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Analysis of factors associated with multiple ventilation tube insertions in children with otitis media with effusion

H Choi1, D Lee1, Y Hong1

  • 1Department of Otolaryngology - Head and Neck Surgery,Daejeon St Mary's Hospital,College of Medicine,Catholic University of Korea,Daejeon,Korea.

The Journal of Laryngology and Otology
|March 30, 2019
PubMed

Insights

Tympanic membrane retraction, middle-ear discharge, and early recurrence of otitis media with effusion predict the need for multiple ventilation tube insertions in children. These factors aid in managing recurrent ear infections.

Area of Science:

  • Otolaryngology
  • Pediatric Medicine
  • Medical Research

Background:

  • Otitis media with effusion (OME) is common in children, often requiring ventilation tube insertion.
  • Recurrent OME and multiple tube insertions can impact hearing and development.
  • Identifying predictive factors for multiple insertions is crucial for effective management.

Purpose of the Study:

  • To identify factors associated with multiple ventilation tube insertions in pediatric patients with OME.
  • To understand predictors for repeat tympanostomy tube placement.

Main Methods:

  • Retrospective review of 126 ears from 81 children under 12 years old.
  • Analysis of patients undergoing their first Paparella type 1 ventilation tube insertion between August 2012 and March 2018.
  • Multivariate logistic regression to determine independent predictive factors.

Main Results:

  • The mean age at first surgery was 4.0 years.
  • 63.5% of ears required a single tube insertion, while 36.5% needed multiple insertions.
  • Tympanic membrane retraction, serous middle-ear discharge, and early OME recurrence were significant predictors of multiple insertions.

Conclusions:

  • Tympanic membrane retraction, serous middle-ear discharge, and early OME recurrence are independently associated with the need for multiple ventilation tube insertions.
  • These findings can help clinicians anticipate and manage cases requiring repeat tube placements.
Abstract

Keywords:
Middle EarOtitis Media With EffusionRecurrenceVentilation

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