Title: Tympanostomy With and Without Adenoidectomy for the Prevention of Recurrences of Acute Otitis Media
Abstract: Background: The prevention of otitis media, particularly among infants, remains a controversial issue. We evaluated the efficacy of insertion of tympanostomy tubes with and without adenoidectomy for preventing recurrent acute otitis media (AOM) in young children. Methods: We randomly assigned 300 children aged 10 months to 2 years who had recurrent AOM to groups receiving tympanostomy tubes (Tymp) (n = 100), tympanostomy tubes with adenoidectomy (TympAde) (n = 100) or neither (Contr) (n = 100). All the children were followed up for 12 months. Results: The primary outcome was intervention failure (2 AOM episodes in 2 months, 3 in 6 months or persistent effusion lasting for 2 months). Intervention failed in 21% of cases (21/100) in the Tymp group, 16% (16/100) in the TympAde group and 34% (34/100) in the Contr group. The absolute differences were −13% [95% confidence interval (CI) −25% to −1%, P = 0.04] between the Tymp and Contr groups and −18% (95% CI −30 to −6%, P =0.004) between the TympAde and Contr groups. Conclusions: Insertion of tympanostomy tubes alone or with adenoidectomy was effective in preventing recurrent AOM episodes in children younger than 2 years of age.
Publication Year: 2012
Publication Date: 2012-06-01
Language: en
Type: article
Indexed In: ['crossref', 'pubmed']
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Cited By Count: 46
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