Otitis media prone children with cystic fibrosis: A new normal

To determine if children with cystic fibrosis (CF) who are otitis media prone and treated with tympanostomy tube placement (TTP) follow the natural course of non-CF children regarding the incidence of tympanostomy tube otorrhea (TTO) (21–34%). All CF patients seen at a large tertiary pediatric hospi...

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Bibliographic Details
Published in:American journal of otolaryngology 2021-09, Vol.42 (5), p.103137-103137, Article 103137
Main Authors: McCoy, Jennifer L., Kaffenberger, Thomas M., Yang, Tiffany S., Dohar, Joseph E.
Format: Article
Language:English
Subjects:
Age
Bones
Children
Children & youth
Cystic fibrosis
Demographics
Demography
Diagnosis
Ear
Ear diseases
Genotypes
Hearing loss
Histology
Mutation
Otitis media
Otolaryngology
Otorrhea
Patients
Pediatric
Pediatrics
Surgery
Tympanostomy tube placement
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Summary:To determine if children with cystic fibrosis (CF) who are otitis media prone and treated with tympanostomy tube placement (TTP) follow the natural course of non-CF children regarding the incidence of tympanostomy tube otorrhea (TTO) (21–34%). All CF patients seen at a large tertiary pediatric hospital were retrospectively reviewed from 2010 to 2019. A total of 483 patients were identified and seventeen met the inclusion criteria and were included in the analysis. Data collected included demographics, CF diagnosis history including date of diagnosis and genotype, TTP notes, and otorrhea found in otolaryngology clinic and pediatrician clinic notes for up to 18 months post-TTP. CF was diagnosed at a median age of 13 days (0 days to 6 years). In terms of surgical frequency, 14/17 (82.4%) patients had one TTP, 2/17 (11.8%) had two TTPs, and 1/17 (5.9%) had five TTPs. The median (range) age at first TTP was 2 years (3 months to 13 years). After the first TTP, TTO occurred in 5 (29.4%) patients at 3 months, 6 (35.3%) at 6 and 9 months, and 7 (41.2%) at 12 and 18 months at median (range) = 1 (0–5) otolaryngology appointments and median (range) = 0 (0–8) pediatrician appointments. To our knowledge this is the first study to report that CF children are more likely to be severely affected with recurrent acute otitis media (RAOM), to require TTP, and to exhibit a natural history of TTO commensurate with the non-CF population.
ISSN:0196-0709
1532-818X
DOI:10.1016/j.amjoto.2021.103137