Vertigo/Dizziness in the Pediatric Group: A Retrospective Study

Yıl 2024, Cilt: 46 Sayı: 2, 190 - 198, 18.03.2024

Arzu Kırbaç , Ercan Kaya , Handan Turan Dizdar , Armağan İncesu

https://doi.org/10.20515/otd.1404364

Öz

This study aimed to retrospectively examine and analyze pediatric patients who presented to the Otolaryngology deparment with vertigo/dizziness and were referred to the Audiology department for vestibular evaluation. Between January 1, 2019 and May 30, 2023, 40 children, the majority of whom were girls (60%), were evaluated. The average age was 11.1±2.8 years (min: 5.8 max: 16.2 years). While the rate of direct application to the Otolaryngology was 55% (22/40), the rate of application to the Otolaryngology department after applying to other units was 45% (18/40). 39 of the pediatric patients (97.5%) were evaluated with at least one of the radiological imaging methods. While 15 children (38.4%) had abnormal findings, the results of 24 (61.5%) children were normal. Bilateral normal hearing was detected in 21 children (52.5%), and hearing loss was detected in 19 children (47.5%). There were more children with sensorineural type loss. Hearing loss ranged from mild to profound. The rate of performing at least one objective vestibular test was 38.4% (15/39), and the rate of performing at least 2 tests was 43.5% (17/39 children). There were no children who were tested together in all three tests. As age increased, the number of tests also increased similarly. Of the children for whom vestibular evaluation could be performed, 37.5% had objectively proven vestibular pathology. The number of children with both hearing loss and vestibular pathology was 10 (25%). Among all children presenting with vertigo, the most common etiological factors were inner ear anomaly (15%), migraine (12%), and cochlear implant surgery (10%). Vestibular evaluation in the pediatric group is a difficult and patience-requiring process. It is important to plan this evaluation process in a way that maximum information can be obtained in the shortest time and to include auditory evaluation.

Anahtar Kelimeler

ENT, Audiology, Pediatric Vertigo/Dizziness, Auditory Evaluation, Vestibular Evaluatio

Pediatrik Grupta Baş Dönmesi: Retrospektif Çalışma

Öz

Bu çalışmada, Kulak Burun Boğaz (KBB) polikliniğine baş dönmesi ile başvurmuş ve vestibüler değerlendirme için Odyoloji bölümüne yönlendirilmiş çocuk hastalara ait verilerin retrospektif olarak incelenerek, analizlerinin yapılması amaçlanmıştır. 1 Ocak 2019 ile 30 Mayıs 2023 arasında çoğunluğu kız olan (%60) 40 çocuk değerlendirildi. Yaş ortalaması 11,1±2,8 yıldı (min:5,8 maks:16,2 yaş). KBB bölümüne direkt başvuru oranı % 55 (22/40) iken diğer birimlere başvuru sonrasında KBB’ye başvuru oranı % 45 (18/40) idi. Çocuk hastaların 39’u (% 97,5) radyolojik görüntüleme yöntemlerinden en az biri ile değerlendirilmiş olup 15 çocukta (%38,4) anormal bulgular mevcut iken 24 (%61,5) çocuğun sonuçları normaldi. 21 çocukta (% 52,5) bilateral normal işitme, 19 çocukta ise işitme kaybı saptandı (% 47,5). Sensörinöral tipte kaybı olan çocuklar daha fazlaydı. İşitme kaybı hafif dereceden çok ileri dereceye kadar değişmişti. En az bir objektif vestibüler test yapılabilme oranı % 38,4 (15/39), en az 2 test yapılma oranı ise % 43,5 (17/39 çocuk) idi. Üç testinde bir arada yapıldığı çocuk yoktu. Yaş arttıkça uyum sağlanan test sayısı da benzer şekilde artış göstermişti. Vestibüler değerlendirme yapılabilen çocukların % 37,5’inde objektif olarak kanıtlanmış vestibüler patoloji vardı. İşitme kaybı ve vestibüler patolojinin birlikte olduğu çocuk sayısı 10’du (%25). Vertigo ile başvuran tüm çocuklar arasında en yaygın etyolojik faktörler iç kulak anomalisi (%15) migren (%12) ve koklear implant ameliyatıydı (%10). Pediatrik grupta vestibüler değerlendirme zor ve sabır isteyen bir süreçtir. Bu değerlendirme sürecinin en kısa sürede, maksimum bilgi elde edilebilecek şekilde planlaması ve işitsel değerlendirmeye de yer verilmesi önemlidir.

Anahtar Kelimeler

KBB, Odyoloji, Pediatrik Baş Dönmesi, İşitsel Değerlendirme, Vestibüler Değerlendirme

Etik Beyan

Etik Kurul Onayı: Eskişehir Osmangazi Üniversitesi Klinik Araştırmalar Etik Kurulu Başkanlığı’ndan onay alınmıştır (Karar no: 22).

Destekleyen Kurum

yok

Teşekkür

yok

Kaynakça

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