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Abstract

Objective: The aim of the study was to determine the factors that influence the development of recurrent otitis media with effusion after extraction of tympanostomy tubes. Methods: The research is a prospective study that included 305 children aged 0 to10 years, of which over a period of one year due to otitis media with effusion inserted ventilation tubes. 43 (14%) children were diagnosed with recurrent otitis media with effusion. We analyzed the factors that could lead to there-development of the disease, such as age, sex, genetic factors, the presence of allergy, the length of the presence of tympanostomy tubes and the timing of recurrent disease. Results: It was found that the majority of children with recurrent disease was between the ages of 5 to7 years -56%, also that 56% of children had a diagnosed allergy to respiratory allergens. Usually the ventilation tube extrusion was done after 10 months (37.7%), and recurrent disease is usually diagnosed with a period of 10 to 12 months after extrusion of tympanostomy tubes (46.5%). Conclusion: Parents must know that the disease can recur and that patients need to be followed up for another year after the removal of tympanostomy tubes. Children in the kindergarten, in preschool age and with respiratory allergy are in the group with higher possibility for recurrent OME.

Biography

Ljiljana Cvorovic is an Assistant Professor is an otorhinolaryngologist and working in Clinic of Otolaryngology and Maxillofacial Surgery, Clinical Center of Serbia. She is Clinical Assistant Professor of Otorhinolaryngology and Maxillofacial Surgery, Faculty of Medicine, University of Belgrade, Serbia. She is an author of over 90 scientific publications. Her main fields of work are otosurgery, pediatric ENT, audiology and otoneurology.