Factors related to persisting perforations after ventilation tube insertion

Ashley P. O'Connell Ferster, April Michelle Tanner, Kodjo Karikari, Christopher Roberts, Derek Wiltz, Michele M. Carr

Research output: Contribution to journalArticle

5 Citations (Scopus)

Abstract

Objective Over a million ventilation tubes are placed annually in the United States, making this one of the most commonly performed procedures in the field of medicine. Certain factors increase the risk of persistent tympanic membrane perforation following the extrusion of short term ventilation tubes. Persistent perforations may fail to heal on their own, necessitating surgical closure to avoid conductive hearing loss. It is important to detect factors that may predict children who are at increased risk for persistent perforations. Methods, outcomes data and statistical analysis This study was a retrospective chart review that involved 757 patients between 2003 and 2008. The patients studied were within the age of 2 months–17 years, and all had short term tubes placed. The chart data also included demographic information, comorbidities, and information related to tube insertion and follow-up care. Chi-square, t-test, and multivariate logistic regression were conducted to compare variables between patients with perforations and those without. Results Data from 757 patients was analyzed, showing that perforation rate is associated with rhinorrhea, operative tube removal, aural polyps, and otorrhea (OR 1.72, 8.16, 4.69, and 1.72 respectively). The absence of otorrhea decreased the likelihood of TM perforations and no significant differences were found in gender, total number of sets of tubes, type of tube, use of nasal steroids, adenoidectomy, or nasal congestion. Conclusion Our findings suggest that children with rhinorrhea, otorrhea, aural polyps, or prolonged intubation requiring operative tube removal should be identified clinically as children at risk of persisting perforation.

Original languageEnglish (US)
Pages (from-to)29-32
Number of pages4
JournalInternational Journal of Pediatric Otorhinolaryngology
Volume81
DOIs
StatePublished - Feb 1 2016

Fingerprint

Ventilation
Polyps
Nose
Ear
Tympanic Membrane Perforation
Conductive Hearing Loss
Adenoidectomy
Aftercare
Statistical Data Interpretation
Chi-Square Distribution
Intubation
Comorbidity
Logistic Models
Steroids
Medicine
Demography

All Science Journal Classification (ASJC) codes

  • Pediatrics, Perinatology, and Child Health
  • Otorhinolaryngology

Cite this

O'Connell Ferster, A. P., Tanner, A. M., Karikari, K., Roberts, C., Wiltz, D., & Carr, M. M. (2016). Factors related to persisting perforations after ventilation tube insertion. International Journal of Pediatric Otorhinolaryngology, 81, 29-32. https://doi.org/10.1016/j.ijporl.2015.11.028
O'Connell Ferster, Ashley P. ; Tanner, April Michelle ; Karikari, Kodjo ; Roberts, Christopher ; Wiltz, Derek ; Carr, Michele M. / Factors related to persisting perforations after ventilation tube insertion. In: International Journal of Pediatric Otorhinolaryngology. 2016 ; Vol. 81. pp. 29-32.
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Factors related to persisting perforations after ventilation tube insertion. / O'Connell Ferster, Ashley P.; Tanner, April Michelle; Karikari, Kodjo; Roberts, Christopher; Wiltz, Derek; Carr, Michele M.

In: International Journal of Pediatric Otorhinolaryngology, Vol. 81, 01.02.2016, p. 29-32.

Research output: Contribution to journalArticle

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T1 - Factors related to persisting perforations after ventilation tube insertion

AU - O'Connell Ferster, Ashley P.

AU - Tanner, April Michelle

AU - Karikari, Kodjo

AU - Roberts, Christopher

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N2 - Objective Over a million ventilation tubes are placed annually in the United States, making this one of the most commonly performed procedures in the field of medicine. Certain factors increase the risk of persistent tympanic membrane perforation following the extrusion of short term ventilation tubes. Persistent perforations may fail to heal on their own, necessitating surgical closure to avoid conductive hearing loss. It is important to detect factors that may predict children who are at increased risk for persistent perforations. Methods, outcomes data and statistical analysis This study was a retrospective chart review that involved 757 patients between 2003 and 2008. The patients studied were within the age of 2 months–17 years, and all had short term tubes placed. The chart data also included demographic information, comorbidities, and information related to tube insertion and follow-up care. Chi-square, t-test, and multivariate logistic regression were conducted to compare variables between patients with perforations and those without. Results Data from 757 patients was analyzed, showing that perforation rate is associated with rhinorrhea, operative tube removal, aural polyps, and otorrhea (OR 1.72, 8.16, 4.69, and 1.72 respectively). The absence of otorrhea decreased the likelihood of TM perforations and no significant differences were found in gender, total number of sets of tubes, type of tube, use of nasal steroids, adenoidectomy, or nasal congestion. Conclusion Our findings suggest that children with rhinorrhea, otorrhea, aural polyps, or prolonged intubation requiring operative tube removal should be identified clinically as children at risk of persisting perforation.

AB - Objective Over a million ventilation tubes are placed annually in the United States, making this one of the most commonly performed procedures in the field of medicine. Certain factors increase the risk of persistent tympanic membrane perforation following the extrusion of short term ventilation tubes. Persistent perforations may fail to heal on their own, necessitating surgical closure to avoid conductive hearing loss. It is important to detect factors that may predict children who are at increased risk for persistent perforations. Methods, outcomes data and statistical analysis This study was a retrospective chart review that involved 757 patients between 2003 and 2008. The patients studied were within the age of 2 months–17 years, and all had short term tubes placed. The chart data also included demographic information, comorbidities, and information related to tube insertion and follow-up care. Chi-square, t-test, and multivariate logistic regression were conducted to compare variables between patients with perforations and those without. Results Data from 757 patients was analyzed, showing that perforation rate is associated with rhinorrhea, operative tube removal, aural polyps, and otorrhea (OR 1.72, 8.16, 4.69, and 1.72 respectively). The absence of otorrhea decreased the likelihood of TM perforations and no significant differences were found in gender, total number of sets of tubes, type of tube, use of nasal steroids, adenoidectomy, or nasal congestion. Conclusion Our findings suggest that children with rhinorrhea, otorrhea, aural polyps, or prolonged intubation requiring operative tube removal should be identified clinically as children at risk of persisting perforation.

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