{"id":17496,"date":"2026-02-09T15:57:57","date_gmt":"2026-02-09T14:57:57","guid":{"rendered":"https:\/\/ivrt.de\/?p=17496"},"modified":"2026-02-10T07:24:12","modified_gmt":"2026-02-10T06:24:12","slug":"cocuklarda-bilateral-vestibueler-hipofunksiyon-isitme-kaybinda-taramanin-neden-hayati-oldugu","status":"publish","type":"post","link":"https:\/\/ivrt.de\/tr\/studien-evidenz\/bilaterale-vestibulaere-hypofunktion-bei-kindern-warum-ein-screening-bei-hoerverlust-entscheidend-ist\/","title":{"rendered":"\u00c7ocuklarda bilateral vestib\u00fcler hipofunksiyon: \u0130\u015fitme kayb\u0131nda taraman\u0131n neden hayati \u00f6nem ta\u015f\u0131d\u0131\u011f\u0131"},"content":{"rendered":"<p><strong>Uzman personel i\u00e7in:<\/strong><\/p>\n\n\n\n<p class=\"translation-block\">\u00c7ocuklarda vestib\u00fcler yetersizlikler s\u0131kl\u0131kla d\u00fc\u015fmelere ve motor geli\u015fimde gecikmeye yol a\u00e7ar. Yeni bir \u00e7ok merkezli \u00e7al\u0131\u015fma, i\u015fitme kayb\u0131 olan \u00e7ocuklarda iki tarafl\u0131 yetersizliklerin (<a href=\"https:\/\/ivrt.de\/tr\/bas-doenmesi-hastaliklari\/iki-tarafli-vestibulopati\/\" data-type=\"post\" data-id=\"5910\" target=\"_self\">bilateral vestib\u00fcler hipofonksiyon \u2013<\/a> BVH) ger\u00e7ekte ne kadar yayg\u0131n oldu\u011funu ve bunun hangi sonu\u00e7lar\u0131 do\u011furdu\u011funu ortaya koyuyor.<\/p>\n\n\n\n<p>\ud83d\udd17 Loos E, Gerdsen M, Hazen M, et al. Bilateral vestibular hypofunction in children. Int J Pediatr Otorhinolaryngol. 2025 Sep;196:112506.<\/p>\n\n\n\n<p><a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/40789246\/\" target=\"_blank\" rel=\"noreferrer noopener\"><strong>PubMed'deki Orijinal \u00c7al\u0131\u015fma<\/strong><\/a><\/p>\n\n\n\n<p><strong>\u00c7al\u0131\u015fma tasar\u0131m\u0131:<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>T\u00fcr: \u00c7ok merkezli, retrospektif t\u0131bbi kay\u0131t analizi.<\/li>\n\n\n\n<li>Kat\u0131l\u0131mc\u0131lar: Sensorin\u00f6ral i\u015fitme kayb\u0131 olan 492 \u00e7ocuk.<\/li>\n\n\n\n<li>Y\u00f6ntem: En az iki tarafl\u0131 patolojik vestib\u00fcler test ile BVH tan\u0131m\u0131.<\/li>\n\n\n\n<li>Hedef: Prevalans, nedenler ile motor beceriler ve i\u015fitme \u00fczerindeki etkilerin tan\u0131m\u0131.<\/li>\n<\/ul>\n\n\n\n<p><strong>Temel Bulgular<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Y\u00fcksek prevalans: \u0130\u015fitme kayb\u0131 olan ve incelemeye al\u0131nan 23 % \u00e7ocukta, iki tarafl\u0131 vestib\u00fcler hipofonksiyon (BVH) saptand\u0131.<\/li>\n\n\n\n<li>Risk gruplar\u0131: Sendromik i\u015fitme kayb\u0131 olan \u00e7ocuklar (\u00f6rn. Usher, CHARGE veya Waardenburg sendromu) ve enfeksiyon ge\u00e7irenler (\u00f6rn. konjenital CMV veya menenjit) \u00f6zellikle s\u0131k etkilenmektedir.