The Role of Adjuvant Adenoidectomy and Tonsillectomy in the Outcome of the Insertion of Tympanostomy Tubes
Otitis media is the most common medical problem for which children in North America see a doctor 1 , 2 and the most common reason for surgery in children. 3 – 7 Standard surgical treatment is a myringotomy with insertion of a tympanostomy tube. 8 In several randomized trials adenoidectomy performed...
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Veröffentlicht in: | The New England journal of medicine 2001-04, Vol.344 (16), p.1188-1195 |
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creator | Coyte, Peter C Croxford, Ruth McIsaac, Warren Feldman, William Friedberg, Jacob |
description | Otitis media is the most common medical problem for which children in North America see a doctor
1
,
2
and the most common reason for surgery in children.
3
–
7
Standard surgical treatment is a myringotomy with insertion of a tympanostomy tube.
8
In several randomized trials adenoidectomy performed in conjunction with the insertion of tympanostomy tubes (adjuvant adenoidectomy) improved outcomes, measured in terms of overall complications, the length of time in which effusion of the middle ear was present, and the need for retreatment.
9
–
15
Combined adenoidectomy and tonsillectomy (adenotonsillectomy) did not improve outcomes more than adjuvant adenoidectomy alone.
9
–
12
Adjuvant adenoidectomy . . . |
doi_str_mv | 10.1056/NEJM200104193441602 |
format | Article |
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1
,
2
and the most common reason for surgery in children.
3
–
7
Standard surgical treatment is a myringotomy with insertion of a tympanostomy tube.
8
In several randomized trials adenoidectomy performed in conjunction with the insertion of tympanostomy tubes (adjuvant adenoidectomy) improved outcomes, measured in terms of overall complications, the length of time in which effusion of the middle ear was present, and the need for retreatment.
9
–
15
Combined adenoidectomy and tonsillectomy (adenotonsillectomy) did not improve outcomes more than adjuvant adenoidectomy alone.
9
–
12
Adjuvant adenoidectomy . . .</description><identifier>ISSN: 0028-4793</identifier><identifier>EISSN: 1533-4406</identifier><identifier>DOI: 10.1056/NEJM200104193441602</identifier><identifier>PMID: 11309633</identifier><identifier>CODEN: NEJMAG</identifier><language>eng</language><publisher>Boston, MA: Massachusetts Medical Society</publisher><subject>Adenoidectomy ; Adolescent ; Age Factors ; Biological and medical sciences ; Child ; Child, Preschool ; Ear diseases ; Ear, auditive nerve, cochleovestibular tract, facial nerve: diseases, semeiology ; Ears & hearing ; Female ; Head and neck surgery. Maxillofacial surgery. Dental surgery. Orthodontics ; Hospitalization - statistics & numerical data ; Humans ; Infant ; Male ; Medical sciences ; Non tumoral diseases ; Ontario ; Otitis Media - surgery ; Otorhinolaryngology. Stomatology ; Postoperative Complications - epidemiology ; Proportional Hazards Models ; Recurrence ; Reoperation - statistics & numerical data ; Reporting requirements ; Retrospective Studies ; Risk ; Surgery ; Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases ; Surgery of the ear, the auditive nerve and the facial nerve ; Tonsillectomy ; Treatment Outcome ; Tympanoplasty</subject><ispartof>The New England journal of medicine, 2001-04, Vol.344 (16), p.1188-1195</ispartof><rights>Copyright © 2001 Massachusetts Medical Society. All rights reserved.</rights><rights>2001 INIST-CNRS</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c594t-e039a9e811e84bb42be82dd57f00b53a1be834aec27d0ead0fee2b11d08668063</citedby><cites>FETCH-LOGICAL-c594t-e039a9e811e84bb42be82dd57f00b53a1be834aec27d0ead0fee2b11d08668063</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.nejm.org/doi/pdf/10.1056/NEJM200104193441602$$EPDF$$P50$$Gmms$$H</linktopdf><linktohtml>$$Uhttps://www.nejm.org/doi/full/10.1056/NEJM200104193441602$$EHTML$$P50$$Gmms$$H</linktohtml><link.rule.ids>314,776,780,2746,2747,26080,27901,27902,52357,54039</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=956684$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/11309633$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Coyte, Peter C</creatorcontrib><creatorcontrib>Croxford, Ruth</creatorcontrib><creatorcontrib>McIsaac, Warren</creatorcontrib><creatorcontrib>Feldman, William</creatorcontrib><creatorcontrib>Friedberg, Jacob</creatorcontrib><title>The Role of Adjuvant Adenoidectomy and Tonsillectomy in the Outcome of the Insertion of Tympanostomy Tubes</title><title>The New England journal of medicine</title><addtitle>N Engl J Med</addtitle><description>Otitis media is the most common medical problem for which children in North America see a doctor
1
,
2
and the most common reason for surgery in children.
