{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,20]],"date-time":"2026-08-20T14:48:30Z","timestamp":1787237310279,"version":"build-2736575974"},"reference-count":33,"publisher":"MDPI AG","issue":"23","license":[{"start":{"date-parts":[[2021,11,27]],"date-time":"2021-11-27T00:00:00Z","timestamp":1637971200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["IJERPH"],"abstract":"<jats:p>(1) Background: Otitis media with effusion (OME) is one of the most common diseases in childhood. The objective was to assess clinically the effectiveness of the surgical approach (tube insertion with adenoidectomy) in comparison with the non-surgical approach (watchful waiting) during a 12-month observation period. (2) Methods: This study was retrospective and obtained approval from the bioethics committee. The criteria of inclusion in the first group (surgical approach) were: (1) a diagnosis of chronic otitis media with effusion in children aged between 1 and 6 years; (2) their medical history showed that they had undergone adenoidectomy and tympanostomy with the insertion of ventilation tubes (VTs). The criteria for inclusion in the second group (non-surgery) were similar to the first group except that their medical history showed they had not undergone adenoidectomy or tympanostomy with the insertion of VTs. There were 422 children included in the surgical group and 50 children in the non-surgical group, and the period of observation was 12 months. (3) Results: For the entire surgical group, the number of healthy days ranged from 20 to 365, with a mean of 328.0 days (SD = 91.4).In the non-surgical group, the number of healthy days ranged from 13 to 365, with a mean of 169.2 days (SD = 127.3). The difference in the number of healthy days was statistically significant (p &lt; 0.001). The certainty of treatment in the first group was higher than in the second group, and the number of days without recurrence was significantly higher than in the second group. In the first group, there were 71 recurrences from 422 children (16.8%), and, in the second subgroup, there were 40 recurrences of acute otitis media (AOM) from 50 children (80%). The RR was 0.21. (4) Conclusions: The surgical approach in children aged 1\u20136 years who have been diagnosed with otitis media with effusion is reasonable and beneficial for the child.<\/jats:p>","DOI":"10.3390\/ijerph182312502","type":"journal-article","created":{"date-parts":[[2021,11,30]],"date-time":"2021-11-30T04:48:37Z","timestamp":1638247717000},"page":"12502","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":8,"title":["Effectiveness of Surgical Approach of Insertion Ventilation Tubes (Tympanostomy) and Adenoidectomy in Comparison with Non-Surgical Approach (Watchful Waiting Approach) in Children at the Age between 1 and 6 and Who Suffer from Otitis Media with Effusion (OME) in 12-Month Period of Observation\u2014The Retrospective Analysis"],"prefix":"10.3390","volume":"18","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3340-1698","authenticated-orcid":false,"given":"Magdalena Beata","family":"Skarzynska","sequence":"first","affiliation":[{"name":"Institute of Sensory Organs, Nadarzyn, 05-830 Warsaw, Poland"},{"name":"Center of Hearing and Speech Medincus, Kajetany, 05-830 Warsaw, Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"El\u017cbieta","family":"Gos","sequence":"additional","affiliation":[{"name":"Department of Teleaudiology and Screening, World Hearing Center, Institute of Physiology and Pathology of Hearing, Kajetany, 05-830 Warsaw, Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Natalia","family":"Czajka","sequence":"additional","affiliation":[{"name":"Department of Teleaudiology and Screening, World Hearing Center, Institute of Physiology and Pathology of Hearing, Kajetany, 05-830 Warsaw, Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3647-3999","authenticated-orcid":false,"given":"Milaine Dominici","family":"Sanfis","sequence":"additional","affiliation":[{"name":"Child and Adolescent Heath Program, Faculty of Medical Sciences, University of Campinas, Campinas 13083-970, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4978-1915","authenticated-orcid":false,"given":"Piotr Henryk","family":"Skarzynski","sequence":"additional","affiliation":[{"name":"Institute of Sensory Organs, Nadarzyn, 05-830 Warsaw, Poland"},{"name":"Department of Teleaudiology and Screening, World Hearing Center, Institute of Physiology and Pathology of Hearing, Kajetany, 05-830 Warsaw, Poland"},{"name":"Heart Failure and Cardiac Rehabilitation Department, Faculty of Medicine, Medical University of Warsaw, 03-242 Warsaw, Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2021,11,27]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"8","DOI":"10.1177\/00034894021110S304","article-title":"1. Definitions, Terminology, and Classification of Otitis Media","volume":"111","author":"Bluestone","year":"2002","journal-title":"Ann. Otol. Rhinol. Laryngol."