{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,29]],"date-time":"2025-10-29T13:03:42Z","timestamp":1761743022455},"reference-count":28,"publisher":"Cambridge University Press (CUP)","issue":"3","license":[{"start":{"date-parts":[[2007,6,29]],"date-time":"2007-06-29T00:00:00Z","timestamp":1183075200000},"content-version":"unspecified","delay-in-days":3042,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J. Laryngol. Otol."],"published-print":{"date-parts":[[1999,3]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>A total of 305 children, five to 16 months of age, were treated from 1983\u20131984 with ventilation tubes \u2013 Shah vent Teflon tube \u2013 inserted under local anaesthesia for recurrent acute otitis media (RAOM) or otitis media with effusion (OME). The final study group comprised 281 children (92.1 per cent) monitored prospectively for five years, 185 in the OME-group and 96 in the RAOM-group. For the first insertion of tubes the average ventilation period was 15.4 months. Re-tympanostomy, with adenoidectomy simultaneously at the first time was performed in 99 ears (35.2 per cent); once in 27.0 per cent, twice in five per cent, and three times in 3.2 per cent. Mastoidectomy due to otorrhoea was performed in three ears (1.1 per cent). The children in the OME-group were at higher risk of repeated post-tympanostomy otorrhoea episodes than children in the RAOM-group. These episodes of otorrhoea during the first insertion of ventilation tubes significantly increased both the tube extrusion rate and the need for subsequent re-tympanostomies. No major complications were caused by the tympanostomy procedure as such. It is concluded that early tympanostomy is a safe procedure in young children with RAOM or OME. However, parents should be carefully informed of risks of post-tympanostomy otorrhoea and recurrent disease after insertion of ventilation tubes necessitating subsequent tube insertion, especially in children with OME.<\/jats:p>","DOI":"10.1017\/s0022215100143592","type":"journal-article","created":{"date-parts":[[2007,11,30]],"date-time":"2007-11-30T10:12:12Z","timestamp":1196417532000},"page":"207-211","source":"Crossref","is-referenced-by-count":17,"title":["Tympanostomy in young children with recurrent otitis media. A long-term follow-up study"],"prefix":"10.1017","volume":"113","author":[{"given":"Hannu","family":"Valtonen","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yrj\u00f6","family":"Qvarnberg","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Juhani","family":"Nuutinen","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"56","published-online":{"date-parts":[[2007,6,29]]},"reference":[{"key":"S0022215100143592_ref023","doi-asserted-by":"publisher","DOI":"10.3109\/00016488909125552"},{"key":"S0022215100143592_ref020","first-page":"1","article-title":"Acute otitis media: A prospective clinical study of myringotomy and antimicrobial treatment","author":"Qvarnberg","year":"1981","journal-title":"Acta Oto-Laryngologica (Stockh)"},{"key":"S0022215100143592_ref019","doi-asserted-by":"publisher","DOI":"10.1016\/0165-5876(92)90020-P"},{"key":"S0022215100143592_ref018","doi-asserted-by":"publisher","DOI":"10.1001\/jama.1990.03440150074029"},{"key":"S0022215100143592_ref017","doi-asserted-by":"publisher","DOI":"10.1017\/S0022215100096407"},{"key":"S0022215100143592_ref014","doi-asserted-by":"publisher","DOI":"10.1177\/019459988008800423"},{"key":"S0022215100143592_ref009","unstructured":"Juola E. (1988) Effect of adenoidectomy, tympanostomy and sulfisoxazole prophylaxis otitis media in young children. Publications of the University of Kuopio, Medicine. Original reports 5, pp 1\u2013123."},{"key":"S0022215100143592_ref008","doi-asserted-by":"crossref","first-page":"1330","DOI":"10.1288\/00005537-198612000-00002","article-title":"Prevention of recurrent acute otitis media: chemoprophylaxis versus tympanostomy tubes","volume":"96","author":"Gonzalez","year":"1986","journal-title":"Laryngoscope"},{"key":"S0022215100143592_ref007","doi-asserted-by":"publisher","DOI":"10.1177\/019459988509300601"},{"key":"S0022215100143592_ref028","doi-asserted-by":"publisher","DOI":"10.1288\/00005537-198903000-00003"},{"key":"S0022215100143592_ref010","doi-asserted-by":"publisher","DOI":"10.1177\/00034894870960S201"},{"key":"S0022215100143592_ref004","first-page":"329","article-title":"Serous otitis in children: medical and surgical aspects, diagnosis and management","volume":"2","author":"Cotton","year":"1984","journal-title":"Clinical Reviews in Allergy"},{"key":"S0022215100143592_ref003","doi-asserted-by":"publisher","DOI":"10.1001\/archotol.1991.01870200089015"},{"key":"S0022215100143592_ref026","doi-asserted-by":"publisher","DOI":"10.3109\/00016489709113439"},{"key":"S0022215100143592_ref021","doi-asserted-by":"publisher","DOI":"10.1017\/S0022215100096791"},{"key":"S0022215100143592_ref011","doi-asserted-by":"publisher","DOI":"10.3109\/00016488209108506"},{"key":"S0022215100143592_ref005","first-page":"175","article-title":"The efficacy of pulse-dosed antibiotic therapy in the management of persistent otitis media with effusion","volume":"19","author":"Donaldson","year":"1990","journal-title":"Journal of Otolaryngology"},{"key":"S0022215100143592_ref022","doi-asserted-by":"publisher","DOI":"10.1017\/S0022215100087983"},{"key":"S0022215100143592_ref016","doi-asserted-by":"publisher","DOI":"10.1177\/00034894800890S372"},{"key":"S0022215100143592_ref027","first-page":"485","volume-title":"Acute and Secretory Otitis Media","author":"Virolainen","year":"1986"},{"key":"S0022215100143592_ref001","doi-asserted-by":"publisher","DOI":"10.1001\/archotol.1954.00710050665001"},{"key":"S0022215100143592_ref015","first-page":"1","article-title":"Ventilation tubes in secretory otitis media. A randomized, controlled study of the course, the complications, and the sequelae of ventilation tubes","author":"Lildholt","year":"1983","journal-title":"Acta Oto-Laryngologica (Stockh)"},{"key":"S0022215100143592_ref002","doi-asserted-by":"publisher","DOI":"10.1001\/archotol.1980.00790330033010"},{"key":"S0022215100143592_ref024","article-title":"Occurrence, risk factors and consequences of otitis media in children","volume":"310","author":"Sipil\u00e4","year":"1991","journal-title":"Acta Universitatis Tamperensis, Tampere"},{"key":"S0022215100143592_ref012","volume-title":"Secretory otitis media and mastoid pneumatization","author":"Koivuniemi","year":"1988"},{"key":"S0022215100143592_ref006","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM198712033172305"},{"key":"S0022215100143592_ref013","first-page":"1","article-title":"Chronic secretory otitis media in children. 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