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Association of Tympanostomy Tubes With Future Risk of Advanced Ear Surgery-A Population Study

Jason A Beyea1,2, Josée Paradis3, Paul Nguyen2

  • 1Department of Otolaryngology, Kingston Health Sciences Centre.

Otology & Neurotology : Official Publication of the American Otological Society, American Neurotology Society [And] European Academy of Otology and Neurotology
|March 15, 2019
PubMed

Insights

Children who received tympanostomy tubes (TT) face a significantly higher risk of needing further ear surgeries for chronic ear disease compared to those without TT or healthy controls.

Area of Science:

  • Otolaryngology
  • Pediatric Surgery
  • Epidemiology

Background:

  • Chronic ear disease in children can necessitate surgical intervention.
  • Tympanostomy tubes (TT) are commonly used to manage middle ear conditions in pediatric patients.
  • Understanding the long-term surgical implications of TT placement is crucial for clinical decision-making.

Purpose of the Study:

  • To evaluate the risk of subsequent surgeries for chronic ear disease in children who underwent tympanostomy tube (TT) placement.
  • To compare surgical outcomes between children with TT, children with recurrent middle ear concerns without TT, and healthy controls.

Main Methods:

  • Retrospective, population-based cohort study conducted in Ontario, Canada.
  • Inclusion of three cohorts: children with TT (n=193,880), children with recurrent middle ear concerns without TT (n=203,283), and age-sex matched controls (n=961,168).
  • Analysis of risk and odds ratios for various chronic ear disease surgeries.

Main Results:

  • Children with TT demonstrated a substantially higher risk of tympanoplasty (OR 207.90 vs. controls), ossiculoplasty (OR 84.13 vs. controls), atticotomy (OR 44.78 vs. controls), and mastoidectomy (OR 89.12 vs. controls).
  • The risk of these surgeries was also significantly elevated compared to the non-surgically treated cohort.

Conclusions:

  • Tympanostomy tube placement in children is associated with a significantly increased population risk of requiring subsequent surgeries for chronic ear disease.
  • These findings highlight the long-term surgical burden in pediatric patients treated with tympanostomy tubes.
Abstract

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