When should retained Paparella type I tympanostomy tubes be removed in asymptomatic children?

In Seok Moon, Moon Oh Kwon, Chong Yoon Park, Jae Heon Lee, Joo Hyun Kim, Chi Sang Hwang, Myung Hyun Chung

Research output: Contribution to journalArticle

4 Citations (Scopus)

Abstract

Objectives: Tympanostomy tubes are routinely used for the treatment of otitis media with effusion (OME). There is no definite consensus on the optimal length of the intubation period and the timing of tube removal. This study was designed to determine the appropriate time for tympanostomy tube removal in asymptomatic patients of preschool age. Methods: A retrospective study was conducted in 336 patients (478 ears) under the age of 7 years old who underwent tympanostomy tube insertion or removal from January 2006 to September 2010 at our institution. The information gathered from chart review included patients' age at the time of tube insertion, duration of intubation, and the presence of complications, such as tube site infection and persistent tympanic membrane perforation. Logistic regression, chi-square test and Fisher's exact test were used to determine the statistical significance of observations. Results: The spontaneous extrusion rate of tympanostomy tubes was about 90% at 18 months and showed a plateau after 18 months. The OME recurrence rate decreased after 12 months of intubation, and complications such as tube site infection and persistent tympanic membrane perforation increased after 15 months of intubation. Conclusion: Tympanostomy tubes removed before 12 months showed a high possibility of recurrence. Removal after 15 months showed an increased possibility of complications. Spontaneous extrusion seldom occurred after 18 months. From these findings, we concluded that asymptomatically retained tympanostomy tubes are recommended to remove when a tube is retained for more than 18 months.

Original languageEnglish
Pages (from-to)150-153
Number of pages4
JournalAuris Nasus Larynx
Volume40
Issue number2
DOIs
Publication statusPublished - 2013 Apr 1

Fingerprint

Middle Ear Ventilation
Intubation
Tympanic Membrane Perforation
Otitis Media with Effusion
Recurrence
Chi-Square Distribution
Infection
Ear
Retrospective Studies
Logistic Models

All Science Journal Classification (ASJC) codes

  • Surgery
  • Otorhinolaryngology

Cite this

Moon, In Seok ; Kwon, Moon Oh ; Park, Chong Yoon ; Lee, Jae Heon ; Kim, Joo Hyun ; Hwang, Chi Sang ; Chung, Myung Hyun. / When should retained Paparella type I tympanostomy tubes be removed in asymptomatic children?. In: Auris Nasus Larynx. 2013 ; Vol. 40, No. 2. pp. 150-153.
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abstract = "Objectives: Tympanostomy tubes are routinely used for the treatment of otitis media with effusion (OME). There is no definite consensus on the optimal length of the intubation period and the timing of tube removal. This study was designed to determine the appropriate time for tympanostomy tube removal in asymptomatic patients of preschool age. Methods: A retrospective study was conducted in 336 patients (478 ears) under the age of 7 years old who underwent tympanostomy tube insertion or removal from January 2006 to September 2010 at our institution. The information gathered from chart review included patients' age at the time of tube insertion, duration of intubation, and the presence of complications, such as tube site infection and persistent tympanic membrane perforation. Logistic regression, chi-square test and Fisher's exact test were used to determine the statistical significance of observations. Results: The spontaneous extrusion rate of tympanostomy tubes was about 90{\%} at 18 months and showed a plateau after 18 months. The OME recurrence rate decreased after 12 months of intubation, and complications such as tube site infection and persistent tympanic membrane perforation increased after 15 months of intubation. Conclusion: Tympanostomy tubes removed before 12 months showed a high possibility of recurrence. Removal after 15 months showed an increased possibility of complications. Spontaneous extrusion seldom occurred after 18 months. From these findings, we concluded that asymptomatically retained tympanostomy tubes are recommended to remove when a tube is retained for more than 18 months.",
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When should retained Paparella type I tympanostomy tubes be removed in asymptomatic children? / Moon, In Seok; Kwon, Moon Oh; Park, Chong Yoon; Lee, Jae Heon; Kim, Joo Hyun; Hwang, Chi Sang; Chung, Myung Hyun.

In: Auris Nasus Larynx, Vol. 40, No. 2, 01.04.2013, p. 150-153.

Research output: Contribution to journalArticle

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AU - Moon, In Seok

AU - Kwon, Moon Oh

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AU - Hwang, Chi Sang

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