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1 results

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

  • H Choi, D Lee, Y Hong, D-K Kim
  • Journal:
    The Journal of Laryngology & Otology / Volume 133 / Issue 4 / April 2019
    Published online by Cambridge University Press:
    29 March 2019, pp. 281-284
    Print publication:
    April 2019
  • 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.