<\/li>\n\n\n\n<li>Motor geli\u015fim: BVH\u2019li \u00e7ocuklar\u0131n \u2019i motor geli\u015fim gecikmesi sergiledi. Yap\u0131lan t\u00fcm testlerde her iki tarafta da anormallik saptand\u0131\u011f\u0131nda, motor geli\u015fim gecikmesi oran\u0131 \u2019ye y\u00fckseldi.<\/li>\n<\/ul>\n\n\n\n<p><strong><strong>Klinik \u00f6nem<\/strong><\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li class=\"translation-block\">BVH\u2019nin yayg\u0131nl\u0131\u011f\u0131 y\u00fcksek oldu\u011fundan, sens\u00f6rin\u00f6ral i\u015fitme kayb\u0131 olan \u00e7ocuklarda <a href=\"https:\/\/ivrt.de\/tr\/bas-doenmesi-hastaliklari\/denge-bozukluklari-ve-bas-doenmesi-semptomlari-icin-tanisal-testler\/\" data-type=\"post\" data-id=\"8955\" target=\"_self\">vestib\u00fcler tarama<\/a> standart bir uygulama olmal\u0131d\u0131r.<\/li>\n\n\n\n<li>Testlerdeki vestib\u00fcler kay\u0131p ne kadar \u015fiddetli olursa, b\u00fcy\u00fck bir motor bozukluk olas\u0131l\u0131\u011f\u0131 o kadar artar.<\/li>\n<\/ul>\n\n\n\n<p><strong>Pratik \u0130\u00e7in Sonu\u00e7<\/strong><\/p>\n\n\n\n<p>\u00c7ocuklarda iki tarafl\u0131 vestib\u00fcler kay\u0131p d\u00fc\u015f\u00fcn\u00fclenden daha yayg\u0131nd\u0131r ve hareketlili\u011fi b\u00fcy\u00fck \u00f6l\u00e7\u00fcde etkiler. Erken te\u015fhis, terap\u00f6tik deste\u011fi ba\u015flatmak ve implantlar gibi potansiyel olarak yenilik\u00e7i tedavileri m\u00fcmk\u00fcn k\u0131lmak i\u00e7in \u00e7ok \u00f6nemlidir.<\/p>\n\n\n\n<p><strong>Gelecek beklentisi<\/strong><\/p>\n\n\n\n<p>Bu \u00e7ocuklar, denge sistemini yeniden kurmak i\u00e7in gelecekte vestibular implantlardan b\u00fcy\u00fck \u00f6l\u00e7\u00fcde fayda g\u00f6rebilirler.<\/p>\n\n\n\n<p><strong>\ud83d\udc49 Kapsaml\u0131 bir ileri e\u011fitime ilgi duyuyorsunuz: <a href=\"https:\/\/ivrt.de\/tr\/hasta-egitimi\/vestibueler-rehabilitasyon-tedavisi-ve-denge-egitimi\/\" data-type=\"post\" data-id=\"8932\" target=\"_blank\" rel=\"noreferrer noopener\">vestib\u00fcler rehabilitasyon tedavisi<\/a>, ba\u015f d\u00f6nmesi hastalar\u0131na daha h\u0131zl\u0131 ve g\u00fcvenli bir \u015fekilde yard\u0131m etmek i\u00e7in?<\/strong><\/p>\n\n\n\n<p>G\u00fcncel e\u011fitim tekliflerini \u015furada bulabilirsiniz: <strong><a href=\"https:\/\/ivrt.de\/tr\/saglik-personeli-icin\/hizmet-ici-egitim-arama\/\" data-type=\"link\" data-id=\"https:\/\/ivrt.de\/fuer-medizinisches-fachpersonal\/fortbildungssuche\/\" target=\"_blank\" rel=\"noreferrer noopener\">IVRT E\u011fitim Arama<\/a>.<\/strong><\/p>\n\n\n\n<p><\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<p><\/p>\n\n\n\n<p><strong>Ebeveynler ve \u0130lgililer \u0130\u00e7in \u2013 Basit\u00e7e A\u00e7\u0131kland\u0131<\/strong><\/p>\n\n\n\n<p><strong><strong><strong><strong>Denge eksikli\u011fi: \u0130\u015fitme kay\u0131pl\u0131 \u00e7ocuklar neden genellikle daha ge\u00e7 y\u00fcr\u00fcmeyi \u00f6\u011frenir?