Efficacy of Adenoidectomy for Recurrent Otitis Media in Children Previously Treated With Tympanostomy-Tube Placement

Jl, Paradise; Cd, Bluestone; Kd, Rogers; Fh, Taylor; Dk, Colborn; Rz, Bachman; Bs, Bernard; Rh, Schwarzbach

doi:10.1001/jama.1990.03440150074029

Cited by 205 publications

(76 citation statements)

References 31 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…The beneficial affects of adenoidectomy in decreasing the Revision adenoidectomy--A retrospective study 567 number and duration of episodes of otitis media have been well established in randomized trials [4,5]. Similarly a significant decrease in the number of episodes of pediatric rhinosinusitis after adenoidectomy has been described [6]. Adenoid re-growth may be the result of the same presumed causes for primary adenoid hyperplasia.…”

Section: Discussionmentioning

confidence: 99%

Revision adenoidectomy—A retrospective study

Monroy

Behar

Brodsky

2008

International Journal of Pediatric Otorhinolaryngology

View full text Add to dashboard Cite

Section: Discussionmentioning

confidence: 99%

Revision adenoidectomy—A retrospective study

Monroy

Behar

Brodsky

2008

International Journal of Pediatric Otorhinolaryngology

View full text Add to dashboard Cite

“…No all mechanisms that justify the positive effect are well known. Paradise et al 21 recommended adenoidectomy in children who had ROM after extrusion of VT and Valtonen et al 22 performed adenoidectomy whenever they performed reinsertion of VT. Current guidelines of the American Academy of Pediatrics and American Academy of Otorhinolaryngology, Head and Neck Surgery 23 reported that eight adenoidectomies are required to prevent one single VT reinsertion, but it reminds that each one of the prevented reinsertions when performing adenoidectomy represents a reduction in the incidence of AOM and OME.…”

Section: Discussionmentioning

confidence: 99%

Seqüelas de tubos de ventilação em crianças com otite média com efusão: um seguimento de três anos

Pereira¹,

Pereira

Costa

2005

Rev. Bras. Otorrinolaringol.

View full text Add to dashboard Cite

Tympanost omy tube (TT) insertion is one of the most frequently performed procedures in otolaryngology. Otorrhea, tympanosclerosis, retraction, perforation, and cholesteatoma are complications reported in the literature after its application. Aim: To determine the incidence and the type of TT insertion sequelae/complications in children presenting with recurrent otitis media and chronic otitis media with effusion undergoing myringotomy and tube placement. Study Design: prospective cohort study. Material and Method: A total of 75 children (150 ears) aged 11 months to 10 years were regularly followed up for up to 38 months after TT insertion. Results: Incidence of sequelae/complications: otorrhea -47.3% of the ears; perforation -2.1%; retractions -39.7%; tympanosclerosis -23.3%. Average length of stay: 12.13 months. Mean age at initial tube placement of children not requiring a second set of tubes = 35.9 months and mean age at initial tube insertion of children requiring an additional set of tubes = 25.6 months (P=0.04). TT stayed longer in the ears that had more episodes of otorrhea (P=0.01). TT insertion with adenoidectomy was associated with a smaller number of otorrhea episodes (P=0.02) Conclusions: Otorrhea was the most frequently found complication. TT placement with adenoidectomy was associated with fewer otorrhea episodes. TT extruded later in those ears that had more episodes of otorrhea. Younger age at the time of the initial tube placement is associated with higher incidence of additional tube placement. One in six patients will probably require a second set of ventilation tubes.

show abstract

“…Based on two trials by Paradise et al [15,16], Rosenfeld [14] concluded that adenoidectomy reduced the incidence of AOM by 0.3 episodes (95% CI 0.03-0.61) per child-year for a period of 3 years in children aged 1-15 years who had previously been treated with tympanostomy tubes. Adenoidectomy reduced the relative risk of needing future tubes by 50%.…”

Section: Adenoidectomymentioning

confidence: 99%