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No3(3) 2020

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DOI 10.37219/2528-8253-2020-3-53

Razakov A.D., Abdukajumov А.А., Amanov Sh.E., Karimova N.A., Olіmov Zh.A.
Modern approaches to the diagnosis of vestibulopathy in patients with chronic suppurative otitis media
Razakov Azamat
Republican Specialized Scientific Practice Medical Center of Pediatrics; Republic of Uzbekistan;

Abdukayumov Abdumannap
Republican Specialized Scientific Practice Medical Center of Pediatrics; Republic of Uzbekistan
Head physician
Doctor of Medical Sciences

Amanov Shavkat
Republican Specialized Scientific Practice Medical Center of Pediatrics; Republic of Uzbekistan;
Tashkent Pediatric Medical Institute, Head Department of Otolaryngolog
Doctor of Medical Sciences

Karimova Nargiza
Republican Specialized Scientific Practice Medical Center of Pediatrics; Republic of Uzbekistan;
Otolaryngologist, audiologist, vestibulologist

Olіmov Jakhongir
Republican Specialized Scientific Practice Medical Center of Pediatrics; Republic of Uzbekistan;


Chronic suppurative otitis media (CSOM), according to statistics, is one of the most common diseases in otorhinolaryngological practice, accounting for, on average, from 5.8 to 20.7% of all ENT pathology. The incidence of CSOM in the Republic of Uzbekistan is up to 6.5%.
The pathological process in CSOM leads to the destruction of the bone structures of the middle ear and progressive hearing loss, and in some cases - to an increase in vestibular symptoms.
Purpose of the study: vestibular disorders in chronic purulent otitis media using modern diagnostic methods.
Materials and methods: In order to study the features of cochleovestibular disorders in CSOM, in the Department of Congenital and Acquired ENT Diseases at the Republican Specialized Scientific and Practical Medical Center of Pediatrics of the Ministry of Health of the Republic of Uzbekistan were examined 13 patients with CSOM with labial complications . All patients underwent a set of standard examinations: ENT examination, otoscopy with video recording, stato coordination tests, complex vestibulometry using modern computer video nystagmography, a set of audiometric tests, computed tomography of the temporal bones.
Results: 38.4% of patients complained of dizziness, but when using the method of active survey complaints of dizziness were detected in 61.5% of cases. The analysis of the results of stato-coordination tests in 30.7% of patients revealed a deviation towards the affected ear, in 61.5% of cases - spontaneous nystagmus.
Conclusions: the results allow us to conclude that the main complaint of patients with CSOM are of hearing loss (100%), discharge from the ear cavity (100%), complaints of vestibular manifestations were present in 30 to 55% of subjects. Detection of mixed deafness in 53.8% of patients during audiological examination indicates involvement in the process of the inner ear, hence all patients with CSOM, regardless of the duration and stage of the inflammatory process, should conduct a comprehensive vestibulometric examination to determine vestibular status, the degree of involvement of inner ear structures , prognosis, choice of treatment tactics and prevention of complications.


Chronic suppurative otitis media, vestibular disorders.


  1. Dadamukhamedov AN, Kirsanov VN. [Complex conservative treatment of chronic suppurative otitis media in children]. Pediatrics (uzb.). 2002;(2): 126-32. [Article in Russian].
  2. Diskalenko VV, Nikitin KA. [Chronic suppurative otitis media]. A guide for physicians. St. Petersburg; 2002. 18 p. [In Russian].
  3. Kaspranskaya GR, Lopatin AS, Morozova SV. [The effect of surgical treatment of chronic suppurative otitis media on vestibular function]. Bulletin of the National Medical and Surgical Center named after N.I. Pirogov. 2011; 6(3):59-61. [Article in Russian].
  4. Omonov ShE, Mukhitdinov UB, Babakhanov GK. [The influence of the pathology of the ENT organs on the course of chronic suppurative otitis media]. Materials of the conference dedicated to the 80th anniversary of prof. H.Z. Zokhidov. Т.; 2007. 84 p. [Article in Russian].
  5. Palchun VT, editor. [Otorhinolaryngology]. National guide. Moscow: GEOTAR-Media; 2009. 57 p. [In Russian].
  6. Yakovlev VN, Kryukov AI, Garov EV, Krechetov GM, Zakharova AF. [The incidence of chronic suppurative otitis media and the treatment of this nosology in Moscow]. Vestn Otorinolaringol. 2010; (6): 31-3. [Article in Russian].
  7. Babish B, Arsović N. [Assessment of senses of hearing and balance in chronic suppurative otitis media]. Srp Arh Celok Lek. May-Jun 2008;136(5-6):307-12. doi: 10.2298/sarh0806307b. [Article in Serbian].
  8. Cureoglu S, Schachern P, Paparella M, Lindgren BR. Cochlear changes in chronic otitis media. Laryngoscope. 2004 Apr;114(4):622-6. doi: 10.1097/00005537-200404000-00006.
  9. Gianoli GJ, James S. Chronic suppurative otitis media, caloric testing, and rotational chair testing. Otol Neurotol. 2008 Jan;29(1):13-5. doi: 10.1097/mao.0b013e31815c2589.
  10. Honaker JA, Boismier TE, Shepard NP, Shepard NT. Fukuda stepping test: sensitivity and specificity. J Am Acad Audiol. 2009 May;20(5):311-4; quiz 335. doi: 10.3766/jaaa.20.5.4.
  11. Szirmai A. Vestibular disorders in childhood and adolescents. Eur Arch Otorhinolaryngol. 2010 Nov;267(11):1801-4.
    doi: 10.1007/s00405-010-1283-2.
  12. Kim CH, Yang YS, Im D, Shin JE. Nystagmus in patients with unilateral acute otitis media complicated by serous labyrinthitis. Acta Otolaryngol. 2016 Jun;136(6):559-63. doi: 10.3109/00016489.2015.1132845.
  13. Lee IS, Park HJ, Shin JE, Jeong YS, Kwak HB, Lee YJ. Results of air caloric and other vestibular tests in patients with chronic otitis media. Clin Exp Otorhinolaryngol. 2009 Sep;2(3):145-50. doi: 10.3342/ceo.2009.2.3.145.
  14. Monsanto RDC, Schachern P, Paparella MM, Cureoglu S, Penido NO. Progression of changes in the sensorial elements of the cochlear and peripheral vestibular systems: The otitis media continuum. Hear Res. 2017 Aug;351:2-10.
    doi: 10.1016/j.heares.2017.05.003.
  15. Mostafa BE, Shafik AG, Makhzangy AM, Taha H, Mageed HMA. Evaluation of Vestibular Function in Patients with Chronic Suppurative Otitis Media. ORL J Otorhinolaryngol Relat Spec. 2013;75(6):357-60. doi: 10.1159/000357475.09.

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