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Trends in otitis media surgery: a decrease in adenoidectomy.

Johanna Haapkylä1, Gunnhild Karevold, Kari Jorunn Kvaerner

  • 1Department of Otorhinolaryngology, Helsinki University Central Hospital, PL 220, 00029 HUS, Finland. johanna.haapkyla@Helsinki.fi

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Pediatric adenoidectomy rates declined in Finland and Norway between 1999-2005. Tympanostomy tube insertions rose in Finland but remained stable in Norway, indicating differing otitis media surgical approaches.

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Area of Science:

  • Otolaryngology
  • Pediatric Surgery
  • Public Health

Background:

  • Significant variability in adenoidectomy and tympanostomy tube insertion rates between Norway and Finland has been suggested.
  • Understanding these trends is crucial for optimizing pediatric ear and throat surgical practices.

Purpose of the Study:

  • To compare trends in pediatric adenoidectomies and tympanostomy tube insertions in Norway and Finland from 1999 to 2005.
  • To investigate age and gender-related patterns in these surgical procedures.

Main Methods:

  • Utilized national Finnish (STAKES) and Norwegian (NPR) databases.
  • Analyzed data for children aged 0-7 years operated between 1999-2005.
  • Compared surgical rates based on child density, age, and gender.

Main Results:

  • Adenoidectomies were consistently higher in Finland, with marked decreases in both countries (Finland: 212 to 133; Norway: 84 to 44 per 10,000 children).
  • Tympanostomy tube insertions increased in Finland (97 to 147 per 10,000) but were stable in Norway (119 to 123 per 10,000).
  • Peak age for otitis media surgery differed (Finland: 2 years; Norway: 6 years), with boys more frequently operated on in both nations.

Conclusions:

  • Confirmed distinct approaches to otitis media surgery between Finland and Norway.
  • Revealed a decreasing trend in adenoidectomies in both countries.
  • Highlighted the need for similar international data to validate findings on adenoidectomy trends.