The effects of ventilation tubes versus no ventilation tubes for recurrent acute otitis media or chronic otitis media with effusion in 9 to 36 month old Greenlandic children, the SIUTIT trial: study protocol for a randomized controlled trial

Demant, Malene Nøhr; Jensen, Ruth Helkiær; Jakobsen, Janus Christian; Gluud, Christian; Homøe, Preben

doi:10.1186/s13063-016-1770-x

Cited by 8 publications

(2 citation statements)

References 31 publications

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“…29 The OM-6, developed in 1997, is a simple, valid, reliable and most frequently used instrument to evaluate quality of life in children suffering from otitis media with effusion. 30,31 Generally morbidity associated with respiratory tract infections increases in winters. Incidence of otitis media with effusion is highest in fall and winter.…”

Section: Tympanometrymentioning

confidence: 99%

Comparison of seasonal prevalence of Otitis media with effusion (OME) in mentally handicapped versus normal school-going children.

Sheikh

Nadeem

2020

TPMJ

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Objectives: Otitis media with effusion is widespread in pre-school and school-going children. The objective of this study was to compare the prevalence of otitis media with effusion (OME) in normal versus mentally handicapped children in perspective of seasonal variation. Study Design: Randomized controlled trial. Setting: Pakistan Air Force Hospital Masroor, Karachi. Period: From January 2015 till August 2016. Material & Methods: 208 children between 3-8 years of age were divided into ‘Mentally Normal’ and ‘Mentally Handicapped’ groups based on a cut off intelligence quotient score of 70. Results: Otitis media with effusion uniformly affected all school children. Tympanometric pressures from middle ears of both study groups responded indifferently from each other (p value 0.467 and 0.365 for right middle ear, and 0.708 and 0.920 for left middle ears, in summer and winter, respectively). However, most caregivers of mentally handicapped children exhibited greater concerns about complications associated with otitis media with effusion in winters (p value 0.002). Conclusion: Otitis media with effusion is an insidious condition which remains under diagnosed and adversely affects auditory function and speech. Children may develop this condition regardless of their intellectual status. However craniofacial dysmorphism puts a child at a greater risk of otitis media with effusion. Awareness at primary education and healthcare level, a high index of suspicion in these children, careful examination and prompt referral for expert otologic intervention is pivotal in avoiding complications.

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Section: Tympanometrymentioning

confidence: 99%

Comparison of seasonal prevalence of Otitis media with effusion (OME) in mentally handicapped versus normal school-going children.

Sheikh

Nadeem

2020

TPMJ

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“…Therefore, OME places a burden on the healthcare system [ 9 ]. As a result, tympanostomy ventilation tubes (VTs) have become one of the recommended treatments of choice for OME [ 10 ] because they have been proven to effectively manage OME and improve the quality of life of children with this condition [ 11 ].…”

Section: Introductionmentioning

confidence: 99%

A Case-Control Study of Titanium and Fluoroplastic Ventilation Tubes

Alshammari¹,

AlOthman²,

Sindi³

et al. 2022

Cureus

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BackgroundTympanostomy ventilation tube (VT) insertion is one of the most common procedures performed in otorhinolaryngology. VTs have been proven to effectively manage otitis media (OM) with effusion (OME) and to improve the quality of life of children postoperatively. Although there are multiple types of VT shapes, materials, and sizes, few studies have investigated and compared the effects of titanium VT with those of VTs made of other materials. This study aimed to compare titanium VTs and the more commonly used fluoroplastic VTs in a retrospective, age-matched, case-control study. We studied the postoperative outcomes and rates of extrusion, infection, otorrhea, tube obstruction, and residual perforation. MethodologyMedical records of patients who underwent myringotomy with VT insertion from January 2018 to December 2020 were reviewed. A total of 34 patients met the inclusion criteria, of whom 17 had undergone titanium VT insertion bilaterally (titanium group) and 17 had undergone fluoroplastic VT insertion bilaterally (control group). Both groups were followed up with regular postoperative examinations for 18 months. ResultsPostoperative complications were categorized as early and late complications. The most common early postoperative complication was early extrusion of VT (six months or less after insertion) (67.6%); this was documented most often in the titanium group. Other early postoperative complications included transient otorrhea (14.7%), tube blockage (8.8%), and recurrent acute otitis media (AOM) (occurring within one month from completion of therapy of AOM episode) (5.9%); these rates were similar in both groups. Late complications were not significantly variable between groups. Tympanic membrane retraction was the most common late complication (8.8%). ConclusionsVT insertion is associated with the risk of complications with varying degrees. Although factors affecting the VT complication rates are multiple and various, these rates were not different between groups in this study. However, further studies including larger population samples are needed to statistically confirm these results and their generalizability.

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