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Comparison between myringotomy and tympanostomy tubes in combination with adenoidectomy in 3-7-year-old children with otitis media with effusion.
Int J Pediatr Otorhinolaryngol 2010; 74(7):777-80IJ

Abstract

The specific aim of this study was to compare, by means of a randomized clinical trial, the efficacy between the two surgical combinations - adenoidectomy with myringotomy and tympanostomy (A+T) and adenoidectomy with myringotomy (A+M) - in reducing middle ear disease in children with otitis media with effusion (OME). Seventy-eight 3-7-year-old patients (156 ears) with a history of bilateral middle ear effusion for at least 3 months were randomly assigned to either A+T or A+M. Hearing threshold levels, recurrence rate of the effusion and episodes of acute otitis media (AOM) and otorrhea were evaluated for a follow-up period of 1 year. Audiometry testing showed that there was no statistically significant difference in the hearing loss levels of both groups during the whole follow-up period. Free of AOM episodes were 72% of the patients in the A+T group and 75% of those in the A+M group. None of the patients with A+M had episodes with otorrhea which contrasted with the 40% occurrence rate in the A+T group. During the follow-up period we documented a 10% recurrence rate of OME in the A+T group and 14% recurrence rate in the A+M group. Overall our data suggests that the insertion of tympanostomy tubes in association with adenoidectomy provides no additional benefit to adenoidectomy in association with myringotomy alone in terms of hearing loss or AOM episode occurrences in patients with bilateral otitis media with effusion. Furthermore no relationship was found between the choice of operative intervention and the recurrence rate of OME despite the slightly greater relative risk in the A+M group.

Authors+Show Affiliations

Department of ENT, Medical University Sofia, Sofia, Bulgaria. popov@todorpopov.comNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Randomized Controlled Trial

Language

eng

PubMed ID

20399511

Citation

Popova, D, et al. "Comparison Between Myringotomy and Tympanostomy Tubes in Combination With Adenoidectomy in 3-7-year-old Children With Otitis Media With Effusion." International Journal of Pediatric Otorhinolaryngology, vol. 74, no. 7, 2010, pp. 777-80.
Popova D, Varbanova S, Popov TM. Comparison between myringotomy and tympanostomy tubes in combination with adenoidectomy in 3-7-year-old children with otitis media with effusion. Int J Pediatr Otorhinolaryngol. 2010;74(7):777-80.
Popova, D., Varbanova, S., & Popov, T. M. (2010). Comparison between myringotomy and tympanostomy tubes in combination with adenoidectomy in 3-7-year-old children with otitis media with effusion. International Journal of Pediatric Otorhinolaryngology, 74(7), pp. 777-80. doi:10.1016/j.ijporl.2010.03.054.
Popova D, Varbanova S, Popov TM. Comparison Between Myringotomy and Tympanostomy Tubes in Combination With Adenoidectomy in 3-7-year-old Children With Otitis Media With Effusion. Int J Pediatr Otorhinolaryngol. 2010;74(7):777-80. PubMed PMID: 20399511.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Comparison between myringotomy and tympanostomy tubes in combination with adenoidectomy in 3-7-year-old children with otitis media with effusion. AU - Popova,D, AU - Varbanova,S, AU - Popov,T M, PY - 2010/01/26/received PY - 2010/03/21/revised PY - 2010/03/23/accepted PY - 2010/4/20/entrez PY - 2010/4/20/pubmed PY - 2010/12/14/medline SP - 777 EP - 80 JF - International journal of pediatric otorhinolaryngology JO - Int. J. Pediatr. Otorhinolaryngol. VL - 74 IS - 7 N2 - The specific aim of this study was to compare, by means of a randomized clinical trial, the efficacy between the two surgical combinations - adenoidectomy with myringotomy and tympanostomy (A+T) and adenoidectomy with myringotomy (A+M) - in reducing middle ear disease in children with otitis media with effusion (OME). Seventy-eight 3-7-year-old patients (156 ears) with a history of bilateral middle ear effusion for at least 3 months were randomly assigned to either A+T or A+M. Hearing threshold levels, recurrence rate of the effusion and episodes of acute otitis media (AOM) and otorrhea were evaluated for a follow-up period of 1 year. Audiometry testing showed that there was no statistically significant difference in the hearing loss levels of both groups during the whole follow-up period. Free of AOM episodes were 72% of the patients in the A+T group and 75% of those in the A+M group. None of the patients with A+M had episodes with otorrhea which contrasted with the 40% occurrence rate in the A+T group. During the follow-up period we documented a 10% recurrence rate of OME in the A+T group and 14% recurrence rate in the A+M group. Overall our data suggests that the insertion of tympanostomy tubes in association with adenoidectomy provides no additional benefit to adenoidectomy in association with myringotomy alone in terms of hearing loss or AOM episode occurrences in patients with bilateral otitis media with effusion. Furthermore no relationship was found between the choice of operative intervention and the recurrence rate of OME despite the slightly greater relative risk in the A+M group. SN - 1872-8464 UR - https://www.unboundmedicine.com/medline/citation/20399511/Comparison_between_myringotomy_and_tympanostomy_tubes_in_combination_with_adenoidectomy_in_3_7_year_old_children_with_otitis_media_with_effusion_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0165-5876(10)00169-2 DB - PRIME DP - Unbound Medicine ER -