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Korean Journal of Otorhinolaryngology-Head and Neck Surgery > Volume 39(2); 1996 > Article
Korean Journal of Otorhinolaryngology-Head and Neck Surgery 1996;39(2): 204-9.
Clinical Follow-up after Tympanostomy Tube Insertion in Children with Otitis Media with Effusion
Hwa Kyung Yu, MD, Jong Woo Chung, MD, and Tae Hyun Yoon, MD
Department of Otolaryngology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea
삼출성 중이염 소아에서 환기튜브 유치후 임상경과에 관한 연구
유화경 · 정종우 · 윤태현
울산대학교 의과대학 서울중앙병원 이비인후과학교실
ABSTRACT

Otitis media with effusion (OME) occurs very frequently in children. In spite of medical treatment, the most common indication of the tympanostomy tube is persistence of midddle ear effusion longer than three months which is called as chronic form of OME. The purpose of this paper is to find the factors that can be responsible for the tympanostomy tube extrusion and the recurrence. We studied 146 ears that tympanostomy tubes were inserted on. The results are follows ; 1) Indwelling period of tympanostomy tube was 8.3 months. 2) Recurrence rate after tympanostomy tube extrusion was 23.5%. 3) Indwelling period and recurrence rate were not influenced by the nature of middle ear effusion. 4) Indwelling period seems to be shorter and recurrence rate seems to be higher in old children group and in the group having previous tympanostomy tube insertion. 5) Average duration until recurrence after tympanostomy tube extrusion was 11.5 months and shorter in previously intubated tympanic membrane. Through this study, in children who have a history of tympanostomy tube insertion, indwelling period and duration until recurrence seem to be shrter and recurrence rate seems to be higher. Thus, this results suggest that these patients should be followed up carefully after tympanostomy tube insertion.

Keywords: Otitis media with effusionTympanostomy tubeIndwelling periodRecurrence rate.
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