TY - JOUR
T1 - Factors Affecting the Extrusion Rate and Complications After Ventilation Tube Insertion
T2 - A Multicenter Registry Study on the Effectiveness of Ventilation Tube Insertion in Pediatric Patients With Chronic Otitis Media With Effusion—Part II
AU - Yoo, Myung Hoon
AU - Cho, Yang Sun
AU - Choi, June
AU - Choung, Yun Hoon
AU - Chung, Jae Ho
AU - Chung, Jong Woo
AU - Han, Gyu Cheol
AU - Jun, Beom Cho
AU - Kim, Dong Kee
AU - Kim, Kyu Sung
AU - Lee, Jun Ho
AU - Lee, Kyu Yup
AU - Lee, Seung Hwan
AU - Moon, In Seok
AU - Park, Hong Ju
AU - Park, Shi Nae
AU - Rhee, Jihye
AU - Seo, Jae Hyun
AU - Yeo, Seung Geun
N1 - Funding Information:
This work was supported by the Otitis Media Research Project funded by the Korean Otologic Society, Seoul, Republic of Korea and a National Research Foundation of Korea (NRF) grant funded by the Korean government (Ministry of Science and ICT) (No. 2022R1C1C1010262).
Publisher Copyright:
© 2022 by Korean Society of Otorhinolaryngology-Head and Neck Surgery.
PY - 2022/11
Y1 - 2022/11
N2 - Objectives. The impacts of ventilation tube (VT) type and effusion composition on theVT extrusion rate and complications in children with otitis media remain unclear. This part II study evaluated the factors affecting the extrusion rate, recurrence rate, and complications ofVT insertion. Methods. A prospective study was conducted between June 2014 and December 2016 (the EVENT study [analysis of the effectiveness of ventilation tube insertion in pediatric patients with chronic otitis media]), with follow-up data collected until the end of 2017. Patients aged <15 years diagnosed with otitis media with effusion who received VT insertion were recruited at 15 tertiary hospitals. The primary outcomes were time to extrusion of VT, time to effusion re-currence, and complications. Results. Data from 401 patients were analyzed. After excluding the results of long-lasting tubes (Paparella type II and T-tubes), silicone tubes (Paparella type I) exhibited a significantly longer extended time to extrusion (mean, 400 days) than titanium tubes (collar-button-type 1.0 mm: mean, 312 days; P<0.001). VT material (hazard ratio [HR], 2.117, 95% confidence interval [CI], 1.254–3.572; P=0.005), age (HR, 3.949; 95% CI, 1.239–12.590; P=0.02), and effusion composition (P=0.005) were significantly associated with the time to recurrence of middle ear effusion. Ears with purulent (mean, 567 days) and glue-like (mean, 588 days) effusions exhibited a shorter time to recurrence than ears with serous (mean, 846 days) or mucoid (mean, 925 days) effusions.The revisionVT rates during follow-up were 3.5%, 15.5%, 10.4%, and 38.9% in ears with serous, mucoid, glue-like, and purulent effusions, respectively (P<0.001).The revision surgery rates were higher among patients aged <7 years than among those aged ≥7 years. Conclusion. Silicone tubes (Paparella type I) were less prone to early extrusion than titanium 1.0 mm tubes. VT type, patient age, and effusion composition affected the time to recurrence of effusion.
AB - Objectives. The impacts of ventilation tube (VT) type and effusion composition on theVT extrusion rate and complications in children with otitis media remain unclear. This part II study evaluated the factors affecting the extrusion rate, recurrence rate, and complications ofVT insertion. Methods. A prospective study was conducted between June 2014 and December 2016 (the EVENT study [analysis of the effectiveness of ventilation tube insertion in pediatric patients with chronic otitis media]), with follow-up data collected until the end of 2017. Patients aged <15 years diagnosed with otitis media with effusion who received VT insertion were recruited at 15 tertiary hospitals. The primary outcomes were time to extrusion of VT, time to effusion re-currence, and complications. Results. Data from 401 patients were analyzed. After excluding the results of long-lasting tubes (Paparella type II and T-tubes), silicone tubes (Paparella type I) exhibited a significantly longer extended time to extrusion (mean, 400 days) than titanium tubes (collar-button-type 1.0 mm: mean, 312 days; P<0.001). VT material (hazard ratio [HR], 2.117, 95% confidence interval [CI], 1.254–3.572; P=0.005), age (HR, 3.949; 95% CI, 1.239–12.590; P=0.02), and effusion composition (P=0.005) were significantly associated with the time to recurrence of middle ear effusion. Ears with purulent (mean, 567 days) and glue-like (mean, 588 days) effusions exhibited a shorter time to recurrence than ears with serous (mean, 846 days) or mucoid (mean, 925 days) effusions.The revisionVT rates during follow-up were 3.5%, 15.5%, 10.4%, and 38.9% in ears with serous, mucoid, glue-like, and purulent effusions, respectively (P<0.001).The revision surgery rates were higher among patients aged <7 years than among those aged ≥7 years. Conclusion. Silicone tubes (Paparella type I) were less prone to early extrusion than titanium 1.0 mm tubes. VT type, patient age, and effusion composition affected the time to recurrence of effusion.
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U2 - 10.21053/ceo.2022.00934
DO - 10.21053/ceo.2022.00934
M3 - Article
AN - SCOPUS:85142827840
SN - 1976-8710
VL - 15
SP - 326
EP - 334
JO - Clinical and Experimental Otorhinolaryngology
JF - Clinical and Experimental Otorhinolaryngology
IS - 4
ER -