3
–
7
Standard surgical treatment is a myringotomy with insertion of a tympanostomy tube.
8
In several randomized trials adenoidectomy performed in conjunction with the insertion of tympanostomy tubes (adjuvant adenoidectomy) improved outcomes, measured in terms of overall complications, the length of time in which effusion of the middle ear was present, and the need for retreatment.
9
–
15
Combined adenoidectomy and tonsillectomy (adenotonsillectomy) did not improve outcomes more than adjuvant adenoidectomy alone.
9
–
12
Adjuvant adenoidectomy . . .</description><subject>Adenoidectomy</subject><subject>Adolescent</subject><subject>Age Factors</subject><subject>Biological and medical sciences</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>Ear diseases</subject><subject>Ear, auditive nerve, cochleovestibular tract, facial nerve: diseases, semeiology</subject><subject>Ears & hearing</subject><subject>Female</subject><subject>Head and neck surgery. Maxillofacial surgery. Dental surgery. Orthodontics</subject><subject>Hospitalization - statistics & numerical data</subject><subject>Humans</subject><subject>Infant</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Non tumoral diseases</subject><subject>Ontario</subject><subject>Otitis Media - surgery</subject><subject>Otorhinolaryngology. Stomatology</subject><subject>Postoperative Complications - epidemiology</subject><subject>Proportional Hazards Models</subject><subject>Recurrence</subject><subject>Reoperation - statistics & numerical data</subject><subject>Reporting requirements</subject><subject>Retrospective Studies</subject><subject>Risk</subject><subject>Surgery</subject><subject>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</subject><subject>Surgery of the ear, the auditive nerve and the facial nerve</subject><subject>Tonsillectomy</subject><subject>Treatment Outcome</subject><subject>Tympanoplasty</subject><issn>0028-4793</issn><issn>1533-4406</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2001</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BEC</sourceid><sourceid>BENPR</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNp9kdtq3DAQhkVo6G62fYJCMS3kJjgZHXzQZQg5bMgBinttZGtMbSxpa9mFfftod00DIWRuNDN8_z-ShpBvFM4pJOnF0_X9IwOgIKjkQtAU2BFZ0oTzWAhIP5ElAMtjkUm-ICfedxCCCvmZLCjlIFPOl6Qr_mD0y_UYuSa61N30T9kxJGhdq7EendlGyuqocNa3fT93WhuNQfc8jbUze-muXFuPw9g6u2sUW7NR1vk9X0wV-i_kuFG9x6_zuSK_b66Lq7v44fl2fXX5ENeJFGOMwKWSmFOKuagqwSrMmdZJ1gBUCVc01FworFmmAZWGBpFVlGrI0zSHlK_I6cF3M7i_E_qxNK2vse-VRTf5MsuAScGyAP54A3ZuGmy4W8kYl0JwJgPED1A9OO8HbMrN0Bo1bEsK5W4P5Tt7CKrvs_VUGdSvmvnjA_BzBpSvVd8Mytat_8_JJLxFBOrsQBnjS4ud-XDoC6kEm8M</recordid><startdate>20010419</startdate><enddate>20010419</enddate><creator>Coyte, Peter C</creator><creator>Croxford, Ruth</creator><creator>McIsaac, Warren</creator><creator>Feldman, William</creator><creator>Friedberg, Jacob</creator><general>Massachusetts Medical Society</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>0TZ</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>8AO</scope><scope>8C1</scope><scope>8FE</scope><scope>8FH</scope><scope>8FI</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AN0</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BEC</scope><scope>BENPR</scope><scope>BHPHI</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>HCIFZ</scope><scope>K0Y</scope><scope>LK8</scope><scope>M0R</scope><scope>M0T</scope><scope>M1P</scope><scope>M2M</scope><scope>M2O</scope><scope>M2P</scope><scope>M7P</scope><scope>MBDVC</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>PSYQQ</scope><scope>Q9U</scope><scope>7X8</scope></search><sort><creationdate>20010419</creationdate><title>The Role of Adjuvant Adenoidectomy and Tonsillectomy in the Outcome of the Insertion of Tympanostomy Tubes</title><author>Coyte, Peter C ; Croxford, Ruth ; McIsaac, Warren ; Feldman, William ; Friedberg, Jacob</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c594t-e039a9e811e84bb42be82dd57f00b53a1be834aec27d0ead0fee2b11d08668063</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2001</creationdate><topic>Adenoidectomy</topic><topic>Adolescent</topic><topic>Age Factors</topic><topic>Biological and medical sciences</topic><topic>Child</topic><topic>Child, Preschool</topic><topic>Ear diseases</topic><topic>Ear, auditive nerve, cochleovestibular tract, facial nerve: diseases, semeiology</topic><topic>Ears & hearing</topic><topic>Female</topic><topic>Head and neck surgery. Maxillofacial surgery. Dental surgery. Orthodontics</topic><topic>Hospitalization - statistics & numerical data</topic><topic>Humans</topic><topic>Infant</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Non tumoral diseases</topic><topic>Ontario</topic><topic>Otitis Media - surgery</topic><topic>Otorhinolaryngology. Stomatology</topic><topic>Postoperative Complications - epidemiology</topic><topic>Proportional Hazards