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Prognostic factors of early-onset otitis media with effusion in children treated using tympanostomy

Maki Inoue1, Kouji Yamamoto2, Mariko Hirama3

  • 1Department of Otorhinolaryngology, Kanagawa Children's Medical Center, Yokohama, Japan.

Acta Oto-Laryngologica
|August 12, 2021
PubMed

Insights

Predicting otitis media with effusion (OME) in children is challenging. A smaller mastoid air cell system (MACS) size at 3 years and shorter ventilation tube (VT) duration predict the need for repeat tympanostomy in early-onset OME.

Area of Science:

  • Pediatric Otolaryngology
  • Otolaryngology
  • Medical Prognostics

Background:

  • Predicting the prognosis of early-onset otitis media with effusion (OME) in children presents significant clinical challenges.
  • Early identification of prognostic factors is crucial for timely intervention and management of OME.

Purpose of the Study:

  • To identify prognostic factors for otitis media with effusion (OME) in children undergoing tympanostomy at one year of age.
  • To evaluate the predictive value of mastoid air cell system (MACS) size and ventilation tube (VT) duration for OME recurrence.

Main Methods:

  • Retrospective analysis of 66 children (123 ears) with OME, followed up to age six.
  • Prognostic factors analyzed included VT duration, otorrhea history, asthma, adenoidectomy, and MACS size at ages one and three.
  • OME prognosis was determined by the need for re-tympanostomy.

Main Results:

  • Twenty-five ears required re-tympanostomy (Group 1), while 98 did not (Group 2).
  • Mean MACS size at age three was significantly smaller in Group 1 (314 mm²) compared to Group 2 (441 mm²).
  • The combination of MACS size at age three and VT duration demonstrated the highest predictive accuracy (area under the curve).

Conclusions:

  • The combination of MACS size at three years and the duration of the first ventilation tube placed is the most significant prognostic factor for OME.
  • These findings can aid in predicting the need for repeat tympanostomy in children with early-onset OME.
Abstract

Keywords:
Adenoidectomyasthmamastoid air cell systemotitis media with effusionotorrheare-tympanostomytympanostomy

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