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Analysis of factors associated with multiple ventilation tube insertions in children with otitis media with effusion

  • H Choi (a1), D Lee (a1), Y Hong (a1) and D-K Kim (a1)



To determine the factors related to multiple ventilation tube insertions in children with otitis media with effusion.


A retrospective review was performed of 126 ears of 81 children aged less than 12 years who had undergone insertion of a Paparella type 1 ventilation tube for the first time between August 2012 and March 2018.


Mean age at the first operation was 4.0 ± 2.2 years, and the mean duration of otitis media with effusion before the first ventilation tube insertion was 5.4 ± 4.5 months. Among 126 ears, 80 (63.5 per cent) had a single ventilation tube insertion and 46 (36.5 per cent) had multiple insertions. On multivariate logistic regression, tympanic membrane retraction, serous middle-ear discharge, and early recurrence of otitis media with effusion were independent predictive factors of multiple ventilation tube insertions.


Tympanic membrane retraction, serous middle-ear discharge, and early recurrence of otitis media with effusion after the first tube extrusion are associated with multiple ventilation tube insertions.


Corresponding author

Author for correspondence: Dr Dong-Kee Kim, Department of Otolaryngology – Head and Neck Surgery, Daejeon St Mary's Hospital, College of Medicine, Catholic University of Korea, Daeheung-dong, Jung-gu, Daejeon, Korea E-mail: Fax: +82 42 221 9580


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Dr D-K Kim takes responsibility for the integrity of the content of the paper



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