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Long-term follow-up of otitis media with effusion in children: comparisons between a ventilation tube group and a non-ventilation tube group.
Int J Pediatr Otorhinolaryngol. 2014 Jun; 78(6):938-43.IJ

Abstract

OBJECTIVE

The objective of this study was to investigate the long-term outcomes in children with otitis media with effusion who received either medical treatment or ventilation tubes.

METHODS

We retrospectively analyzed the medical records of 89 bilateral cases of otitis media with effusion in children who were recommended to receive ventilation tube insertion and were followed up for more than 5 years. Tympanic membrane was inspected by otoscopic examination. Hearing was evaluated with pure tone audiometry. The mean duration of follow-up was 8.4 years (range, 5.2-15.7 years). Twenty-three children were treated without surgery, while 22 were treated once by ventilation tube insertion and 44 were treated more than once by ventilation tube insertion.

RESULTS

At the fifth year of follow-up, both groups of children who underwent ventilation tube insertion had more frequent tympanic membrane abnormalities than the medication group (8.7% in those treated without surgery, 72.7% in those treated once by ventilation tube insertion, and 88.6% in those treated more than once by ventilation tube insertion). Common tympanic membrane abnormalities were retraction (27.0%) and tympanosclerotic plaque (23.6%), regardless of the treatment modality. At the fifth year follow-up, the average air-conduction threshold was 10.0 dB (± 6.5 dB) in patients treated without surgery, 15.9 dB (± 11.2dB) in patients treated once by ventilation tube insertion, and 17.8 dB (± 7.6 dB) in those treated more than once by ventilation tube insertion. The audiological difference was significant when we compared the hearing level of children treated by medication without surgery to the two ventilation tube groups.

CONCLUSION

Though ventilation tube insertion can resolve hearing loss quickly, there were more tympanic membrane abnormalities and a decline in hearing levels in our ventilation tube insertion group vs. the observation group measured 5 years later. Physicians should therefore be cautious when applying a ventilation tube in patients with otitis media with effusion and should explain the risks to patients who are a candidate for repeated ventilation tube insertion.

Authors+Show Affiliations

Department of Otorhinolaryngology Head and Neck Surgery, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Republic of Korea.Department of Otolaryngology, Kangwon National University School of Medicine, Chuncheon, Republic of Korea.Department of Otorhinolaryngology Head and Neck Surgery, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Republic of Korea. Electronic address: jwchung@amc.seoul.kr.

Pub Type(s)

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

Language

eng

PubMed ID

24735607

Citation

Hong, Hye Ran, et al. "Long-term Follow-up of Otitis Media With Effusion in Children: Comparisons Between a Ventilation Tube Group and a Non-ventilation Tube Group." International Journal of Pediatric Otorhinolaryngology, vol. 78, no. 6, 2014, pp. 938-43.
Hong HR, Kim TS, Chung JW. Long-term follow-up of otitis media with effusion in children: comparisons between a ventilation tube group and a non-ventilation tube group. Int J Pediatr Otorhinolaryngol. 2014;78(6):938-43.
Hong, H. R., Kim, T. S., & Chung, J. W. (2014). Long-term follow-up of otitis media with effusion in children: comparisons between a ventilation tube group and a non-ventilation tube group. International Journal of Pediatric Otorhinolaryngology, 78(6), 938-43. https://doi.org/10.1016/j.ijporl.2014.03.019
Hong HR, Kim TS, Chung JW. Long-term Follow-up of Otitis Media With Effusion in Children: Comparisons Between a Ventilation Tube Group and a Non-ventilation Tube Group. Int J Pediatr Otorhinolaryngol. 2014;78(6):938-43. PubMed PMID: 24735607.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Long-term follow-up of otitis media with effusion in children: comparisons between a ventilation tube group and a non-ventilation tube group. AU - Hong,Hye Ran, AU - Kim,Tae Su, AU - Chung,Jong Woo, Y1 - 2014/03/27/ PY - 2013/10/09/received PY - 2014/03/18/revised PY - 2014/03/18/accepted PY - 2014/4/17/entrez PY - 2014/4/17/pubmed PY - 2015/1/13/medline KW - Children KW - Hearing loss KW - Medical treatment KW - Otitis media with effusion KW - Ventilation tube SP - 938 EP - 43 JF - International journal of pediatric otorhinolaryngology JO - Int. J. Pediatr. Otorhinolaryngol. VL - 78 IS - 6 N2 - OBJECTIVE: The objective of this study was to investigate the long-term outcomes in children with otitis media with effusion who received either medical treatment or ventilation tubes. METHODS: We retrospectively analyzed the medical records of 89 bilateral cases of otitis media with effusion in children who were recommended to receive ventilation tube insertion and were followed up for more than 5 years. Tympanic membrane was inspected by otoscopic examination. Hearing was evaluated with pure tone audiometry. The mean duration of follow-up was 8.4 years (range, 5.2-15.7 years). Twenty-three children were treated without surgery, while 22 were treated once by ventilation tube insertion and 44 were treated more than once by ventilation tube insertion. RESULTS: At the fifth year of follow-up, both groups of children who underwent ventilation tube insertion had more frequent tympanic membrane abnormalities than the medication group (8.7% in those treated without surgery, 72.7% in those treated once by ventilation tube insertion, and 88.6% in those treated more than once by ventilation tube insertion). Common tympanic membrane abnormalities were retraction (27.0%) and tympanosclerotic plaque (23.6%), regardless of the treatment modality. At the fifth year follow-up, the average air-conduction threshold was 10.0 dB (± 6.5 dB) in patients treated without surgery, 15.9 dB (± 11.2dB) in patients treated once by ventilation tube insertion, and 17.8 dB (± 7.6 dB) in those treated more than once by ventilation tube insertion. The audiological difference was significant when we compared the hearing level of children treated by medication without surgery to the two ventilation tube groups. CONCLUSION: Though ventilation tube insertion can resolve hearing loss quickly, there were more tympanic membrane abnormalities and a decline in hearing levels in our ventilation tube insertion group vs. the observation group measured 5 years later. Physicians should therefore be cautious when applying a ventilation tube in patients with otitis media with effusion and should explain the risks to patients who are a candidate for repeated ventilation tube insertion. SN - 1872-8464 UR - https://www.unboundmedicine.com/medline/citation/24735607/Long_term_follow_up_of_otitis_media_with_effusion_in_children:_comparisons_between_a_ventilation_tube_group_and_a_non_ventilation_tube_group_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0165-5876(14)00151-7 DB - PRIME DP - Unbound Medicine ER -