},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"283","DOI":"10.1111\/j.1365-2273.1990.tb00787.x","article-title":"The prevalence of otitis media with effusion: A critical review of the literature","volume":"15","author":"Zielhuis","year":"1990","journal-title":"Clin. Otolaryngol. Allied. Sci."},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"147","DOI":"10.1111\/j.1365-2273.1990.tb00448.x","article-title":"The occurrence of otitis media with effusion in Dutch pre-school children","volume":"15","author":"Zielhuis","year":"1990","journal-title":"Clin. Otolaryngol. Allied Sci."},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"417","DOI":"10.1177\/002221948201500709","article-title":"Some developmental and behavioral problems associated with bilateral otitis media with effusion","volume":"15","author":"Silva","year":"1982","journal-title":"J. Learn Disabil."},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"685","DOI":"10.1093\/infdis\/162.3.685","article-title":"Otitis media in infancy and intellectual ability, school achievement, speech, and language at age 7 years. Greater Boston Otitis Media Study Group","volume":"162","author":"Teele","year":"1990","journal-title":"J. Infect. Dis."},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"1371","DOI":"10.1016\/S0031-3955(16)36794-3","article-title":"Modern management of otitis media","volume":"36","author":"Bluestone","year":"1989","journal-title":"Pediatr. Clin. N. Am."},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"856","DOI":"10.1044\/2021_LSHSS-20-00083","article-title":"Organizational Aspects and Outcomes of a Hearing Screening Program Among First-Grade Children in the Mazovian Region of Poland","volume":"52","author":"Gos","year":"2021","journal-title":"Lang. Speech Hear. Serv. Sch."},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"275","DOI":"10.3390\/audiolres11020025","article-title":"Hearing Screening among First-Grade Children in Rural Areas and Small Towns in Ma\u0142opolskie Voivodeship, Poland","volume":"11","author":"Swierniak","year":"2021","journal-title":"Audiol. Res."},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"1258","DOI":"10.1177\/0194599820931414","article-title":"Long-Term Otitis Media Outcomes in Infants With Early Tympanostomy Tubes","volume":"163","author":"Luu","year":"2020","journal-title":"Otolaryngol.-Head Neck Surg."},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"109676","DOI":"10.1016\/j.ijporl.2019.109676","article-title":"Prevalence of hearing loss among polish school-age children from rural areas\u2014Results of hearing screening program in the sample of 67 416 children","volume":"128","author":"Gos","year":"2020","journal-title":"Int. J. Pediatr. Otorhinolaryngol."},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"1909","DOI":"10.4081\/jphr.2021.1909","article-title":"Risk factors for acute otitis media in primary school children: A case-control study in Central Java, Indonesia","volume":"10","author":"Wijayanti","year":"2021","journal-title":"J. Public Health Res."},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"144","DOI":"10.1016\/j.joto.2020.09.001","article-title":"Chronic otitis media and subsequent hearing loss in children from the Himalayan region residing in Buddhist Monastic schools of Nepal","volume":"15","author":"Maharjan","year":"2020","journal-title":"J. Otol."},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"110552","DOI":"10.1016\/j.ijporl.2020.110552","article-title":"The accuracy of parental suspicion of hearing loss in children","volume":"141","author":"Swierniak","year":"2021","journal-title":"Int. J. Pediatr. Otorhinolaryngol."},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"851","DOI":"10.1007\/s00431-006-0181-5","article-title":"Parental suspicion of hearing loss in children with otitis media with effusion","volume":"165","author":"Lo","year":"2006","journal-title":"Eur. J. Pediatr."},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"1778","DOI":"10.1017\/S0950268813002744","article-title":"Incidence and clinical presentation of acute otitis media in children aged <6 years in European medical practices","volume":"142","author":"Liese","year":"2014","journal-title":"Epidemiol. Infect."},{"key":"ref_16","first-page":"33","article-title":"Program bada\u0144 przesiewowych s\u0142uchu dla uczni\u00f3w klas pierwszych szk\u00f3\u0142 podstawowych z wojew\u00f3dztwa mazowieckiego","volume":"9","author":"Gocel","year":"2020","journal-title":"Now. Audiofonol."},{"key":"ref_17","doi-asserted-by":"crossref","first-page":"1444","DOI":"10.1353\/hpu.2021.0143","article-title":"Pilot Hearing Screening of School-age Children in Lagos, Nigeria","volume":"32","author":"Skarzynski","year":"2021","journal-title":"J. Health Care Poor Underserved"},{"key":"ref_18","doi-asserted-by":"crossref","first-page":"43","DOI":"10.1097\/00003446-198501000-00012","article-title":"The minimally hearing-impaired child","volume":"6","author":"Bess","year":"1985","journal-title":"Ear. Hear."