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Published in: Indian Journal of Otolaryngology and Head & Neck Surgery 3/2022

14-08-2021 | Tonsillectomy | Original Article

Predictors of Otitis Media with Effusion Recurrence Following Myringotomy

Authors: Abdulaziz K. Alaraifi, Abdullah S. Alkhaldi, Ibrahim S. Ababtain, Fahad Alsaab

Published in: Indian Journal of Otolaryngology and Head & Neck Surgery | Special Issue 3/2022

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Abstract

Otitis media with effusion (OME) is the most common cause of acquired pediatric hearing loss. The treatment of persistent OME includes myringotomy with or without tube insertion, with a reported recurrence rate of 19.9–40%. This study aims to investigate the recurrence rate of OME and its predictors following myringotomy. A retrospective study that included 345 ears that underwent myringotomy for persistent OME in 179 pediatric patients during 2016–2018. Patients were followed for 36–48 months post myringotomy procedure to detect the recurrence rate. The study sample was divided into two groups based on recurrence status, and the groups were compared using chi-square test and independent T-test. Significant variables (p-value ≤ 0.05) were included in the logistic regression model to determine the predictors of OME recurrence after myringotomy. OME recurrence was detected in 85 ears (24.64%). The OME recurrence rate is higher in patients who underwent myringotomy alone compared to myringotomy with tube insertion (44.1% vs. 22.8%). The insertion of a tympanostomy tube decreases the recurrence rate of OME by 59.9% (OR 0.401; 95% CI 0.162–0.933). The other socio-demographic and clinical characteristics such as age, siblings, daycare attendance, passive smoking, previous acute otitis media, atopy, and adenoidectomy did not significantly influence OME recurrence (p-value > 0.05). The recurrence rate of OME following myringotomy is high. Myringotomy with tube insertion significantly decreases the recurrence rate and the need for further surgeries compared to myringotomy alone. Adenoidectomy and the patient’s age have no impact on the recurrence rate of OME.
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Metadata
Title
Predictors of Otitis Media with Effusion Recurrence Following Myringotomy
Authors
Abdulaziz K. Alaraifi
Abdullah S. Alkhaldi
Ibrahim S. Ababtain
Fahad Alsaab
Publication date
14-08-2021
Publisher
Springer India
Published in
Indian Journal of Otolaryngology and Head & Neck Surgery / Issue Special Issue 3/2022
Print ISSN: 2231-3796
Electronic ISSN: 0973-7707
DOI
https://doi.org/10.1007/s12070-021-02817-0

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