Meta‐Analysis of Tympanostomy Tube Sequelae

Kay, David J.; Nelson, Magalie; Rosenfeld, Richard M.

doi:10.1067/mhn.2001.113941

Cited by 394 publications

(464 citation statements)

References 11 publications

(15 reference statements)

Supporting

Mentioning

394

Contrasting

Unclassified

Order By: Relevance

“…There are approximately 2.2 million episodes of OME diagnosed every year in the United States, causing expenses of nearly US$4 billion 4 . Currently, myringotomy with insertion of ventilation tubes is one of the two most common surgical procedures in NorthAmerican children and the main reason for children to take general anesthesia 5 . Even though considered a simple procedure with significant benefits, VT insertion may present undesirable consequences.…”

Section: Introductionmentioning

confidence: 99%

Seqüelas de tubos de ventilação em crianças com otite média com efusão: um seguimento de três anos

Pereira¹,

Pereira

Costa

2005

Rev. Bras. Otorrinolaringol.

View full text Add to dashboard Cite

Tympanost omy tube (TT) insertion is one of the most frequently performed procedures in otolaryngology. Otorrhea, tympanosclerosis, retraction, perforation, and cholesteatoma are complications reported in the literature after its application. Aim: To determine the incidence and the type of TT insertion sequelae/complications in children presenting with recurrent otitis media and chronic otitis media with effusion undergoing myringotomy and tube placement. Study Design: prospective cohort study. Material and Method: A total of 75 children (150 ears) aged 11 months to 10 years were regularly followed up for up to 38 months after TT insertion. Results: Incidence of sequelae/complications: otorrhea -47.3% of the ears; perforation -2.1%; retractions -39.7%; tympanosclerosis -23.3%. Average length of stay: 12.13 months. Mean age at initial tube placement of children not requiring a second set of tubes = 35.9 months and mean age at initial tube insertion of children requiring an additional set of tubes = 25.6 months (P=0.04). TT stayed longer in the ears that had more episodes of otorrhea (P=0.01). TT insertion with adenoidectomy was associated with a smaller number of otorrhea episodes (P=0.02) Conclusions: Otorrhea was the most frequently found complication. TT placement with adenoidectomy was associated with fewer otorrhea episodes. TT extruded later in those ears that had more episodes of otorrhea. Younger age at the time of the initial tube placement is associated with higher incidence of additional tube placement. One in six patients will probably require a second set of ventilation tubes.

show abstract

Section: Introductionmentioning

confidence: 99%

Seqüelas de tubos de ventilação em crianças com otite média com efusão: um seguimento de três anos

Pereira¹,

Pereira

Costa

2005

Rev. Bras. Otorrinolaringol.

View full text Add to dashboard Cite

show abstract

“…These sequelae include residual perforation of the tympanic membrane (TM), tympanosclerosis, segmental atrophy, retraction or retraction pocket, cholesteatoma, and hearing loss. 6,7 The extent to which these sequelae are attributable to M&T itself or to the middle-ear disease that prompted the procedure or to both has not been clear. Also unclear and the subject of controversy has been the extent to which the untoward sequelae of M&T might be offset by possible benefits in regard to children's later development.…”

mentioning

confidence: 99%

Tympanic Membrane Abnormalities and Hearing Levels at the Ages of 5 and 6 Years in Relation to Persistent Otitis Media and Tympanostomy Tube Insertion in the First 3 Years of Life: A Prospective Study Incorporating a Randomized Clinical Trial

