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
Hauptverfasser: Coyte, Peter C, Croxford, Ruth, McIsaac, Warren, Feldman, William, Friedberg, Jacob
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container_issue 16
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container_title The New England journal of medicine
container_volume 344
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 . . .
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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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