Clinical Manifestations and Risk Factors of Children Receiving Triple Ventilating Tube Insertions for Treatment of Recurrent Otitis Media With Effusion

Abstract

The probability of receiving additional ventilating tube insertion because of recurrent otitis media with effusion significantly increased in younger patients at the time of first ventilating tube insertion. The concurrent adenoidectomy, duration of the ventilating tube, postoperative otorrhea within 1 month, and early extrusion of the ventilating tube also influenced the probability of additional ventilating tube insertion.

Otitis media with effusion: Recurrence after tympanostomy tube extrusion

“…In the present study, male patients were more likely to undergo tympanostomy tube insertion than females, consistent with many of the previous studies. However, sex was not a risk factor for additional tube insertion [4,8]. In our study also sex was not a risk factor for OME recurrence after extrusion of tympanostomy tubes.…”

“…In addition the recurrence rate of OME in children was found to be higher at ages from 2 to 5 years than from 7 to 8 years [11]. Ahn et al [4] found that the probability of receiving additional tube insertion due to recurrent OME significantly increased in younger patients at the time of first tympanostomy tube insertion. In another study, being a child younger than 18 months at the time of first tympanostomy tube insertion increased the risk for additional tube insertions [8].…”

“…Myringotomy with tympanostomy tube insertion, performed following a failure of medical treatment or no spontaneous resolution of the middle ear effusion, is one of the most frequently performed surgical procedures in children [1][2][3][4][5][6]. Although this procedure is commonly performed, there is no certain consensus respecting the effective length of tube stay in place, the time of tube removal, effect of adenoidectomy and the most appropriate type-tubes.…”

“…[7] found that there was no correlation between adenoidectomy and the recurrence rate of OME. However, two studies showed that adenoidectomy reduced the need for additional tympanostomy tube insertion [4,8]. Adenoidectomy was recommended by Paradise et al [9] for children with recurrent OME after extrusion of tympanostomy tubes.…”

Prevalence of otitis media with effusion among school age children in rural parts of Konya province, Turkey

“…[2] The etiology of chronic serous otitis media is multifactorial which includes adenoid hypertrophy, infection (viral or bacterial), allergy, environment and social factors. [3] Geographic and socioeconomic factors such as overcrowding, poor diet and lack of health care may contribute to the development of otitis media. Other risk factors include male gender, bottle feeding and feeding position.…”