Prevalence of chronic otitis media with effusion in a pediatric tracheotomy population: A retrospective review
✍ Scribed by David J. Beste; Stephen F. Conley; Mary M. Milbrath
- Publisher
- John Wiley and Sons
- Year
- 1999
- Tongue
- English
- Weight
- 36 KB
- Volume
- 28
- Category
- Article
- ISSN
- 8755-6863
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✦ Synopsis
The prevalence of chronic otitis media with effusion (COME) was investigated in a 4-year retrospective study of a pediatric tracheotomy population followed in the outpatient Tracheotomy-Ventilation Clinic of Children's Hospital of Wisconsin. After exclusions, 83 patients comprised the study population. In a given patient, COME was defined by the presence of middle ear effusion in more than 50% of ear evaluations during the 4-year study period, or tympanostomy tube placement.
The prevalence of COME was 60% in the study population as a whole. Special population groups had prevalences as follows: 90% in craniofacial anomaly patients, 79% in chronically ventilated patients, and 48% in nonventilated patients. Chronically ventilated patients had a statistically significant higher prevalence of COME than the nonventilated group (P < 0.025). These data indicate that COME is a prevalent condition in the pediatric tracheotomy population.