Association of Tympanostomy Tubes With Future Risk of Advanced Ear Surgery-A Population Study.
Otol Neurotol
; 40(4): 478-484, 2019 04.
Article
em En
| MEDLINE
| ID: mdl-30870361
ABSTRACT
OBJECTIVE:
To investigate future surgery for chronic ear disease in children who underwent tympanostomy tube (TT) placement, compared with non-surgically treated patients and healthy controls. STUDYDESIGN:
Retrospective population-based cohort study.SETTING:
All hospitals in the Canadian province of Ontario. PATIENTS/INTERVENTION Of children aged 18 years and younger, three cohorts were constructed 1) TT patients who had undergone at least one TT procedure (nâ=â193,880), 2) No-TT patients with recurrent physician visits for middle ear concerns who did not undergo TT (nâ=â203,283), and 3) Control an age-sex matched control group who had not had TT or physician visits for recurrent middle ear concerns (nâ=â961,168). MAIN OUTCOMEMEASURES:
Risk, and odds ratios (ORs) of surgery for chronic ear disease.RESULTS:
The TT cohort had a higher risk of tympanoplasty (OR 9.50 versus No-TT, pâ<â0.001; OR 207.90 versus Control, pâ<â0.001), ossiculoplasty (OR 3.22 versus No-TT, pâ<â0.001; OR 84.13 versus Control, pâ<â0.001), atticotomy (OR 4.41 versus No-TT, pâ<â0.001; OR 44.78 versus Control, pâ<â0.001), and mastoidectomy (OR 3.22 versus No-TT, pâ<â0.001; OR 89.12 versus control, pâ<â0.001).CONCLUSION:
This study describes the population risk of subsequent ear surgeries in TT patients. These TT patients have a significantly higher risk of surgery for chronic ear disease versus those patients with recurrent middle ear disease that did not undergo TT, and age-sex matched controls.
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Otite Média
/
Próteses e Implantes
/
Timpanoplastia
/
Ventilação da Orelha Média
/
Otopatias
Tipo de estudo:
Etiology_studies
/
Incidence_studies
/
Observational_studies
/
Risk_factors_studies
Limite:
Adolescent
/
Child
/
Child, preschool
/
Female
/
Humans
/
Male
País/Região como assunto:
America do norte
Idioma:
En
Revista:
Otol Neurotol
Assunto da revista:
NEUROLOGIA
/
OTORRINOLARINGOLOGIA
Ano de publicação:
2019
Tipo de documento:
Article