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Adenoidectomy does not significantly reduce the incidence of otitis media in conjunction with the insertion of tympanostomy tubes in children who are younger than 4 years: a randomized trial.
Pediatrics 2005; 116(1):185-9Ped

Abstract

OBJECTIVE

To evaluate the efficacy of adenoidectomy in reducing the incidence of otitis media among children who are younger than 4 years and receive tympanostomy tubes.

METHODS

A randomized trial was conducted at a tertiary center clinic. A total of 217 children who were aged 12 to 48 months and had recurrent acute otitis media (>3 episodes during the past 6 months) or chronic otitis media with effusion, no obstructive symptoms as a result of adenoid enlargement, and no previous surgical intervention were enrolled in the study. Adenoidectomy in conjunction with the insertion of tympanostomy tubes or insertion of tympanostomy tubes without adenoidectomy was studied. The number of otitis media episodes during the follow-up period of 12 months was measured.

RESULTS

During the follow-up, the mean number of otitis media episodes was 1.7 among children who underwent adenoidectomy with concurrent insertion of tympanostomy tubes and 1.4 among children who received tympanostomy tubes only. The risk for recurrent otitis media (>or=3 episodes) could not be reduced by adenoidectomy (odds ratio: 1.66; 95% confidence interval: 0.80-3.46).

CONCLUSION

Adenoidectomy does not significantly reduce the incidence of acute otitis media in otitis prone children who are younger than 4 years and receive tympanostomy tubes.

Authors+Show Affiliations

Department of Otorhinolaryngology, University of Helsinki and Helsinki University Central Hospital, Helsinki, Finland.No affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Randomized Controlled Trial
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

15995051

Citation

Hammarén-Malmi, Sari, et al. "Adenoidectomy Does Not Significantly Reduce the Incidence of Otitis Media in Conjunction With the Insertion of Tympanostomy Tubes in Children Who Are Younger Than 4 Years: a Randomized Trial." Pediatrics, vol. 116, no. 1, 2005, pp. 185-9.
Hammarén-Malmi S, Saxen H, Tarkkanen J, et al. Adenoidectomy does not significantly reduce the incidence of otitis media in conjunction with the insertion of tympanostomy tubes in children who are younger than 4 years: a randomized trial. Pediatrics. 2005;116(1):185-9.
Hammarén-Malmi, S., Saxen, H., Tarkkanen, J., & Mattila, P. S. (2005). Adenoidectomy does not significantly reduce the incidence of otitis media in conjunction with the insertion of tympanostomy tubes in children who are younger than 4 years: a randomized trial. Pediatrics, 116(1), pp. 185-9.
Hammarén-Malmi S, et al. Adenoidectomy Does Not Significantly Reduce the Incidence of Otitis Media in Conjunction With the Insertion of Tympanostomy Tubes in Children Who Are Younger Than 4 Years: a Randomized Trial. Pediatrics. 2005;116(1):185-9. PubMed PMID: 15995051.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Adenoidectomy does not significantly reduce the incidence of otitis media in conjunction with the insertion of tympanostomy tubes in children who are younger than 4 years: a randomized trial. AU - Hammarén-Malmi,Sari, AU - Saxen,Harri, AU - Tarkkanen,Jussi, AU - Mattila,Petri S, PY - 2005/7/5/pubmed PY - 2005/12/15/medline PY - 2005/7/5/entrez SP - 185 EP - 9 JF - Pediatrics JO - Pediatrics VL - 116 IS - 1 N2 - OBJECTIVE: To evaluate the efficacy of adenoidectomy in reducing the incidence of otitis media among children who are younger than 4 years and receive tympanostomy tubes. METHODS: A randomized trial was conducted at a tertiary center clinic. A total of 217 children who were aged 12 to 48 months and had recurrent acute otitis media (>3 episodes during the past 6 months) or chronic otitis media with effusion, no obstructive symptoms as a result of adenoid enlargement, and no previous surgical intervention were enrolled in the study. Adenoidectomy in conjunction with the insertion of tympanostomy tubes or insertion of tympanostomy tubes without adenoidectomy was studied. The number of otitis media episodes during the follow-up period of 12 months was measured. RESULTS: During the follow-up, the mean number of otitis media episodes was 1.7 among children who underwent adenoidectomy with concurrent insertion of tympanostomy tubes and 1.4 among children who received tympanostomy tubes only. The risk for recurrent otitis media (>or=3 episodes) could not be reduced by adenoidectomy (odds ratio: 1.66; 95% confidence interval: 0.80-3.46). CONCLUSION: Adenoidectomy does not significantly reduce the incidence of acute otitis media in otitis prone children who are younger than 4 years and receive tympanostomy tubes. SN - 1098-4275 UR - https://www.unboundmedicine.com/medline/citation/15995051/Adenoidectomy_does_not_significantly_reduce_the_incidence_of_otitis_media_in_conjunction_with_the_insertion_of_tympanostomy_tubes_in_children_who_are_younger_than_4_years:_a_randomized_trial_ L2 - http://pediatrics.aappublications.org/cgi/pmidlookup?view=long&pmid=15995051 DB - PRIME DP - Unbound Medicine ER -