Tympanostomy With and Without Adenoidectomy for the Prevention of Recurrences of Acute Otitis Media: A Randomized Controlled Trial

The Pediatric Infectious Disease Journal, 05/31/2012

Kujala T et al. – Insertion of tympanostomy tubes alone or with adenoidectomy was effective in preventing recurrent acute otitis media (AOM) episodes in children younger than 2 years of age.

Methods

  • The authors randomly assigned 300 children aged 10 months to 2 years who had recurrent AOM to groups receiving tympanostomy tubes (Tymp) (n = 100), tympanostomy tubes with adenoidectomy (TympAde) (n = 100) or neither (Contr) (n = 100).
  • All the children were followed up for 12 months.

Results

  • The primary outcome was intervention failure (2 AOM episodes in 2 months, 3 in 6 months or persistent effusion lasting for 2 months).
  • Intervention failed in 21% of cases (21/100) in the Tymp group, 16% (16/100) in the TympAde group and 34% (34/100) in the Contr group.

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