Adenoidectomy does not significantly reduce the incidence of otitis media in conjunction with the insertion of tympanostomy tubes in children who are younger than 4 years: a randomized trial.

Pediatrics 2005 Jul;116(1):185-9

Department of Otorhinolaryngology, University of Helsinki and Helsinki University Central Hospital, Helsinki, Finland.

Objective: To evaluate the efficacy of adenoidectomy in reducing the incidence of otitis media among children who are younger than 4 years and receive tympanostomy tubes.

Methods: A randomized trial was conducted at a tertiary center clinic. A total of 217 children who were aged 12 to 48 months and had recurrent acute otitis media (>3 episodes during the past 6 months) or chronic otitis media with effusion, no obstructive symptoms as a result of adenoid enlargement, and no previous surgical intervention were enrolled in the study. Adenoidectomy in conjunction with the insertion of tympanostomy tubes or insertion of tympanostomy tubes without adenoidectomy was studied. The number of otitis media episodes during the follow-up period of 12 months was measured.

Results: During the follow-up, the mean number of otitis media episodes was 1.7 among children who underwent adenoidectomy with concurrent insertion of tympanostomy tubes and 1.4 among children who received tympanostomy tubes only. The risk for recurrent otitis media (>or=3 episodes) could not be reduced by adenoidectomy (odds ratio: 1.66; 95% confidence interval: 0.80-3.46).

Conclusion: Adenoidectomy does not significantly reduce the incidence of acute otitis media in otitis prone children who are younger than 4 years and receive tympanostomy tubes.

Download full-text PDF

Source
http://dx.doi.org/10.1542/peds.2004-2253DOI Listing
July 2005
Save 15% Survey

Similar Publications

Patterns of Antibiotic Prescribing and Appropriateness for Respiratory Tract Infections in a Teaching Hospital in Jordan.

Int J Clin Pract 2021 Feb 24:e14113. Epub 2021 Feb 24.

Department of Family and Community Medicine, School of Medicine, The University of Jordan, Amman, Jordan.

Background: Inappropriate use of antibiotics is a public health concern that promotes antibiotic resistance globally. This study aimed to investigate the patterns of antibiotic prescribing for respiratory tract infections (RTIs) in Jordan to encourage judicious antibiotic prescribing.

Methods: The researchers conducted a retrospective secondary analysis of oral antibiotics prescribed in the family medicine clinics in a teaching university hospital in Jordan in 2017. Read More

View Article and Full-Text PDF
February 2021

Learning curve in Endoscopic Tympanoplasties: a prospective study based on outcomes of 141 cases.

Clin Otolaryngol 2021 Feb 24. Epub 2021 Feb 24.

University Hospital Monklands, Airdrie, ML6 0JS, Scotland, United Kingdom.

The overall success rate for TEES tympanoplasty was 83% A learning curve of approximately 60 cases was evident, with success in the final 33% of cases being 93.5% The only significant factor affecting the tympanoplasty success rate was the year since starting TEES. Hearing outcomes are related to pre-operative ABG, ossicle erosion, and COM risk factors, but not to the level of experience in TEES. Read More

View Article and Full-Text PDF
February 2021

Prevalence of Otological Disease in Turner Syndrome: A Systematic Review.

Otol Neurotol 2021 Feb 23. Epub 2021 Feb 23.

Department of Otorhinolaryngology, Head and Neck Surgery Department of Endocrinology, University Hospitals Leuven Department of Chronic Diseases and Metabolism Department Neurosciences, ExpORL, KU Leuven, University of Leuven, Leuven, Belgium.

Introduction: Girls and women with Turner syndrome (TS) present with multiple ear and hearing problems, ranging from external morphologic abnormalities to sensorineural or conductive hearing loss. The exact pathophysiology behind these otological diseases is not yet completely understood. The aim of this study is to provide a systematic review on the prevalence of otological disease in TS. Read More

View Article and Full-Text PDF
February 2021

Rising Resonance Frequency Is the Sole Sign of Early Middle Ear Disease in Children With Adenoid Hypertrophy.

Otol Neurotol 2021 Feb 23. Epub 2021 Feb 23.

Department of Otolaryngology, Children's Hospital of Patras "Karamandaneio" Department of Paediatrics, University Hospital of Patras Department of Medical Oncology, "Olympion" General Hospital, Patras, Greece.

Objective: The present study seeks to estimate the potential of multifrequency tympanometry in the diagnosis of primal otologic disorder in children with adenoid hypertrophy (AH).

Study Design: Prospective observational study.

Setting: Tertiary pediatric institution. Read More

View Article and Full-Text PDF
February 2021

A Value-Based Comparison of the Management of Ambulatory Respiratory Diseases in Walk-in Clinics, Primary Care Practices, and Emergency Departments: Protocol for a Multicenter Prospective Cohort Study.

JMIR Res Protoc 2021 Feb 22;10(2):e25619. Epub 2021 Feb 22.

Department of Medicine, University of Toronto, Toronto, ON, Canada.

Background: In Canada, 30%-60% of patients presenting to emergency departments are ambulatory. This category has been labeled as a source of emergency department overuse. Acting on the presumption that primary care practices and walk-in clinics offer equivalent care at a lower cost, governments have invested massively in improving access to these alternative settings in the hope that patients would present there instead when possible, thereby reducing the load on emergency departments. Read More

View Article and Full-Text PDF
February 2021