Related Experiment Video

Updated: Jul 19, 2026

Noninvasive Sampling of Mucosal Lining Fluid for the Quantification of In Vivo Upper Airway Immune-mediator Levels
05:31

Noninvasive Sampling of Mucosal Lining Fluid for the Quantification of In Vivo Upper Airway Immune-mediator Levels

Published on: August 7, 2017

Predictors of chronic suppurative otitis media in children

Erwin L van der Veen1, Anne G M Schilder, Niels van Heerbeek

  • 1Department of Otorhinolaryngology, Wilhelmina Children's Hospital, and Julius Center for Health Sciences and Primary Care, University Medical Center Utrecht, Utrecht, the Netherlands. E.L.vanderVeen@umcutrecht.nl

Archives of Otolaryngology--Head & Neck Surgery
|October 18, 2006
PubMed

Insights

Tympanostomy tube insertion is the primary predictor for chronic suppurative otitis media (CSOM) in children. Recurrent ear infections and daycare attendance are key risk factors for CSOM in children with tympanostomy tubes.

Area of Science:

  • Pediatric Otolaryngology
  • Infectious Disease Epidemiology

Background:

  • Chronic suppurative otitis media (CSOM) is a common childhood infection.
  • Identifying predictive factors for CSOM is crucial for timely intervention and prevention.

Purpose of the Study:

  • To identify independent predictors for the development of CSOM in children.
  • To determine prognostic factors for CSOM in children with tympanostomy tubes.

Main Methods:

  • A case-control study design was employed.
  • Univariate and multivariate logistic regression analyses were used to identify predictors.
  • Two cohorts were analyzed: children with and without CSOM, and children with and without CSOM after tympanostomy tube insertion.

Main Results:

  • Previous tympanostomy tube insertion was a significant predictor (OR, 121.4).
  • Other predictors included frequent upper respiratory tract infections, low parental education, and older siblings.
  • In children with tympanostomy tubes, recurrent otitis media (OR, 4.9), daycare attendance (OR, 3.6), and older siblings (OR, 2.6) were significant predictors.

Conclusions:

  • Tympanostomy tube treatment is the strongest predictor of CSOM.
  • Recurrent acute otitis media is the most significant predictor of CSOM in children with tympanostomy tubes.
  • These findings should inform discussions with parents regarding tympanostomy tube insertion.
Abstract

Related Concept Videos

Chronic Obstructive Pulmonary Disease I: Introduction01:23

Chronic Obstructive Pulmonary Disease I: Introduction

Chronic obstructive pulmonary disease is a common, preventable, and treatable respiratory disorder characterized by persistent symptoms and progressive airflow limitation. This limitation results from a combination of small-airway disease (obstructive bronchiolitis) and parenchymal destruction (emphysema), both driven by chronic inflammation from exposure to harmful particles or gases.The disease includes two main pathological entities: emphysema, marked by destruction of alveolar walls and...
Chronic Obstructive Pulmonary Disease III: Chronic Bronchitis Features01:24

Chronic Obstructive Pulmonary Disease III: Chronic Bronchitis Features

Chronic bronchitis is a key phenotype of chronic obstructive pulmonary disease (COPD), characterized by airway-centered inflammation and mucus overproduction. It develops from long-term exposure to harmful particles or gases, most commonly cigarette smoke, which triggers a persistent inflammatory response.Cellular and Structural ChangesInflammation initially affects the large bronchi and later the smaller airways, with infiltration by immune cells, including neutrophils, macrophages, and...
Chronic Pharyngitis01:23

Chronic Pharyngitis

Chronic pharyngitis refers to persistent inflammation of the pharyngial mucosa.
Etiology
It often arises from persistent viral or bacterial infections affecting sinuses and tonsils.
Additional contributing factors include inadequate dental hygiene, mouth breathing, recurring tonsillitis, allergic rhinitis, laryngopharyngeal reflux, and exposure to smoke, chemicals, and other environmental pollutants. Allergic reactions to pollen, mold, and pet dander, chronic cough, excessive voice usage,...
Chronic Obstructive Pulmonary Disease-I: Introduction01:20

Chronic Obstructive Pulmonary Disease-I: Introduction

Chronic Obstructive Pulmonary Disease (COPD) is a long-lasting respiratory condition requiring continuous attention and care. It is a progressive lung disease that leads to breathing challenges due to airflow obstruction. It manifests as persistent respiratory symptoms and restricted airflow resulting from abnormalities in the airways and alveoli, usually due to long-term exposure to harmful particles or gases. COPD mainly consists of two primary conditions: emphysema and chronic bronchitis.
Microbiota of the Respiratory Tract01:29

Microbiota of the Respiratory Tract

The human respiratory tract, comprising the upper and lower segments, serves as a critical interface with the external environment. The upper respiratory tract (URT)—including the nostrils, sinuses, pharynx, and oropharynx—is heavily colonized by microbes, while the lower respiratory tract (LRT), composed of the larynx, trachea, bronchi, and lungs, was long thought to be sterile. However, recent molecular studies have revealed that the lungs are not devoid of microbes but act more like...
Chronic Obstructive Pulmonary Disease01:24

Chronic Obstructive Pulmonary Disease

COPD is defined as a heterogeneous lung condition marked by persistent respiratory symptoms such as dyspnea, cough, and sputum production, caused by abnormalities in the airways that cause airflow obstruction.
Smoking is a primary risk factor for COPD, with over 80% of patients having a history of it. Patients typically experience progressive dyspnea or labored breathing, frequent coughing, and recurrent pulmonary infections. Many eventually succumb to respiratory failure, characterized by...