Issue: Vojnosanit Pregl 2017; Vol. 74 (No. 12)
Risk factors for recurrent otitis media with effusion
Authors:
Ivan Baljošević, Ljiljana Čvorović, Katarina Stanković, Vladan Šubarević, Zlata Baljošević
Background/Aim. Otitis media with effusion (OME) is a commondisease among the children aged from 6 months to 4 years,
but recurrences are common after the extraction of ventilation
tubes. The aim of the study was to determine the risk factors for
recurrent OME after extraction of ventilation tubes. Methods.
The research was a prospective study with 305 children aged 0 to
10 years with OME. Forty three (14%) of them had recurrent
OME. We analyzed the factors that could lead to the redevelopment
of the disease after extrusion of the tubes. Results. It was
found that the majority of children with recurrent disease was between
the ages of 5 to 7 years (56%) and had allergy in significantly
higher rate than children without recurrence. In most cases
(37.7%), the retention time of ventilating tube was above 10
months and the recurrent disease was diagnosed in 46.5% cases
within a period of 10 to 12 months after extrusion of tubes. Conclusion.
Children with OME and after ventilation tube extrusion
need to be followed up for 1 year after the removal of tubes. It is
necessary to inform the parents that the disease can recur. Children
in the kindergarten, in preschool age and with a respiratory allergy
had higher possibility for recurrent OME.
