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Postoperative results of ventilation tube insertion: a retrospective multicenter study for suggestion of grading system of otitis media with effusion
Postoperative results of ventilation tube insertion: a retrospective multicenter study for suggestion of grading system of otitis media with effusion
- Source :
- BMC Pediatrics, Vol 21, Iss 1, Pp 1-7 (2021), BMC Pediatrics
- Publication Year :
- 2021
-
Abstract
- Background In otitis media with effusion (OME), it is important to know when to surgically intervene and when careful monitoring is more appropriate. This study aimed to visualize and classify the clinical manifestations of OME and the correlation between the new grading system and postoperative results after ventilation tube insertion (VTI). Methods We classified the collective 1,012 ears from 506 patients into six groups: grade 0 (no effusion), grade I (scant effusion, but abnormal), grade II (effusion less than half of the tympanic cavity), grade III (effusion over half of the tympanic cavity, with air bubbles), grade IV (complete effusion), and grade V (retracted tympanic membrane or hemotympanum without air bubbles). Results The mean age at VTI was 5.2 (±2.9) years and mean duration between diagnosis and operation was 4.1 (±1.8) months. Between the grades, the nature of the middle ear effusion was also significantly different (p p = 0.019). Our results showed that the recurrence rate, as well as rate of revision VTI, increased as the grade increased (p Conclusions The new grading system of OME using endoscopic otoscope evaluation had a significant correlation with the age at VTI, the nature of middle ear effusion, the recurrence rate of OME, and the rate of revision VTI.
- Subjects :
- medicine.medical_specialty
Pediatrics
RJ1-570
Grade of effusion
Recurrence
Ventilation tube
medicine
Postoperative results
Humans
Tympanic cavity
Otoscope
Postoperative Period
Retrospective Studies
business.industry
Otitis Media with Effusion
Research
Hemotympanum
Infant
medicine.disease
Middle Ear Ventilation
Surgery
Ventilating tube
Otitis
medicine.anatomical_structure
Multicenter study
Effusion
Endoscopic otoscope
Pediatrics, Perinatology and Child Health
medicine.symptom
business
Subjects
Details
- ISSN :
- 14712431
- Volume :
- 21
- Issue :
- 1
- Database :
- OpenAIRE
- Journal :
- BMC pediatrics
- Accession number :
- edsair.doi.dedup.....be025a221d7a58a4940647caf7f865dd