Models</topic><topic>Recurrence</topic><topic>Reoperation - statistics & numerical data</topic><topic>Reporting requirements</topic><topic>Retrospective Studies</topic><topic>Risk</topic><topic>Surgery</topic><topic>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</topic><topic>Surgery of the ear, the auditive nerve and the facial nerve</topic><topic>Tonsillectomy</topic><topic>Treatment Outcome</topic><topic>Tympanoplasty</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Coyte, Peter C</creatorcontrib><creatorcontrib>Croxford, Ruth</creatorcontrib><creatorcontrib>McIsaac, Warren</creatorcontrib><creatorcontrib>Feldman, William</creatorcontrib><creatorcontrib>Friedberg, Jacob</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Pharma and Biotech Premium PRO</collection><collection>Nursing & Allied Health Database</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>ProQuest Pharma Collection</collection><collection>Public Health Database</collection><collection>ProQuest SciTech Collection</collection><collection>ProQuest Natural Science Collection</collection><collection>Hospital Premium Collection</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>British Nursing Database</collection><collection>ProQuest Central Essentials</collection><collection>Biological Science Collection</collection><collection>eLibrary</collection><collection>ProQuest Central</collection><collection>Natural Science Collection</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Research Library Prep</collection><collection>SciTech Premium Collection</collection><collection>New England Journal of Medicine</collection><collection>ProQuest Biological Science Collection</collection><collection>Consumer Health Database</collection><collection>Healthcare Administration Database</collection><collection>Medical Database</collection><collection>Psychology Database</collection><collection>Research Library</collection><collection>Science Database</collection><collection>Biological Science Database</collection><collection>Research Library (Corporate)</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest One Psychology</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><jtitle>The New England journal of medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Coyte, Peter C</au><au>Croxford, Ruth</au><au>McIsaac, Warren</au><au>Feldman, William</au><au>Friedberg, Jacob</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The Role of Adjuvant Adenoidectomy and Tonsillectomy in the Outcome of the Insertion of Tympanostomy Tubes</atitle><jtitle>The New England journal of medicine</jtitle><addtitle>N Engl J Med</addtitle><date>2001-04-19</date><risdate>2001</risdate><volume>344</volume><issue>16</issue><spage>1188</spage><epage>1195</epage><pages>1188-1195</pages><issn>0028-4793</issn><eissn>1533-4406</eissn><coden>NEJMAG</coden><abstract>Otitis media is the most common medical problem for which children in North America see a doctor
1
,
2
and the most common reason for surgery in children.
3
–
7
Standard surgical treatment is a myringotomy with insertion of a tympanostomy tube.
8
In several randomized trials adenoidectomy performed in conjunction with the insertion of tympanostomy tubes (adjuvant adenoidectomy) improved outcomes, measured in terms of overall complications, the length of time in which effusion of the middle ear was present, and the need for retreatment.
9
–
15
Combined adenoidectomy and tonsillectomy (adenotonsillectomy) did not improve outcomes more than adjuvant adenoidectomy alone.
9
–
12
Adjuvant adenoidectomy . . .</abstract><cop>Boston, MA</cop><pub>Massachusetts Medical Society</pub><pmid>11309633</pmid><doi>10.1056/NEJM200104193441602</doi><tpages>8</tpages><oa>free_for_read</oa></addata></record> |
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source | MEDLINE; EZB-FREE-00999 freely available EZB journals; New England Journal of Medicine |
subjects | Adenoidectomy Adolescent Age Factors Biological and medical sciences Child Child, Preschool Ear diseases Ear, auditive nerve, cochleovestibular tract, facial nerve: diseases, semeiology Ears & hearing Female Head and neck surgery. Maxillofacial surgery. Dental surgery. Orthodontics Hospitalization - statistics & numerical data Humans Infant Male Medical sciences Non tumoral diseases Ontario Otitis Media - surgery Otorhinolaryngology. Stomatology Postoperative Complications - epidemiology Proportional Hazards Models Recurrence Reoperation - statistics & numerical data Reporting requirements Retrospective Studies Risk Surgery Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases Surgery of the ear, the auditive nerve and the facial nerve Tonsillectomy Treatment Outcome Tympanoplasty |
title | The Role of Adjuvant Adenoidectomy and Tonsillectomy in the Outcome of the Insertion of Tympanostomy Tubes |
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