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Long term outcomes for children who undergo ear tube placement surgery

y be insufficient to retain normal hearing or restore it to normal levels," the authors write.

At the 14 years' follow-up 177 (74.7 percent) of the children's ears had healed, up from 156 (65.8 percent) at five years following surgery. The number of abnormal outcomes decreased from 81 (34.2 percent) at five years to 60 (25.3 percent) at 14 years. Abnormal outcomes were more common when the child had an ear infection with accumulated fluid, or had required three or more tube insertions. Repeated tube insertion and other ear surgery was also more common in those with the more serious condition.

"Based on our results, we conclude that tympanostomy tube insertion early in life, and repeated if necessary, for OME or RAOM is a safe and useful treatment method," the authors conclude. "Parents should be informed of the long follow-up, of the possible need for repeated VT insertion, and of potential sequelae that sometimes necessitate surgical intervention. Patients healed after five years do not need further follow-up."


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Contact: Hannu Valtonen, M.D., Ph.D.
hannu.valtonen@kuh.fi
JAMA and Archives Journals
18-Apr-2005


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