},{"key":"ref_19","doi-asserted-by":"crossref","first-page":"2424","DOI":"10.12659\/MSM.895967","article-title":"A Hearing Screening Program for Children in Primary Schools in Tajikistan: A Telemedicine Model","volume":"22","author":"Kholmatov","year":"2016","journal-title":"Med. Sci. Monit."},{"key":"ref_20","doi-asserted-by":"crossref","first-page":"649","DOI":"10.1097\/MAO.0b013e318173035b","article-title":"Myringotomy versus ventilation tubes in secretory otitis media: Eardrum pathology, hearing, and eustachian tube function 25 years after treatment","volume":"29","author":"Stangerup","year":"2008","journal-title":"Otol. Neurotol. Off. Publ. Am. Otol. Soc. Am. Neurotol. Soc. Eur. Acad. Otol. Neurotol."},{"key":"ref_21","doi-asserted-by":"crossref","first-page":"270","DOI":"10.1097\/00006454-199204000-00003","article-title":"Efficacy of myringotomy with and without tympanostomy tubes for chronic otitis media with effusion","volume":"11","author":"Mandel","year":"1992","journal-title":"Pediatric Infect. Dis. J."},{"key":"ref_22","first-page":"CD003423","article-title":"Antihistamines and\/or decongestants for otitis media with effusion (OME) in children","volume":"9","author":"Griffin","year":"2011","journal-title":"Cochrane Database Syst. Rev."},{"key":"ref_23","first-page":"CD001935","article-title":"Oral or topical nasal steroids for hearing loss associated with otitis media with effusion in children","volume":"5","author":"Simpson","year":"2011","journal-title":"Cochrane Database Syst. Rev."},{"key":"ref_24","first-page":"CD009163","article-title":"Antibiotics for otitis media with effusion in children","volume":"6","author":"Venekamp","year":"2016","journal-title":"Cochrane Database Syst. Rev."},{"key":"ref_25","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1177\/0194599812468849","article-title":"Clinical Practice Guideline: Tympanostomy Tubes in Children","volume":"149","author":"Rosenfeld","year":"2013","journal-title":"Otolaryngol.-Head Neck Surg."},{"key":"ref_26","doi-asserted-by":"crossref","first-page":"1183","DOI":"10.1016\/S0031-3955(05)70513-7","article-title":"Care of the child with tympanostomy tubes","volume":"43","author":"Isaacson","year":"1996","journal-title":"Pediatr. Clin. N. Am."},{"key":"ref_27","doi-asserted-by":"crossref","first-page":"480","DOI":"10.1136\/adc.2004.059444","article-title":"Grommets in otitis media with effusion: An individual patient data meta-analysis","volume":"90","author":"Rovers","year":"2005","journal-title":"Arch. Dis. Child."},{"key":"ref_28","doi-asserted-by":"crossref","first-page":"1","DOI":"10.3310\/hta18050","article-title":"Adenoidectomy with or without grommets for children with otitis media: An individual patient data meta-analysis","volume":"18","author":"Boonacker","year":"2014","journal-title":"Health Technol. Assess."},{"key":"ref_29","unstructured":"National Collaborating Centre for Women\u2019s and Children\u2019s Health (UK) (2008). Surgical Management of Otitis Media with Effusion in Children, RCOG Press. National Institute for Health and Clinical Excellence: Guidance."},{"key":"ref_30","doi-asserted-by":"crossref","first-page":"S2","DOI":"10.1016\/S0264-410X(00)00271-1","article-title":"The burden of otitis media","volume":"19","author":"Klein","year":"2000","journal-title":"Vaccine"},{"key":"ref_31","first-page":"65","article-title":"Mapping analyses to estimate health utilities based on responses to the OM8-30 Otitis Media Questionnaire","volume":"19","author":"Dakin","year":"2010","journal-title":"Qual. Life Res. Int. J. Qual. Life Asp. Treat. Care Rehabil."},{"key":"ref_32","doi-asserted-by":"crossref","first-page":"16063","DOI":"10.1038\/nrdp.2016.63","article-title":"Otitis media","volume":"2","author":"Schilder","year":"2016","journal-title":"Nat. Rev. Dis. Primers"},{"key":"ref_33","doi-asserted-by":"crossref","first-page":"S9","DOI":"10.1016\/S0264-410X(00)00272-3","article-title":"Treatment of acute otitis media\u2014challenges in the era of antibiotic resistance","volume":"19","author":"Dagan","year":"2000","journal-title":"Vaccine"}],"container-title":["International Journal of Environmental Research and Public Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/1660-4601\/18\/23\/12502\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,11]],"date-time":"2025-10-11T07:36:43Z","timestamp":1760168203000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/1660-4601\/18\/23\/12502"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,11,27]]},"references-count":33,"journal-issue":{"issue":"23","published-online":{"date-parts":[[2021,12]]}},"alternative-id":["ijerph182312502"],"URL":"https:\/\/doi.org\/10.3390\/ijerph182312502","relation":{},"ISSN":["1660-4601"],"issn-type":[{"value":"1660-4601","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,11,27]]}}}