<\/strong><\/strong><\/strong><\/strong><\/p>\n\n\n\n<p>\u00c7ocuklar s\u0131k s\u0131k d\u00fc\u015ferse veya akranlar\u0131na g\u00f6re daha ge\u00e7 emekler ve y\u00fcr\u00fcrse, genellikle \u00f6ncelikle n\u00f6rolojik veya ortopedik olarak nedenler aran\u0131r. Ancak neden i\u00e7 kulakta (denge organ\u0131nda) da bulunabilir. G\u00fcncel bir ara\u015ft\u0131rma, i\u015fitme kayb\u0131 ve denge bozukluklar\u0131n\u0131n ne s\u0131kl\u0131kla birlikte ortaya \u00e7\u0131kt\u0131\u011f\u0131n\u0131 incelemi\u015ftir.<br><br>\ud83d\udcc4 Loos E, Gerdsen M, Hazen M, et al. Bilateral vestibular hypofunction in children. Int J Pediatr Otorhinolaryngol. 2025 Sep;196:112506.<\/p>\n\n\n\n<p><a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/40789246\/\" data-type=\"link\" data-id=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/40421807\/\" target=\"_blank\" rel=\"noreferrer noopener\">Orijinal \u00e7al\u0131\u015fmaya<\/a><\/p>\n\n\n\n<p><strong>Yeni \u00e7al\u0131\u015fma ne g\u00f6steriyor?<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li class=\"translation-block\">\u0130\u015fitme bozuklu\u011fu olan \u00e7ocuklar\u0131n neredeyse d\u00f6rtte biri (23 %) ayn\u0131 zamanda <a href=\"https:\/\/ivrt.de\/tr\/bas-doenmesi-hastaliklari\/iki-tarafli-vestibulopati\/\" data-type=\"post\" data-id=\"5910\" target=\"_self\">her iki tarafta da denge organlar\u0131nda<\/a> bir <a href=\"https:\/\/ivrt.de\/tr\/bas-doenmesi-hastaliklari\/iki-tarafli-vestibulopati\/\" data-type=\"post\" data-id=\"5910\" target=\"_self\">zay\u0131fl\u0131k<\/a> sergilemektedir.<\/li>\n\n\n\n<li>Motor beceriler: Etkilenen \u00e7ocuklar\u0131n b\u00fcy\u00fck \u00e7o\u011funlu\u011fu (81 %) oturmay\u0131, ayakta durmay\u0131 veya y\u00fcr\u00fcmeyi daha ge\u00e7 \u00f6\u011frenir.<\/li>\n\n\n\n<li>Nedenler: Bu durum, \u00f6zellikle belirli genetik defektlerde (sendromlarda) veya menenjit gibi beyin zar\u0131 iltihab\u0131 enfeksiyonlar\u0131ndan sonra \u00e7ok s\u0131k g\u00f6r\u00fcl\u00fcr.<\/li>\n<\/ul>\n\n\n\n<p><strong><strong><strong>Bu, \u00e7ocu\u011funuz i\u00e7in ne anlama geliyor?<\/strong>?<\/strong><\/strong><\/p>\n\n\n\n<p>Sa\u011fl\u0131kl\u0131 bir denge, g\u00fcvenli hareketin temelidir. Kulaktaki organ d\u00fczg\u00fcn \u00e7al\u0131\u015fmad\u0131\u011f\u0131nda, geli\u015fimsel gecikme riski \u00e7ok y\u00fcksektir.<\/p>\n\n\n\n<p><strong><strong><strong>Ne yapabilirsiniz<\/strong>?<\/strong><\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li class=\"translation-block\">Erken <a href=\"https:\/\/ivrt.de\/tr\/bas-doenmesi-hastaliklari\/denge-bozukluklari-ve-bas-doenmesi-semptomlari-icin-tanisal-testler\/\" data-type=\"post\" data-id=\"8955\" target=\"_self\">te\u015fhis<\/a>: \u0130\u015fitme kayb\u0131 varsa, \u00e7ocu\u011funuzun denge yetene\u011fini kontrol ettirin.<\/li>\n\n\n\n<li>Hedefli destek: \u00d6zel denge e\u011fitimi, motor beceri geriliklerinin kapat\u0131lmas\u0131na yard\u0131mc\u0131 olabilir.<\/li>\n\n\n\n<li>Teknoloji umudu: Gelecekte \u201edenge implantatlar\u0131\u201c, \u00e7ocuklar\u0131n hayatta yeniden daha g\u00fcvenli ad\u0131mlar atmas\u0131na yard\u0131mc\u0131 olabilir.