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[An analysis on the relationship between indwelling time after tube insertion and recurrence in children with

X M Wan1, J Yang2

  • 1Department of Otorhinolaryngology-Head and Neck Surgery,Chengdu First People's Hospital,Chengdu, 610000,China.

Lin Chuang Er Bi Yan Hou Tou Jing Wai Ke Za Zhi = Journal of Clinical Otorhinolaryngology Head and Neck Surgery
|June 6, 2018
PubMed

Insights

Secretory otitis media (SOM) recurrence is higher in children aged 3-6 years. Shorter ventilation tube indwelling times and allergic rhinitis increase recurrence risk after tube removal.

Area of Science:

  • Otolaryngology
  • Pediatric Medicine
  • Allergy and Immunology

Background:

  • Secretory otitis media (SOM) is a common condition in children.
  • Ventilation tube insertion is a standard treatment for persistent SOM.
  • Understanding recurrence factors is crucial for effective management.

Purpose of the Study:

  • To investigate the association between ventilation tube indwelling time and recurrence rates in pediatric SOM patients.
  • To identify risk factors for SOM recurrence after tube removal or extrusion.

Main Methods:

  • Retrospective analysis of medical history and clinical data from 465 pediatric SOM patients who underwent tube insertion.
  • Follow-up data collection to assess recurrence and associated factors.
  • Statistical analysis to determine the relationship between indwelling time, allergic rhinitis, and recurrence.

Main Results:

  • The overall recurrence rate of SOM after tube removal or extrusion was 30.73% in 576 treated ears.
  • Recurrence was more frequent in children aged 3-6 years.
  • Shorter indwelling times (especially < 6 months) and the presence of allergic rhinitis were significantly associated with higher recurrence rates.
  • An indwelling time exceeding 13 months correlated with a significantly lower recurrence rate.
  • Allergic rhinitis prevalence was higher in recurrent cases (59.62%) compared to healed cases (38.67%).

Conclusions:

  • SOM recurrence is common in young children (3-6 years old).
  • Ventilation tube indwelling time and comorbid allergic rhinitis are key predictors of SOM recurrence.
  • Optimizing ventilation tube indwelling duration may reduce post-removal recurrence rates.

Keywords:
otitis media，secretoryrecurrencerhinitis，allergictube insertion

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