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Surgery for otitis media and infectious susceptibility in 10-year old school children

Gunnhild Karevold1, Yngvild E Bentdal, Per Nafstad

  • 1Faculty Division of Akershus University Hospital, University of Oslo, Norway. gunnhild.karevold.@medisin.uio.no

International Journal of Pediatric Otorhinolaryngology
|January 27, 2009
PubMed

Insights

Children who had otitis media surgery before age 4, especially after age 4, faced higher risks of recurrent otitis media at age 10. Parental reports on tympanostomy tubes and adenoidectomy are reliable.

Area of Science:

  • Pediatric Otolaryngology
  • Epidemiology of Infectious Diseases
  • Childhood Health Outcomes

Background:

  • Otitis media (OM) is a common childhood infection requiring surgical intervention in some cases.
  • Understanding long-term infectious susceptibility after OM surgery is crucial for pediatric health.
  • Parental recall of surgical history can impact data accuracy in epidemiological studies.

Observation:

  • A population-based survey of 3406 10-year-olds in Oslo, Norway, assessed OM and surgical history.
  • Reliability of parental reports on OM surgery was evaluated in a subset of 2027 children.
  • Surgery for otitis media was performed in 10% of the cohort, with peak ages for procedures noted.

Findings:

  • Children with prior otitis media surgery had a significantly higher odds ratio (3.4) for experiencing OM at age 10.
  • Surgical intervention after age 4 further increased this risk (OR 4.2).
  • Parental reports showed high reliability for tympanostomy tubes (kappa=1.0) and adenoidectomy (kappa=0.9), but moderate for myringotomy (kappa=0.6).

Implications:

  • Previous otitis media surgery, particularly when performed later in childhood, is linked to increased infectious susceptibility.
  • Parental recall is a reliable source for tympanostomy tube and adenoidectomy history in epidemiological research.
  • These findings inform clinical practice regarding the timing of OM surgical interventions and follow-up care.
Abstract

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