<\/li>\n<\/ul>\n\n\n\n<p>\ud83c\udfaf <strong>\u00d6zel olarak e\u011fitilmi\u015f IVRT\u00ae ba\u015f d\u00f6nmesi ve vestib\u00fcler terapistlerimiz<\/strong> destekleyin<strong>:<\/strong> B\u00f6lgemizde ba\u015f d\u00f6nmesi tedavisi i\u00e7in uzmanlar bulun <strong><a href=\"https:\/\/ivrt.de\/tr\/etkilenenler-icin\/terapist-arama\/\" data-type=\"page\" data-id=\"101\" target=\"_blank\" rel=\"noreferrer noopener\">IVRT Terapist Arama<\/a><\/strong><\/p>\n\n\n\n<p><a id=\"_msocom_1\"><\/a><\/p>\n\n\n\n<p><\/p>\n\n\n\n<p><\/p>","protected":false},"excerpt":{"rendered":"<p>F\u00fcr Fachpersonal: Vestibul\u00e4re Unterfunktionen bei Kindern f\u00fchren oft zu St\u00fcrzen und verz\u00f6gerter motorischer Entwicklung. Eine neue Multicenter-Studie zeigt nun, wie h\u00e4ufig beidseitige Ausf\u00e4lle (bilaterale vestibul\u00e4re Hypofunktion&#8211; BVH) bei Kindern mit H\u00f6rverlust wirklich sind \u2013 und welche Folgen das hat. \ud83d\udd17 Loos E, Gerdsen M, Hazen M, et al. Bilateral vestibular hypofunction in children. Int J [&hellip;]<\/p>\n","protected":false},"author":11,"featured_media":17522,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_surecart_dashboard_logo_width":"180px","_surecart_dashboard_show_logo":true,"_surecart_dashboard_navigation_orders":true,"_surecart_dashboard_navigation_invoices":true,"_surecart_dashboard_navigation_subscriptions":true,"_surecart_dashboard_navigation_downloads":true,"_surecart_dashboard_navigation_billing":true,"_surecart_dashboard_navigation_account":true,"_jf_save_progress":"","iawp_total_views":114,"footnotes":""},"categories":[215],"tags":[],"class_list":["post-17496","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-studien-evidenz"],"_links":{"self":[{"href":"https:\/\/ivrt.de\/tr\/wp-json\/wp\/v2\/posts\/17496","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/ivrt.de\/tr\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/ivrt.de\/tr\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/ivrt.de\/tr\/wp-json\/wp\/v2\/users\/11"}],"replies":[{"embeddable":true,"href":"https:\/\/ivrt.de\/tr\/wp-json\/wp\/v2\/comments?post=17496"}],"version-history":[{"count":6,"href":"https:\/\/ivrt.de\/tr\/wp-json\/wp\/v2\/posts\/17496\/revisions"}],"predecessor-version":[{"id":17505,"href":"https:\/\/ivrt.de\/tr\/wp-json\/wp\/v2\/posts\/17496\/revisions\/17505"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/ivrt.de\/tr\/wp-json\/wp\/v2\/media\/17522"}],"wp:attachment":[{"href":"https:\/\/ivrt.de\/tr\/wp-json\/wp\/v2\/media?parent=17496"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/ivrt.de\/tr\/wp-json\/wp\/v2\/categories?post=17496"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/ivrt.de\/tr\/wp-json\/wp\/v2\/tags?post=17496"}],"curies":[{"name":"Naber","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}