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[Analysis of related factors of recurrent otitis media with effusion in children]
1Department of Otorhinolaryngology, Children's Hospital of Nanjing Medical University, Nanjing, 210008, China.
Insights
Recurrent otitis media with effusion in children is linked to enlarged adenoids and tonsils, sinusitis, allergies, and reflux. Early, individualized treatment is key for better outcomes.
Area of Science:
- Pediatric Otolaryngology
- Epidemiology of Childhood Illnesses
Background:
- Recurrent otitis media with effusion (OME) poses a significant challenge in pediatric healthcare.
- Identifying factors contributing to OME recurrence is crucial for effective management.
Purpose of the Study:
- To investigate the key factors influencing recurrent episodes of otitis media with effusion in children.
- To analyze the effectiveness of symptomatic treatments for OME.
Main Methods:
- Retrospective analysis of clinical data from 210 children with OME.
- Logistic regression used to identify significant recurrence factors.
- Evaluation of treatment outcomes including tympanocentesis and tympanostomy tube insertion.
Main Results:
- Adenoid hypertrophy (grades III-IV), tonsil hypertrophy (grade IV), sinusitis, positive allergens, upper respiratory tract infections, gastroesophageal reflux, cleft palate, and younger age were significant risk factors for OME recurrence (P<0.05).
- Factors like duration, gender, passive smoking, and prior OME history showed no significant statistical impact (P>0.05).
- Treatment resulted in a total effective rate of 93.50% for recurrent OME cases.
Conclusions:
- Enlarged adenoids and tonsils, sinusitis, allergies, reflux, cleft palate, and young age are associated with recurrent OME in children.
- Individualized treatment plans addressing these specific factors are recommended for optimal management.
- Prompt and targeted interventions can significantly improve outcomes for children suffering from recurrent OME.
Abstract:
Objective:To investigate the influencing factors of recurrent episodes of otitis media with effusion in children.Method:A retrospective summary of the clinical data of 210 cases of children with otitis media with effusion, 75 cases of recurrence after treatment, 135 cases were recovered, the recurrence of the related factors and after symptomatic treatment effect is analyzed.Result:Logistic regression analysis results found that adenoid hypertrophy (Ⅲ°, Ⅳ°), tonsil hypertrophy (Ⅳ°) and sinusitis (including choanal polyp), a positive allergens, upper respiratory tract infection, the stomach esophagus regurgitation, cleft palate, younger age has significant effect on recurrence of otitis media with effusion, have significant difference (P< 0.05). And the influence of duration, gender, passive smoking history and previous medical history of otitis media with effusion has no obvious statistical significance (P> 0.05). Through the comparison among different age groups, adenoidectomy Ⅲ °, Ⅳ ° hypertrophy tract infections in > 3-6 years old group has significant effect (P< 0.05), recurrent respiratory tract infections in less than 3 years old group and the group of children aged > 3-6 years OME recurrence has significant effect (P< 0.05). By tympanocentesis or tympanostomy tube insertion and according to different conditions to take symptomatic treatment, 75 cases (123 ears) were cured 96 ears (78.05%), 19 ears were improved (15.45%), the total effective rate was 93.50%, ineffective in 8 ears (6.50%).Conclusion:Adenoid hypertrophy (Ⅲ°, Ⅳ°), tonsil hypertrophy (Ⅳ°), sinusitis, nasal polyps, allergic diseases and upper respiratory tract infection gastroesophageal reflux, cleft palate and younger age may be adverse factors related to recurrent otitis media with effusion in children, the clinical doctors should pay attention to these symptoms, according to different causes, adopt individualized treatment plan, make children get the best treatment as soon as possible.
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