et al. 2004

View full text Add to dashboard Cite

ABSTRACT. Objective. One current practice guideline recommends myringotomy with tympanostomy tube insertion (M&T) for young children in whom middle-ear effusion (MEE) has persisted for 3 months, and another recommends the procedure after MEE has persisted for 4 to 6 months provided that a bilateral hearing loss of >20 dB is present. Sequelae of M&T are not uncommon, but the extent to which these sequelae are attributable to M&T itself or to the middle-ear disease that prompted the procedure or to both has not been clear. Our objective in the present study was to examine the prevalence of various tympanic membrane (TM) abnormalities in otherwise healthy children at the age of 5 years and hearing levels at the age of 6 years in relation to persistent MEE and M&T in the children's first 3 years of life.Methods. In a prospective study of child development in relation to early-life otitis media, we randomly assigned 429 children who met specified criteria regarding the persistence of MEE in their first 3 years of life to undergo M&T either promptly (the "early-treatment" group) or after a defined extended period if MEE remained present (the "late-treatment" group). We also followed a representative sample of 241 children who ranged from having no MEE to having MEE whose cumulative duration fell just short of meeting randomization criteria for the clinical trial (the "nontrial" group). Most of the children in each group underwent both otomicroscopic examination at the age of 5 years and audiometric testing at the age of 6 years, at times when they were free of MEE. Among these children, M&T had been performed in 82.3% of those in the early-treatment group, 38.1% of those in the late-treatment group, and 3.0% of those in the nontrial group.Results. At the age of 5 years, we found 1 or more types of TM abnormality in 1 or both ears in 70.7%, 42.5%, and 9.5% of the children in the early-treatment, late-treatment, and nontrial groups, respectively. Within the 3 groups, however, among children who received tubes, the proportions who had an abnormality of some type were similar, namely, 82.6%, 80.4%, and 83.3%, respectively. The corresponding proportions among children who had not received tubes were 15.4%, 19.3%, and 7.2%, respectively. Segmental atrophy and tympanosclerosis were the most common abnormalities found. At the age of 6 years, mean pure-tone average audiometric thresholds in the early-treatment, late-treatment, and nontrial groups, respectively, were 6.18 dB, 5.49 dB, and 4.63 dB in left ears and 6.17 dB, 6.02 dB, and 4.32 dB in right ears. The thresholds in the early-and late-treatment groups did not differ significantly, but the thresholds in the early-and late-treatment groups were each significantly higher than in the nontrial group. Within the early-and late-treatment groups, we found no significant relation between hearing levels and the presence or type of TM abnormalities.Conclusion. In otherwise healthy children who have persistent MEE during their first 3 years of life, ready resort to M&T results in ...

show abstract

“…Among the various types of complications, tympanosclerosis and otorrhea generally present transient but common sequelae following VTI [73,74], with other studies reported permanent perforations and cholesteatoma [73,75,76]. As for the occlusion of grommets, infection, and the presence of granulation tissue, the evidence was too limited and blurred to determine the direction of effects between VTI and adverse events in CLP children with OME.…”

Section: Vti Versus Non-vtimentioning

confidence: 84%

Tympanostomy Tube Placement for Otitis Media with Effusion in Children with Cleft Lip and Palate

Kuo¹,

Shiao²

2017

Designing Strategies for Cleft Lip and Palate Care

View full text Add to dashboard Cite

The condition of cleft lip/palate (CLP) in children is psychologically stressful for family members and debilitating for the patients themselves. These children must undergo a series of major invasive surgeries following birth, including cleft lip repair surgery, cleft palate repair surgery, bone grafting surgery, and dental implant surgery. Unfortunately, the clinical significance of otitis media with effusion (OME), a complication associated with CLP, is often overlooked, and very few studies have explored this condition in depth. This chapter reviews pathogenesis, clinical manifestations, consequences, examination, and diagnosis related to OME in children with CLP. Controversies surrounding the treatment of OME in CLP children are also discussed. We also provide a flowchart for management guidance in OME in children with CLP.

show abstract

Meta‐Analysis of Tympanostomy Tube Sequelae

Cited by 394 publications

References 11 publications

Seqüelas de tubos de ventilação em crianças com otite média com efusão: um seguimento de três anos

Seqüelas de tubos de ventilação em crianças com otite média com efusão: um seguimento de três anos

Tympanic Membrane Abnormalities and Hearing Levels at the Ages of 5 and 6 Years in Relation to Persistent Otitis Media and Tympanostomy Tube Insertion in the First 3 Years of Life: A Prospective Study Incorporating a Randomized Clinical Trial

Tympanostomy Tube Placement for Otitis Media with Effusion in Children with Cleft Lip and Palate

Contact Info

Product

Resources

About