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| Predicate | Object |
|---|---|
| rdf:type | |
| lifeskim:mentions | |
| pubmed:issue |
1
|
| pubmed:dateCreated |
1991-4-18
|
| pubmed:abstractText |
In a prospective controlled study of the efficacy and sequelae of ventilating tubes, 44 children with bilateral recurrent acute otitis media (greater than 6 episodes/year) and 13 children with bilateral persistent middle ear effusion (greater than 3 months) received unilateral ventilating tube insertion in a randomly selected ear. The contralateral ears were randomized to receive either myringotomy alone or no surgery. Clinical, otoscopic, tympanometric and audiologic examinations were performed before the study and 2 to 4 weeks later, then at 3-month intervals for up to 2 years and at 36 months after surgical randomization. Medical therapy and antibiotic prophylaxis were used whenever indicated. While the ventilating tubes remained functional (mean duration, 10 months) the ears with a tube had significantly fewer episodes of otitis media than their contralateral ear (P less than 0.001; 95% confidence intervals -0.7, -1.7) and had more hearing improvement (P = 0.005; 95% confidence intervals, -5.9, -1.2). After tube extrusion there was a tendency for surgically treated ears to have more otitis and worse hearing, but not at a significant level. Tympanosclerosis, retraction and atrophy were more common in ears that received tubes. The majority of ears treated medically also improved. There is need for a more cautious and selective use of ventilating tubes.
|
| pubmed:commentsCorrections | |
| pubmed:language |
eng
|
| pubmed:journal | |
| pubmed:citationSubset |
IM
|
| pubmed:chemical | |
| pubmed:status |
MEDLINE
|
| pubmed:month |
Jan
|
| pubmed:issn |
0891-3668
|
| pubmed:author | |
| pubmed:issnType |
Print
|
| pubmed:volume |
10
|
| pubmed:owner |
NLM
|
| pubmed:authorsComplete |
Y
|
| pubmed:pagination |
2-11
|
| pubmed:dateRevised |
2006-11-15
|
| pubmed:meshHeading |
pubmed-meshheading:2003051-Acoustic Impedance Tests,
pubmed-meshheading:2003051-Acute Disease,
pubmed-meshheading:2003051-Anti-Bacterial Agents,
pubmed-meshheading:2003051-Audiometry,
pubmed-meshheading:2003051-Child,
pubmed-meshheading:2003051-Child, Preschool,
pubmed-meshheading:2003051-Chronic Disease,
pubmed-meshheading:2003051-Female,
pubmed-meshheading:2003051-Follow-Up Studies,
pubmed-meshheading:2003051-Hearing Disorders,
pubmed-meshheading:2003051-Humans,
pubmed-meshheading:2003051-Infant,
pubmed-meshheading:2003051-Male,
pubmed-meshheading:2003051-Middle Ear Ventilation,
pubmed-meshheading:2003051-Otitis Media with Effusion,
pubmed-meshheading:2003051-Prospective Studies,
pubmed-meshheading:2003051-Recurrence,
pubmed-meshheading:2003051-Risk Factors,
pubmed-meshheading:2003051-Tympanic Membrane
|
| pubmed:year |
1991
|
| pubmed:articleTitle |
Evaluation of ventilating tubes and myringotomy in the treatment of recurrent or persistent otitis media.
|
| pubmed:affiliation |
Department of Pediatrics, Kaiser Permanente Medical Center, Sacramento, CA 95403-2192.
|
| pubmed:publicationType |
Journal Article,
Clinical Trial,
Randomized Controlled Trial,
Research Support, Non-U.S. Gov't
|