.-C., Lee, G.-S. (2007). Vestibular evoked myogenic potentials in middle ear effusion. Acta Oto-Laryngologica, 127 (7), 700–704. doi:
  13. Robb, P., Williamson, I.; Watkinson, J. C., Clarke, R. W. (Eds.) (2018). Otitis media with effusion. Scott Brown’s otolaryngology head & neck surgery. Boca Raton: CRC Press, 115–135. doi:
  14. Barozzi, S., Socci, M., Soi, D., Di Berardino, F., Fabio, G., Forti, S. et. al. (2014). Reliability of postural control measures in children and young adolescents. European Archives of Oto-Rhino-Laryngology, 271 (7), 2069–2077. doi:
  15. Von, T., Deitz, J. C., McLaughlin, J., DeButts, S., Richardson, M. (1988). The Effects of Chronic Otitis Media on Motor Performance in 5- and 6-Year-Old Children. The American Journal of Occupational Therapy, 42 (7), 421–426. doi:
  16. Pazdro-Zastawny, K., Pośpiech, L., Zatoński, T. (2018). Long-term evaluation of the effect of middle ear effusion on the vestibular system in children. International Journal of Pediatric Otorhinolaryngology, 109, 13–16. doi:
  17. Jones, N. S., Prichard, A. J. N., Radomskij, P., Snashall, S. E. (1990). Imbalance and Chronic Secretory Otitis Media in Children: Effect of Myringotomy and Insertion of Ventilation Tubes on Body Sway. Annals of Otology, Rhinology & Laryngology, 99 (6), 477–481. doi:
  18. Casselbrant, M. L., Villardo, R. J. M., Mandel, E. M. (2008). Balance and otitis media with effusion. International Journal of Audiology, 47 (9), 584–589. doi:
  19. Casselbrant, M. L., Furman, J. M., Mandel, E. M., Fall, P. A., Kurs-Lasky, M., Rockette, H. E. (2000). Past History of Otitis Media and Balance in Four-Year-Old Children. The Laryngoscope, 110 (5), 773–778. doi:
  20. Ben-David, J., Podoshin, L., Fradis, M., Faraggi, D. (1993). Is the Vestibular System Affected by Middle Ear Effusion? Otolaryngology–Head and Neck Surgery, 109 (3), 421–426. doi:
  21. Aarhus, L., Tambs, K., Hoffman, H. J., Engdahl, B. (2015). Childhood otitis media is associated with dizziness in adulthood: the HUNT cohort study. European Archives of Oto-Rhino-Laryngology, 273 (8), 2047–2054. doi:
  22. Sabir, O. A., Johnson, E. G., Hafiz, A. E., Nelson, R. N., Hudlikar, M., Sheth, I., Daher, N. S. (2021). Chronic Effects of Pediatric Ear Infections on Postural Stability. International Journal of Pediatrics, 2021, 1–6. doi:
  23. Wang, Z., Newell, K. M. (2014). Inter-foot coordination dynamics of quiet standing postures. Neuroscience & Biobehavioral Reviews, 47, 194–202. doi:
  24. Paillard, T., Noé, F. (2015). Techniques and Methods for Testing the Postural Function in Healthy and Pathological Subjects. BioMed Research International, 2015, 1–15. doi:
  25. Schilder, A. G. M., Chonmaitree, T., Cripps, A. W., Rosenfeld, R. M., Casselbrant, M. L., Haggard, M. P., Venekamp, R. P. (2016). Otitis media. Nature Reviews Disease Primers, 2 (1). doi:
  26. Rine, R. (2018). Vestibular Rehabilitation for Children. Seminars in Hearing, 39 (3), 334–344. doi:
  27. Rehagen, S. K., Valente, M., Lieu, J. E. C. (2020). Vestibular Screening in Pediatric Patients with Otitis Media. Journal of the American Academy of Audiology, 31 (3), 209–216. doi:
  28. Lacroix, E., Edwards, M. G., De Volder, A., Noël, M.-P., Rombaux, P., Deggouj, N. (2020). Neuropsychological profiles of children with vestibular loss. Journal of Vestibular Research, 30 (1), 25–33. doi:
  29. Choi, J. W., Han, K., Nahm, H., Shin, J. E., Kim, C.-H. (2019). Direction-Changing Positional Nystagmus in Acute Otitis Media Complicated by Serous Labyrinthitis: New Insights into Positional Nystagmus. Otology & Neurotology, 40 (4), e393–e398. doi:
  30. Casselbrant, M. L., Villardo, R. J. M., Mandel, E. M. (2008). Balance and otitis media with effusion. International Journal of Audiology, 47 (9), 584–589. doi:




How to Cite

Lozova, I., Garyuk, G., Redka, I., & Pochuеva T. (2021). Stabilometric assessment of vestibular function in children with a medium otitis. ScienceRise: Medical Science, (5(44), 32–40.



Medical Science