Tags

Type your tag names separated by a space and hit enter

Tympanostomy with and without adenoidectomy for the prevention of recurrences of acute otitis media: a randomized controlled trial.
Pediatr Infect Dis J 2012; 31(6):565-9PI

Abstract

BACKGROUND

The prevention of otitis media, particularly among infants, remains a controversial issue. We evaluated the efficacy of insertion of tympanostomy tubes with and without adenoidectomy for preventing recurrent acute otitis media (AOM) in young children.

METHODS

We randomly assigned 300 children aged 10 months to 2 years who had recurrent AOM to groups receiving tympanostomy tubes (Tymp) (n = 100), tympanostomy tubes with adenoidectomy (TympAde) (n = 100) or neither (Contr) (n = 100). All the children were followed up for 12 months.

RESULTS

The primary outcome was intervention failure (2 AOM episodes in 2 months, 3 in 6 months or persistent effusion lasting for 2 months). Intervention failed in 21% of cases (21/100) in the Tymp group, 16% (16/100) in the TympAde group and 34% (34/100) in the Contr group. The absolute differences were -13% [95% confidence interval (CI) -25% to -1%, P = 0.04] between the Tymp and Contr groups and -18% (95% CI -30 to -6%, P =0.004) between the TympAde and Contr groups.

CONCLUSIONS

Insertion of tympanostomy tubes alone or with adenoidectomy was effective in preventing recurrent AOM episodes in children younger than 2 years of age.

Authors+Show Affiliations

Department of Otolaryngology, University of Oulu, Oulu, Finland. tiia.kujala@oulu.fiNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo 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

22466327

Citation

Kujala, Tiia, et al. "Tympanostomy With and Without Adenoidectomy for the Prevention of Recurrences of Acute Otitis Media: a Randomized Controlled Trial." The Pediatric Infectious Disease Journal, vol. 31, no. 6, 2012, pp. 565-9.
Kujala T, Alho OP, Luotonen J, et al. Tympanostomy with and without adenoidectomy for the prevention of recurrences of acute otitis media: a randomized controlled trial. Pediatr Infect Dis J. 2012;31(6):565-9.
Kujala, T., Alho, O. P., Luotonen, J., Kristo, A., Uhari, M., Renko, M., ... Koivunen, P. (2012). Tympanostomy with and without adenoidectomy for the prevention of recurrences of acute otitis media: a randomized controlled trial. The Pediatric Infectious Disease Journal, 31(6), pp. 565-9. doi:10.1097/INF.0b013e318255ddde.
Kujala T, et al. Tympanostomy With and Without Adenoidectomy for the Prevention of Recurrences of Acute Otitis Media: a Randomized Controlled Trial. Pediatr Infect Dis J. 2012;31(6):565-9. PubMed PMID: 22466327.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Tympanostomy with and without adenoidectomy for the prevention of recurrences of acute otitis media: a randomized controlled trial. AU - Kujala,Tiia, AU - Alho,Olli-Pekka, AU - Luotonen,Jukka, AU - Kristo,Aila, AU - Uhari,Matti, AU - Renko,Marjo, AU - Kontiokari,Tero, AU - Pokka,Tytti, AU - Koivunen,Petri, PY - 2012/4/3/entrez PY - 2012/4/3/pubmed PY - 2012/9/13/medline SP - 565 EP - 9 JF - The Pediatric infectious disease journal JO - Pediatr. Infect. Dis. J. VL - 31 IS - 6 N2 - BACKGROUND: The prevention of otitis media, particularly among infants, remains a controversial issue. We evaluated the efficacy of insertion of tympanostomy tubes with and without adenoidectomy for preventing recurrent acute otitis media (AOM) in young children. METHODS: We randomly assigned 300 children aged 10 months to 2 years who had recurrent AOM to groups receiving tympanostomy tubes (Tymp) (n = 100), tympanostomy tubes with adenoidectomy (TympAde) (n = 100) or neither (Contr) (n = 100). All the children were followed up for 12 months. RESULTS: The primary outcome was intervention failure (2 AOM episodes in 2 months, 3 in 6 months or persistent effusion lasting for 2 months). Intervention failed in 21% of cases (21/100) in the Tymp group, 16% (16/100) in the TympAde group and 34% (34/100) in the Contr group. The absolute differences were -13% [95% confidence interval (CI) -25% to -1%, P = 0.04] between the Tymp and Contr groups and -18% (95% CI -30 to -6%, P =0.004) between the TympAde and Contr groups. CONCLUSIONS: Insertion of tympanostomy tubes alone or with adenoidectomy was effective in preventing recurrent AOM episodes in children younger than 2 years of age. SN - 1532-0987 UR - https://www.unboundmedicine.com/medline/citation/22466327/Tympanostomy_with_and_without_adenoidectomy_for_the_prevention_of_recurrences_of_acute_otitis_media:_a_randomized_controlled_trial_ L2 - http://dx.doi.org/10.1097/INF.0b013e318255ddde DB - PRIME DP - Unbound Medicine ER -