(1) Background: To assess the prevalence and frequency distribution of balance disorders in children and adolescents to delineate the planning of a targeted clinical and instrumental diagnostic work-up; (2) Methods: Retrospective analysis of the clinical documentation of patients under 18 years suffering from balance disorders from 2010 to 2019. Detailed collection of clinical history, accurate clinical examination, including both nystagmus and vestibulospinal signs examinations, and specific instrumental testing were the basis of the diagnostic process. (3) Results: A total of 472 participants were included in the study. Vestibular loss (26.1%) was the most frequent cause of vertigo in children, followed by vestibular migraine (21.2%) and benign paroxysmal positional vertigo (10.2%). In 1.1% of patients, the cause of vertigo remained undefined; (4) Conclusions: The diagnostic process applied was effective in understanding the cause of balance disorders in most cases and prevents more complex and expensive investigations reserved for only a few selected cases.

L’obiettivo dello studio è stato quello di riportare 15 anni di esperienza, nel territorio Siciliano, con l’utilizzo della voce protesica (VP), analizzando le differenti variabili che hanno influenzato il successo o il fallimento riabilitativo vocale. L’analisi clinica retrospettiva è stata condotta revisionando le storie cliniche di 95 pazienti affetti da carcinoma laringeo, nei quali una protesi vocale era stata posizionata a mezzo di una puntura tracheoesofagea tra il 1998 e il 2013. Età, tipologia neoplastica, tipo di chirurgia, utilizzo di radioterapia, complicanze e cause di successo o fallimento protesico riabilitativo erano analizzate. I risultati hanno mostrato una Harrison-Robillard- Schultz (HRS) TEP rating scale media di 11,8 in TEP primaria e di 12,6 in TEP secondaria (P =0,613). PORT non ha influito sul successo riabilitativo globale. In questi pazienti l’HRS media è stata di 11.2 in primaria e 12 in TEP secondaria (P =0,648). Complessivamente, il successo a lungo termine è stato 87,5%, con 84% in primaria e 91% in TEP secondaria. I risultati ottenuti dall’analisi retrospettiva su 15 anni di attività protesico riabilitativa condotta nel territorio siciliano hanno evidenziato un elevato standard riabilitativo, in termini di complicanze intra e postoperatorie, patologia fistolo correlata e successo riabilitativo globale.

The aim of this study was to assess the prevalence and analyze clinical parameters of benign positional paroxysmal vertigo (BPPV) in a pediatric age. A cohort of 423 children under the age of 15 (median age 11. interquartile range 9–13) was submitted to vestibular assessment for balance disorders. Dix-Hallpike and Roll-Supine tests were performed to look for positioning nystagmus using video-infrared goggles. BPPV was found in 43 of 423 children evaluated for balance disorders (10.2%). There were 28 females (65.1%) and 15 (34.9%) males. The posterior canal was involved in 79% of cases and the horizontal canal in 21% of cases. No apogeotropic bilateral or anterior canal form were seen. Thus, BPPV is not an infrequent type of vertigo in children and must be evaluated as soon as possible in order to plan the most appropriate maneuver and restore daily activities as soon as possible, avoiding anxiety and fear.