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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: cider12@catholic.ac.kr 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

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