소아 환자에서 중이 환기관 재삽입과 관련된 임상적 특징 및 환기관삽입술 후 합병증
Clinical Characteristics Associated With Re-Insertion and Postoperative Complication of Ventilation Tube Insertion in Pediatric Patients
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Background and Objectives Otitis media with effusion is a common disease in the pediat-ric population. When medical treatment fails, ventilation tube insertion (VTI) is the best treat-ment choice. In this article, we aimed to analyze complications following VTI and evaluateclinical characteristics that increase the possibility of reoperation. Subjects and Method This study retrospective reviewed the medical charts of 287 pediat-ric patients who underwent VTI in our institute from May 2015 to June 2020. Patients wereclassified into two groups: the single VTI group, who were operated on once, and the multipleVTI group, who were operated on at least twice. We studied the differences between the twogroups regarding patient demographics, the operative method, operative-related data, treatmentoutcomes, and complications. Results Our study included 181 patients (308 ears), consisting of 114 males (63.0%) and 67females (37.0%). Among the patients, 141 patients (237 ears) were included in the single VTIgroup, and 40 patients (71 ears) were included in the multiple VTI group. There was a highertendency of re-operation for patients whose age was younger at the first operation than forolder patients and for those who had underlying diseases such as genetic diseases, develop-mental delay or language delay. We also found that the retraction state of the tympanic mem-brane after tube extrusion and earlier extrusion or obstruction of the ventilation tube was sta-tistically significant factors associated with reoperation. Conclusion Our study identified factors affecting the possibility of reoperation. Regularfollow-ups are necessary if these factors are present.
Abstract
Background and Objectives Otitis media with effusion is a common disease in the pediat-ric population. When medical treatment fails, ventilation tube insertion (VTI) is the best treat-ment choice. In this article, we aimed to analyze complications following VTI and evaluateclinical characteristics that increase the possibility of reoperation. Subjects and Method This study retrospective reviewed the medical charts of 287 pediat-ric patients who underwent VTI in our institute from May 2015 to June 2020. Patients wereclassified into two groups: the single VTI group, who were operated on once, and the multipleVTI group, who were operated on at least twice. We studied the differences between the twogroups regarding patient demographics, the operative method, operative-related data, treatmentoutcomes, and complications. Results Our study included 181 patients (308 ears), consisting of 114 males (63.0%) and 67females (37.0%). Among the patients, 141 patients (237 ears) were included in the single VTIgroup, and 40 patients (71 ears) were included in the multiple VTI group. There was a highertendency of re-operation for patients whose age was younger at the first operation than forolder patients and for those who had underlying diseases such as genetic diseases, develop-mental delay or language delay. We also found that the retraction state of the tympanic mem-brane after tube extrusion and earlier extrusion or obstruction of the ventilation tube was sta-tistically significant factors associated with reoperation. Conclusion Our study identified factors affecting the possibility of reoperation. Regularfollow-ups are necessary if these factors are present.
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