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JYMS : Journal of Yeungnam Medical Science

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Jae Hong Choi 1 Article
Risk factors for persistent otitis media with effusion in children: a case-control study
Ju Yeon Lee, Se-Hyung Kim, Chan Il Song, Young Ree Kim, Yoon-Joo Kim, Jae Hong Choi
Yeungnam Univ J Med. 2018;35(1):70-75.   Published online June 30, 2018
DOI: https://doi.org/10.12701/yujm.2018.35.1.70
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  • 3 Crossref
AbstractAbstract PDF
Background
Otitis media with effusion (OME) is defined as middle ear effusion without acute signs of infection. OME usually resolves spontaneously; however, persistent OME may require the insertion of a ventilation tube. This study investigated risk factors for persistent OME in children who undergo ventilation tube insertion.
Methods
Children who were admitted to undergo ventilation tube insertion at Jeju National University Hospital between August 2015 and July 2016 were enrolled as the case group. Healthy children without persistent OME from August 2016 to July 2017 were enrolled as the control group. Baseline characteristics and predisposing factor data were collected using an interview questionnaire. Middle ear fluids were collected from the case group.
Results
A total of 31 patients underwent ventilation tube insertion. The mean age of the case group was 4.53 years, with a male-to-female ratio of 21:10. Twenty-nine (93.5%) children attended a daycare center, and 21 (67.7%) had experience with bottle feeding. Fifteen (48.4%) children in the case group and 3 (9.7%) in the control group first attended a daycare center at <1 year of age (odds ratio=9.96; 95% confidence interval=2.44-39.70; p=0.001). No bacteria were found in middle ear fluid collected from the 31 operated children. Nasopharyngeal bacterial colonization was found in 13 (41.9%) and 17 (54.8%) children in the case and control groups, respectively.
Conclusion
Earlier attendance at a daycare center was the only predisposing factor for ventilation tube insertion in our study. The aseptic nature of middle ear fluids found in children with OME highlights the efficacy of antimicrobial use.

Citations

Citations to this article as recorded by  
  • Otitis Media With Effusion After the COVID‐19 Pandemic: Return to the Past and New Lessons
    Mirko Aldè, Paola Marchisio, Francesco Folino, Umberto Ambrosetti, Federica Di Berardino, Stefania Barozzi, Diego Zanetti, Lorenzo Pignataro, Giovanna Cantarella
    Otolaryngology–Head and Neck Surgery.2024;[Epub]     CrossRef
  • Impact of COVID-19 on nationwide pediatric otolaryngology: Otitis media and myringotomy tube trends
    David Z. Allen, Sai Challapalli, Sean McKee, Kyung Hyun Lee, Cynthia S. Bell, Soham Roy, Sarah Bowe, Karthik Balakrishnan, C.W. David Chang, Zhen Huang
    American Journal of Otolaryngology.2022; 43(2): 103369.     CrossRef
  • Special Considerations for Tympanoplasty Type I in the Oncological Pediatric Population: A Case-Control Study
    Celine Richard, Emily Baker, Joshua Wood
    Frontiers in Surgery.2022;[Epub]     CrossRef

JYMS : Journal of Yeungnam Medical Science