Predictors for Postoperative Otorrhea Following Tympanostomy Tube Insertion

Gs, Giebink; Daly, Kathleen A.; Dj, Buran; Satz, M; Ayre, T

doi:10.1001/archotol.1992.01880050037009

Cited by 54 publications

(46 citation statements)

References 5 publications

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“…We selected candidate predictors based on their suggested or shown association with OM or TTO in the literature (see table 1 for definitions) [7]–[10], [12]–[15], [17], [18]. First, we assessed the relation between each of the candidate predictors and our main outcome (one or more episodes of TTO in the time period since tympanostomy tube placement).…”

Section: Methodsmentioning

confidence: 99%

Parent-Reported Otorrhea in Children with Tympanostomy Tubes: Incidence and Predictors

et al. 2013

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PurposeAlthough common in children with tympanostomy tubes, the current incidence of tympanostomy tube otorrhea (TTO) is uncertain. TTO is generally a sign of otitis media, when middle ear fluid drains through the tube. Predictors for otitis media are therefore suggested to have predictive value for the occurrence of TTO.ObjectiveTo determine the incidence of TTO and its predictors.MethodsWe performed a cohort study, using a parental web-based questionnaire to retrospectively collect data on TTO episodes and its potential predictors from children younger than 10 years of age with tympanostomy tubes.ResultsOf the 1,184 children included in analyses (total duration of time since tube placement was 768 person years with a mean of 7.8 months per child), 616 children (52%) experienced one or more episodes of TTO. 137 children (12%) had TTO within the calendar month of tube placement. 597 (50%) children had one or more acute TTO episodes (duration <4 weeks) and 46 children (4%) one or more chronic TTO episodes (duration ≥4 weeks). 146 children (12%) experienced recurrent TTO episodes. Accounting for time since tube placement, 67% of children developed one or more TTO episodes in the year following tube placement. Young age, recurrent acute otitis media being the indication for tube placement, a recent history of recurrent upper respiratory tract infections and the presence of older siblings were independently associated with the future occurrence of TTO, and can therefore be seen as predictors for TTO.ConclusionsOur survey confirms that otorrhea is a common sequela in children with tympanostomy tubes, which occurrence can be predicted by age, medical history and presence of older siblings.

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Section: Methodsmentioning

confidence: 99%

Parent-Reported Otorrhea in Children with Tympanostomy Tubes: Incidence and Predictors

et al. 2013

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“…A distinction should be made between early otorrhea, which appears within 2-4 weeks after the operation, and delayed otorrhea, which occurs several months postoperatively [40]. The prevalence of early otorrhea ranges from 10 to 20% [4,5,19,22,26,36,57,65,66,81], whereas delayed otorrhea seems to be more frequent, occurring in 26% of cases [36]. Other studies have reported even higher rates of otorrhea, up to 50% of cases within a 3-year observation period [41,42] and even 83% in a study on children up to 36 months old at the time of insertion.…”

Section: Otorrheamentioning

confidence: 99%

Grommets in otitis media with effusion: the most frequent operation in children. But is it associated with significant complications?

Vlastarakos

Nikolopoulos²,

Korres

et al. 2007

Eur J Pediatr

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“…Early postoperative otorrhea develops in approximately 5% to 10% of patients. [11][12][13][14] Several authors have noted an increased incidence when active infection is present at the time of tube placement, as indicated by culture or mucoid effusion. 13,14 Otorrhea may occur at any time during intubation in approximately 20% of patients.…”

Section: Commentmentioning

confidence: 99%

Complications of Tympanostomy Tubes Inserted for Facilitation of Hyperbaric Oxygen Therapy

Clements

Vrabec²,

Mader³

1998

Arch Otolaryngol Head Neck Surg

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Predictors for Postoperative Otorrhea Following Tympanostomy Tube Insertion

Cited by 54 publications

References 5 publications

Parent-Reported Otorrhea in Children with Tympanostomy Tubes: Incidence and Predictors

Parent-Reported Otorrhea in Children with Tympanostomy Tubes: Incidence and Predictors

Grommets in otitis media with effusion: the most frequent operation in children. But is it associated with significant complications?

Complications of Tympanostomy Tubes Inserted for Facilitation of Hyperbaric Oxygen Therapy

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