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Tympanostomy tubes for serous otitis media and risk of recurrences

Nathalie Klopp-Dutote1, Catherine Kolski1, Vladimir Strunski1

  • 1ENT and Head & Neck Surgery Department, Amiens University Hospital, France.

International Journal of Pediatric Otorhinolaryngology
|February 16, 2018
PubMed

Insights

Younger age at tympanostomy tube (TT) placement and shorter TT retention time increase the risk of recurrent serous otitis media (SOM). TT duration and number of placements did not impact long-term complications.

Area of Science:

  • Otolaryngology
  • Pediatric Medicine
  • Epidemiology

Background:

  • Serous otitis media (SOM) is a common pediatric condition often managed with tympanostomy tubes (TTs).
  • Understanding factors influencing SOM recurrence and TT management is crucial for optimal patient outcomes.

Purpose of the Study:

  • To evaluate the effectiveness of tympanostomy tubes (TTs) in managing serous otitis media (SOM).
  • To identify risk factors associated with the recurrence of SOM after TT insertion.

Main Methods:

  • A single-centre cohort study involving 215 children under 12 years old who received bilateral TT placements for SOM.
  • Data collected on TT retention time, recurrence rates, complications, and potential risk factors.

Main Results:

  • SOM recurred in 62.79% of children, necessitating further TT placements in many cases.
  • Significant risk factors for SOM recurrence included younger age (under 48 months) at TT placement and TT retention time under 9 months.
  • Common complications included otorrhoea, retraction pockets, tympanosclerosis, and tympanic membrane perforations.

Conclusions:

  • Age at TT insertion and TT retention duration are key predictors of SOM recurrence.
  • TT retention time and the number of TT placements were not linked to an increased risk of long-term complications.
Abstract

Keywords:
Serous otitis mediaTympanostomy tube

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