Impact of tympanostomy tubes on child quality of life
Abstract
Background The objective benefits of tympanostomy tubes for otitis media are well established, but the subjective impact of surgery on child quality of life (QOL) has not been systematically studied. Objectives To determine the subjective impact of tympanostomy tubes on child QOL, and to compare the variability in QOL before surgery with that observed after surgery. Design Prospective, observational, before-and-after trial. Setting Fourteen referral-based pediatric otolaryngology practices in the United States. Patients Consecutive (64%) and convenience (36%) sample of 248 children (median age, 1.4 years) with otitis media scheduled for bilateral tympanostomy tube placement as an isolated surgical procedure. Intervention Tympanostomy tubes were inserted as part of routine clinical care. Validated measures of QOL (OM-6 survey), satisfaction with health care decision (Satisfaction With Decision Scale), and satisfaction with office visit; surveys were completed at baseline (visit 1), at surgery (visit 2), and after surgery (visit 3). Main outcome measures Short-term changes in QOL before surgery (visit 1 to visit 2) and after surgery (visit 2 to visit 3). Results Changes in QOL before surgery were mostly trivial, and were smaller than changes observed after surgery (P Conclusions Tympanostomy tubes produce large short-term improvements in QOL for most children. The best outcomes occur when postoperative otorrhea is absent or minimal, and when parents are satisfied with their ini…
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When symptoms persist, they may lead to poor school performance and affect a child's daily activities, social interactions and emotions, possibly leading to poorer quality of life.
“When symptoms persist, they may lead to poor school performance and affect a child's daily activities, social interactions and emotions, possibly leading to a poorer quality of life for the child (Rosenfeld 2000).”
From Autoinflation for otitis media with effusion (OME) in children (2023) · cites this paper as Rosenfeld 2000
When OME symptoms persist, they may lead to poor school performance and affect a child's daily activities, social interactions and emotions, possibly leading to poorer quality of life.
“When symptoms persist, they may lead to poor school performance and affect a child's daily activities, social interactions and emotions, possibly leading to a poorer quality of life for the child (Rosenfeld 2000).”
From Topical and oral steroids for otitis media with effusion (OME) in children (2023) · cites this paper as Rosenfeld 2000
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References 30 · Cited by 206
- Authors
- Rosenfeld, R. M., Bhaya, M. H., Bower, C. M., Brookhouser, P. E., Casselbrant, M. L., Chan, K. H., Cunningham, M. J., Derkay, C. S., Gray, S. D., Manning, S. C., Messner, A. H., & Smith, R. J. H.
- Affiliations
- State University of New York (US)
- Corresponding author
- Rosenfeld, Richard M.
- ORCID
- Venue
- Archives of Otolaryngology–Head & Neck Surgery
- Publisher
- American Medical Association (AMA)
- Published
- 2000-05-01
- Volume
- 126
- Issue
- 5
- Pages
- 585
- ISSN
- 0886-4470 (ISSN-L)
- OpenAlex
- W1966710383
- Cited by
- 206
- References
- 30
- Citations by year
- 2026: 4 · 2025: 4 · 2024: 8 · 2023: 8 · 2022: 14 · 2021: 4 · 2020: 4 · 2019: 5 · 2018: 15 · 2017: 10 · 2016: 10 · 2015: 12 · 2014: 10 · 2013: 6 · 2012: 8
- FWCI
- 8.52
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Archives of Otolaryngology - Head and Neck Surgery (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Otorhinolaryngology › Ear Surgery and Otitis Media
- Life Sciences › Neuroscience › Cognitive Neuroscience › Hearing Loss and Rehabilitation
- Health Sciences › Health Professions › Emergency Medical Services › Pediatric health and respiratory diseases
- Keywords
- tympanostomy tubes, otitis media, children's quality of life, pediatric surgery outcomes, activity limitation, speech disorders, hearing loss
- MeSH terms
- Child, Child, Preschool, Female, Follow-Up Studies, Humans, Infant, Male, Middle Ear Ventilation, Otitis Media, Postoperative Complications, Prospective Studies, Quality of Life, Sickness Impact Profile
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