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A 14-year prospective follow-up study of children treated early in life with tympanostomy tubes: Part 1: Clinical outcomes.
Arch Otolaryngol Head Neck Surg 2005; 131(4):293-8AO

Abstract

OBJECTIVE

To determine 14-year otological outcomes in young children treated with early insertion of ventilation tubes (VTs) for recurrent acute otitis media or otitis media with effusion (OME).

DESIGN

Prospective 14-year follow-up.

SETTING

Central Hospital of Central Finland, a tertiary care hospital. Patients Three hundred five consecutive infants and young children aged 5 to 16 months with otitis media were enrolled for early initial tympanostomy tube insertion. The final study group comprised 237 patients (77.7%) attending the 14-year checkup.

MAIN OUTCOME MEASURES

At the 14-year checkups, abnormal otological findings were recorded and results compared with those of the 5-year checkups.

RESULTS

From 5 to 14 years' follow-up, the number of healed ears increased from 156 (65.8%) to 177 (74.7%), while the number healed of ears with abnormal outcomes decreased from 81 (34.2%) to 60 (25.3%). Of 156 healed ears, 142 (91.0%) remained healed, and 35 (43.2%) of 81 ears with abnormal outcomes healed. The proportion of abnormal outcomes was higher among ears with OME (P = .02) and with 3 or more VT insertions (P<.001). Repeated tympanostomy tube insertion was performed in 141 ears (59.5%), more often in those with OME (P = .003), and ear surgery was performed in 9 ears (3.8%), 8 with OME.

CONCLUSIONS

Early VT treatment is recommended for young children with recurrent acute otitis media or persistent OME. Parents should be informed of the long follow-up, of the possible need for repeated VT insertion, and of potential sequelae that sometimes necessitate surgical intervention. Patients healed after 5 years do not need further follow-up.

Authors+Show Affiliations

Department of Otorhinolaryngology, Kuopio University Hospital, Kuopio, Finland. hannu.valtonen@kuh.fiNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Comparative Study
Journal Article

Language

eng

PubMed ID

15837895

Citation

Valtonen, Hannu, et al. "A 14-year Prospective Follow-up Study of Children Treated Early in Life With Tympanostomy Tubes: Part 1: Clinical Outcomes." Archives of Otolaryngology--head & Neck Surgery, vol. 131, no. 4, 2005, pp. 293-8.
Valtonen H, Tuomilehto H, Qvarnberg Y, et al. A 14-year prospective follow-up study of children treated early in life with tympanostomy tubes: Part 1: Clinical outcomes. Arch Otolaryngol Head Neck Surg. 2005;131(4):293-8.
Valtonen, H., Tuomilehto, H., Qvarnberg, Y., & Nuutinen, J. (2005). A 14-year prospective follow-up study of children treated early in life with tympanostomy tubes: Part 1: Clinical outcomes. Archives of Otolaryngology--head & Neck Surgery, 131(4), pp. 293-8.
Valtonen H, et al. A 14-year Prospective Follow-up Study of Children Treated Early in Life With Tympanostomy Tubes: Part 1: Clinical Outcomes. Arch Otolaryngol Head Neck Surg. 2005;131(4):293-8. PubMed PMID: 15837895.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - A 14-year prospective follow-up study of children treated early in life with tympanostomy tubes: Part 1: Clinical outcomes. AU - Valtonen,Hannu, AU - Tuomilehto,Henri, AU - Qvarnberg,Yrjö, AU - Nuutinen,Juhani, PY - 2005/4/20/pubmed PY - 2005/5/11/medline PY - 2005/4/20/entrez SP - 293 EP - 8 JF - Archives of otolaryngology--head & neck surgery JO - Arch. Otolaryngol. Head Neck Surg. VL - 131 IS - 4 N2 - OBJECTIVE: To determine 14-year otological outcomes in young children treated with early insertion of ventilation tubes (VTs) for recurrent acute otitis media or otitis media with effusion (OME). DESIGN: Prospective 14-year follow-up. SETTING: Central Hospital of Central Finland, a tertiary care hospital. Patients Three hundred five consecutive infants and young children aged 5 to 16 months with otitis media were enrolled for early initial tympanostomy tube insertion. The final study group comprised 237 patients (77.7%) attending the 14-year checkup. MAIN OUTCOME MEASURES: At the 14-year checkups, abnormal otological findings were recorded and results compared with those of the 5-year checkups. RESULTS: From 5 to 14 years' follow-up, the number of healed ears increased from 156 (65.8%) to 177 (74.7%), while the number healed of ears with abnormal outcomes decreased from 81 (34.2%) to 60 (25.3%). Of 156 healed ears, 142 (91.0%) remained healed, and 35 (43.2%) of 81 ears with abnormal outcomes healed. The proportion of abnormal outcomes was higher among ears with OME (P = .02) and with 3 or more VT insertions (P<.001). Repeated tympanostomy tube insertion was performed in 141 ears (59.5%), more often in those with OME (P = .003), and ear surgery was performed in 9 ears (3.8%), 8 with OME. CONCLUSIONS: Early VT treatment is recommended for young children with recurrent acute otitis media or persistent OME. Parents should be informed of the long follow-up, of the possible need for repeated VT insertion, and of potential sequelae that sometimes necessitate surgical intervention. Patients healed after 5 years do not need further follow-up. SN - 0886-4470 UR - https://www.unboundmedicine.com/medline/citation/15837895/A_14_year_prospective_follow_up_study_of_children_treated_early_in_life_with_tympanostomy_tubes:_Part_1:_Clinical_outcomes_ L2 - https://jamanetwork.com/journals/jamaotolaryngology/fullarticle/10.1001/archotol.131.4.293 DB - PRIME DP - Unbound Medicine ER -