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Eustachian tube function before recurrence of otitis media with effusion.
Arch Otolaryngol Head Neck Surg. 2005 Feb; 131(2):118-23.AO

Abstract

OBJECTIVE

To study the role of eustachian tube function in the development of recurrent otitis media with effusion (OME) in children treated with tympanostomy tubes for OME.

DESIGN

Prospective cohort study.

SETTING

Three academic and general hospitals.

PATIENTS

Children aged 2 to 7 years with a first clinical episode of OME that persisted for at least 3 months; 136 (81%) of 168 eligible children participated. All children received tympanostomy tubes for bilateral OME at study entry.

MAIN OUTCOME MEASURE

Recurrence of OME within 6 months of tube extrusion.

RESULTS

No statistically significant differences were present in eustachian tube function test results between ears that developed recurrent OME and those that did not. The difference in passive ventilatory function between ears with and without OME recurrence was 10 daPa (95% confidence interval, -24 to 43 daPa) for opening pressure and -3 daPa (95% confidence interval, -18 to 11 daPa) for closing pressure. The overall difference in the proportion of ears with and without OME recurrence that could not equilibrate positive and negative applied pressures was 12% (95% confidence interval, -2% to 26%). The proportions of ears with and without OME recurrence that induced negative pressure in the middle ear by forcefully sniffing were 22% and 31%, respectively (P = .75).

CONCLUSION

Measurement of ventilatory and protective eustachian tube function using the forced response test, the pressure equilibration test, and the sniff test has no value in predicting whether children have an increased risk of OME recurrence.

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Authors+Show Affiliations

Straetemans M
Department of Epidemiology, University Medical Centre Nijmegen, 6500 HB Nijmegen, the Netherlands.
van Heerbeek N
No affiliation info available
Schilder AG
No affiliation info available
Feuth T
No affiliation info available
Rijkers GT
No affiliation info available
Zielhuis GA
No affiliation info available

MeSH

Child, PreschoolEustachian TubeFemaleHumansMaleMiddle Ear VentilationOtitis Media with EffusionProspective StudiesRecurrence

Pub Type(s)

Journal Article
Multicenter Study
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

15723942

Citation

Straetemans, Masja, et al. "Eustachian Tube Function Before Recurrence of Otitis Media With Effusion." Archives of Otolaryngology--head & Neck Surgery, vol. 131, no. 2, 2005, pp. 118-23.
Straetemans M, van Heerbeek N, Schilder AG, et al. Eustachian tube function before recurrence of otitis media with effusion. Arch Otolaryngol Head Neck Surg. 2005;131(2):118-23.
Straetemans, M., van Heerbeek, N., Schilder, A. G., Feuth, T., Rijkers, G. T., & Zielhuis, G. A. (2005). Eustachian tube function before recurrence of otitis media with effusion. Archives of Otolaryngology--head & Neck Surgery, 131(2), 118-23.
Straetemans M, et al. Eustachian Tube Function Before Recurrence of Otitis Media With Effusion. Arch Otolaryngol Head Neck Surg. 2005;131(2):118-23. PubMed PMID: 15723942.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Eustachian tube function before recurrence of otitis media with effusion. AU - Straetemans,Masja, AU - van Heerbeek,Niels, AU - Schilder,Anne G M, AU - Feuth,Ton, AU - Rijkers,Ger T, AU - Zielhuis,Gerhard A, PY - 2005/2/23/pubmed PY - 2005/3/19/medline PY - 2005/2/23/entrez SP - 118 EP - 23 JF - Archives of otolaryngology--head & neck surgery JO - Arch Otolaryngol Head Neck Surg VL - 131 IS - 2 N2 - OBJECTIVE: To study the role of eustachian tube function in the development of recurrent otitis media with effusion (OME) in children treated with tympanostomy tubes for OME. DESIGN: Prospective cohort study. SETTING: Three academic and general hospitals. PATIENTS: Children aged 2 to 7 years with a first clinical episode of OME that persisted for at least 3 months; 136 (81%) of 168 eligible children participated. All children received tympanostomy tubes for bilateral OME at study entry. MAIN OUTCOME MEASURE: Recurrence of OME within 6 months of tube extrusion. RESULTS: No statistically significant differences were present in eustachian tube function test results between ears that developed recurrent OME and those that did not. The difference in passive ventilatory function between ears with and without OME recurrence was 10 daPa (95% confidence interval, -24 to 43 daPa) for opening pressure and -3 daPa (95% confidence interval, -18 to 11 daPa) for closing pressure. The overall difference in the proportion of ears with and without OME recurrence that could not equilibrate positive and negative applied pressures was 12% (95% confidence interval, -2% to 26%). The proportions of ears with and without OME recurrence that induced negative pressure in the middle ear by forcefully sniffing were 22% and 31%, respectively (P = .75). CONCLUSION: Measurement of ventilatory and protective eustachian tube function using the forced response test, the pressure equilibration test, and the sniff test has no value in predicting whether children have an increased risk of OME recurrence. SN - 0886-4470 UR - https://www.unboundmedicine.com/medline/citation/15723942/Eustachian_tube_function_before_recurrence_of_otitis_media_with_effusion_ L2 - https://jamanetwork.com/journals/jamaotolaryngology/fullarticle/10.1001/archotol.131.2.118 DB - PRIME DP - Unbound Medicine ER -