Kujala T. Pediatr Infect Dis J. 2012;doi:10.1097/INF.0b013e318255ddde.
Tympanostomy tube insertion is effective in reducing acute otitis media for children aged younger than 2 years, but the procedure combined with adenoidectomy offers no significant difference in preventing the illness, according to results of a new study.
Tiia Kujala, MD, and colleagues from the departments of otolaryngology and pediatrics at the University of Oulu in Finland performed a randomized controlled trial. The trial assigned 300 children who had recurrent AOM without effusion to three groups: 1) children who received tympanostomy tubes; 2) children who received tympanostomy tubes and an adenoidectomy; 3) children who received no surgical intervention.
Children in group 1 had a 21% failure rate, which was defined by researchers as two cases of AOM in 2 months, three in 6 months or effusion lasting 6 months. The children in group 2 had a 16% failure rate, and the control group had a 34% failure rate.
Kujala and colleagues concluded that the insertion of tympanostomy tubes reduce the rate of AOM when compared with no surgical intervention.
“Our results are in line with two earlier studies that indicate that insertion of tympanostomy tubes is effective but that adenoidectomy together with tympanostomy tubes does not have a major advantage over tubes alone in preventing AOM in children younger than 2 years,” they said.
Disclosure: Dr. Kujala reports no relevant financial disclosures.