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.
- 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.