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Predictors of tympanostomy tube extrusion time in otitis media with effusion
Abdulaziz K Alaraifi1, Abdullah S Alkhaldi1, Ibrahim S Ababtain1
1From the Division of Otolaryngology - Head and Neck Surgery (Alaraifi, Alkhaldi, Alsaab), Department of Surgery, King Abdulaziz Medical City, Ministry of National Guard Health Affairs, and from College of Medicine (Ababtain), King Saud bin Abdulaziz University for Health Sciences, Riyadh, Kingdom of Saudi Arabia.
Objectives:
To investigate the impact and predictors of tympanostomy tube (TT) extrusion.
Methods:
A retrospective study on 258 ears underwent TT insertion during 2016-2018 at King Abdullah Specialized Children's Hospital, Riyadh, Saudi Arabia. Patients were followed for 36-48 months postoperatively to detect the recurrence rate. The sample was divided into 2 groups based on extrusion time and were compared to determine the predictors of TT extrusion.
Results:
Otitis media with effusion (OME) recurrence after TT insertion was detected in 28.7%. A shorter TT extrusion time was associated with a higher recurrence (p=0.002). Small TTs increased the probability of early TT extrusion (odds ratio = 5.144; 95% confidence interval: [1.602-16.519]).
Conclusion:
More than one-fourth of the patients who underwent TT insertion for OME developed recurrence. Tympanostomy tube extrusion earlier than 12 months was associated with a higher recurrence rate. Small TTs increased the probability of early TT extrusion.
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