Factors Affecting the Extrusion Rate and Complications After Ventilation Tube Insertion: A Multicenter Registry Study on the Effectiveness of Ventilation Tube Insertion in Pediatric Patients With Chronic Otitis Media With Effusion—Part II

Myung Hoon Yoo, Yang Sun Cho, June Choi, Yun Hoon Choung, Jae Ho Chung, Jong Woo Chung, Gyu Cheol Han, Beom Cho Jun, Dong Kee Kim, Kyu Sung Kim, Jun Ho Lee, Kyu Yup Lee, Seung Hwan Lee, In Seok Moon, Hong Ju Park, Shi Nae Park, Jihye Rhee, Jae Hyun Seo, Seung Geun Yeo

Research output: Contribution to journalArticlepeer-review

1 Citation (Scopus)

Abstract

Objectives. The impacts of ventilation tube (VT) type and effusion composition on theVT extrusion rate and complications in children with otitis media remain unclear. This part II study evaluated the factors affecting the extrusion rate, recurrence rate, and complications ofVT insertion. Methods. A prospective study was conducted between June 2014 and December 2016 (the EVENT study [analysis of the effectiveness of ventilation tube insertion in pediatric patients with chronic otitis media]), with follow-up data collected until the end of 2017. Patients aged <15 years diagnosed with otitis media with effusion who received VT insertion were recruited at 15 tertiary hospitals. The primary outcomes were time to extrusion of VT, time to effusion re-currence, and complications. Results. Data from 401 patients were analyzed. After excluding the results of long-lasting tubes (Paparella type II and T-tubes), silicone tubes (Paparella type I) exhibited a significantly longer extended time to extrusion (mean, 400 days) than titanium tubes (collar-button-type 1.0 mm: mean, 312 days; P<0.001). VT material (hazard ratio [HR], 2.117, 95% confidence interval [CI], 1.254–3.572; P=0.005), age (HR, 3.949; 95% CI, 1.239–12.590; P=0.02), and effusion composition (P=0.005) were significantly associated with the time to recurrence of middle ear effusion. Ears with purulent (mean, 567 days) and glue-like (mean, 588 days) effusions exhibited a shorter time to recurrence than ears with serous (mean, 846 days) or mucoid (mean, 925 days) effusions.The revisionVT rates during follow-up were 3.5%, 15.5%, 10.4%, and 38.9% in ears with serous, mucoid, glue-like, and purulent effusions, respectively (P<0.001).The revision surgery rates were higher among patients aged <7 years than among those aged ≥7 years. Conclusion. Silicone tubes (Paparella type I) were less prone to early extrusion than titanium 1.0 mm tubes. VT type, patient age, and effusion composition affected the time to recurrence of effusion.

Original languageEnglish
Pages (from-to)326-334
Number of pages9
JournalClinical and Experimental Otorhinolaryngology
Volume15
Issue number4
DOIs
Publication statusPublished - 2022 Nov

Bibliographical note

Publisher Copyright:
© 2022 by Korean Society of Otorhinolaryngology-Head and Neck Surgery.

All Science Journal Classification (ASJC) codes

  • Surgery
  • Otorhinolaryngology

Fingerprint

Dive into the research topics of 'Factors Affecting the Extrusion Rate and Complications After Ventilation Tube Insertion: A Multicenter Registry Study on the Effectiveness of Ventilation Tube Insertion in Pediatric Patients With Chronic Otitis Media With Effusion—Part II'. Together they form a unique fingerprint.

Cite this