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

Published online by Cambridge University Press:  29 March 2019

H Choi ,
D Lee ,
Y Hong  and
D-K Kim
H Choi
Affiliation:
Department of Otolaryngology – Head and Neck Surgery, Daejeon St Mary's Hospital, College of Medicine, Catholic University of Korea, Daejeon, Korea
D Lee
Affiliation:
Department of Otolaryngology – Head and Neck Surgery, Daejeon St Mary's Hospital, College of Medicine, Catholic University of Korea, Daejeon, Korea
Y Hong
Affiliation:
Department of Otolaryngology – Head and Neck Surgery, Daejeon St Mary's Hospital, College of Medicine, Catholic University of Korea, Daejeon, Korea
D-K Kim*
Affiliation:
Department of Otolaryngology – Head and Neck Surgery, Daejeon St Mary's Hospital, College of Medicine, Catholic University of Korea, Daejeon, Korea
*
Author for correspondence: Dr Dong-Kee Kim, Department of Otolaryngology – Head and Neck Surgery, Daejeon St Mary's Hospital, College of Medicine, Catholic University of Korea, Daeheung-dong, Jung-gu, Daejeon, Korea E-mail: [email protected] Fax: +82 42 221 9580
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Abstract

Objective

To determine the factors related to multiple ventilation tube insertions in children with otitis media with effusion.

Methods

A retrospective review was performed of 126 ears of 81 children aged less than 12 years who had undergone insertion of a Paparella type 1 ventilation tube for the first time between August 2012 and March 2018.

Results

Mean age at the first operation was 4.0 ± 2.2 years, and the mean duration of otitis media with effusion before the first ventilation tube insertion was 5.4 ± 4.5 months. Among 126 ears, 80 (63.5 per cent) had a single ventilation tube insertion and 46 (36.5 per cent) had multiple insertions. On multivariate logistic regression, tympanic membrane retraction, serous middle-ear discharge, and early recurrence of otitis media with effusion were independent predictive factors of multiple ventilation tube insertions.

Conclusion

Tympanic membrane retraction, serous middle-ear discharge, and early recurrence of otitis media with effusion after the first tube extrusion are associated with multiple ventilation tube insertions.

Keywords

Otitis Media With EffusionVentilation, Middle EarRecurrence
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 133 , Issue 4 , April 2019 , pp. 281 - 284
Copyright
Copyright © JLO (1984) Limited, 2019 

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Footnotes

Dr D-K Kim takes responsibility for the integrity of the content of the paper

References

1Teele, DW, Klein, JO, Rosner, B. Epidemiology of otitis media during the first seven years of life in children in greater Boston: a prospective, cohort study. J Infect Dis 1989;160:83–94Google Scholar
2Rosenfeld, RM, Shin, JJ, Schwartz, SR, Coggins, R, Gagnon, L, Hackell, JM et al. Clinical practice guideline: otitis media with effusion (update). Otolaryngol Head Neck Surg 2016;154:S1–41Google Scholar
3Hellstrom, S, Groth, A, Jorgensen, F, Pettersson, A, Ryding, M, Uhlen, I et al. Ventilation tube treatment: a systematic review of the literature. Otolaryngol Head Neck Surg 2011;145:383–95Google Scholar
4Boston, M, McCook, J, Burke, B, Derkay, C. Incidence of and risk factors for additional tympanostomy tube insertion in children. Arch Otolaryngol Head Neck Surg 2003;129:293–6Google Scholar
5Kwon, C, Lee, HY, Kim, MG, Boo, SH, Yeo, SG. Allergic diseases in children with otitis media with effusion. Int J Pediatr Otorhinolaryngol 2013;77:158–61Google Scholar
6Kreiner-Moller, E, Chawes, BL, Caye-Thomasen, P, Bonnelykke, K, Bisgaard, H. Allergic rhinitis is associated with otitis media with effusion: a birth cohort study. Clin Exp Allergy 2012;42:1615–20Google Scholar
7Roditi, RE, Veling, M, Shin, JJ. Age: an effect modifier of the association between allergic rhinitis and otitis media with effusion. Laryngoscope 2016;126:1687–92Google Scholar
8Midgley, EJ, Dewey, C, Pryce, K, Maw, AR. The frequency of otitis media with effusion in British pre-school children: a guide for treatment. ALSPAC Study Team. Clin Otolaryngol 2000;25:485–91Google Scholar
9Hurst, DS. The role of allergy in otitis media with effusion. Otolaryngol Clin North Am 2011;44:637–54, viii–ixGoogle Scholar
10Irander, K, Borres, MP, Bjorksten, B. Middle ear diseases in relation to atopy and nasal metachromatic cells in infancy. Int J Pediatr Otorhinolaryngol 1993;26:1–9Google Scholar
11James, JM. Role of food allergy in serous otitis media. Ann Allergy Asthma Immunol 1995;74:277–8Google Scholar
12Maw, AR, Bawden, R, O'Keefe, L, Gurr, P. Does the type of middle ear aspirate have any prognostic significance in otitis media with effusion in children? Clin Otolaryngol 1993;18:396–9Google Scholar
13Ahn, JH, Yoon, TH, Pae, KH, Kim, TS, Chung, JW, Lee, KS. Clinical manifestations and risk factors of children receiving triple ventilating tube insertions for treatment of recurrent otitis media with effusion. Pediatrics 2006;117:e1119–23Google Scholar
14Salam, MA, Wengraf, C. Glue under pressure: a bad prognostic sign for recurrence of otitis media with effusion. J Laryngol Otol 1992;106:974–6Google Scholar
15Hassmann-Poznanska, E, Gozdziewski, A, Piszcz, M, Skotnicka, B. Long term sequelae of otitis media with effusion during childhood [in Polish]. Otolaryngol Pol 2010;64:234–9Google Scholar
16Canali, I, Petersen Schmidt Rosito, L, Siliprandi, B, Giugno, C, Selaimen da Costa, S. Assessment of Eustachian tube function in patients with tympanic membrane retraction and in normal subjects. Braz J Otorhinolaryngol 2017;83:50–8Google Scholar
17Song, CM, Park, MH, Kim, YH, Lee, JH. Factors affecting the extrusion rate of ventilation tubes. Clin Exp Otorhinolaryngol 2010;3:70–5Google Scholar
18Yaman, H, Yilmaz, S, Guclu, E, Subasi, B, Alkan, N, Ozturk, O. Otitis media with effusion: recurrence after tympanostomy tube extrusion. Int J Pediatr Otorhinolaryngol 2010;74:271–4Google Scholar
19Klopp-Dutote, N, Kolski, C, Strunski, V, Page, C. Tympanostomy tubes for serous otitis media and risk of recurrences. Int J Pediatr Otorhinolaryngol 2018;106:105–9Google Scholar