Multiple surgeries in pediatric otolaryngology patients and associated anesthesia risks

International Journal of Pediatric Otorhinolaryngology
Melissa A ScholesDexiang Gao

Abstract

To determine the risk of healthy children undergoing tympanostomy tubes of an additional surgery prior to age three and associated risk factors. A retrospective chart review of pediatric patients at a tertiary metropolitan children's hospital who underwent tympanostomy tube insertion procedure before age of three from January 2010 through March 2015. We determined patient demographics, indication for tympanostomy tube insertion, as well as information about additional procedures requiring general anesthesia before the age of three years. A prospective telephone interview was also performed on a portion of the study population to assess if there were additional surgeries before the age of three that did not occur at our institution. In our institution there was a 13% risk of getting an additional surgery after tympanostomy tubes in children who are otherwise healthy. The most common second procedure was an otolaryngologic procedure in 77.8% of the cases. Children with a diagnosis of recurrent acute otitis media had a threefold greater chance of getting an additional surgery than those with a diagnosis of chronic otitis media with effusion. Patients that identified as Black or African American were 3.2 times more likely to have a...Continue Reading

Citations

Jan 19, 2021·The Annals of Otology, Rhinology, and Laryngology·David W WassefEvelyne Kalyoussef

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