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Background/Aim. Secretory otitis media (SOM) is a chronic, nonpurulent  inflammation of the middle ear, characterized by a long-term presence of  liquids of different density in the middle ear for at least three consecutive  months, different degrees of hearing loss and the absence of perforation of  the eardrum. The aim of this study was to estimate the early postoperative  complications after insertion of tympanostomy tube (TT) in children with  secretory otitis media (SOM) in an 18-month period after TT insertion.  Methods. This retrospective study included children with SOM (n = 478), aged  from 2.5 to 16 years, operated from 2000 to 2009. During these ten years 365  children had TT in both ears, 131 children had TT in one ear and 55 children  were operated two or more times. Totally 843 ears were operated on. Date were  obtained by regular fallow up in Out-patient clinic concerning symptoms  reported by children and parents, otomicroscopy findings and hearing  measurements (audiometry and tympanometry). Results. Transient otorrhea was  the most common early postoperative complication (16.5%), then obstruction  (9.5%), premature extrusion of TT (3.9%), chronic otorrhea (3.1%),  granulation tissue (1.1%) and medial displacement (0.5%). According to our  experience gold and silicone TT were shown less successful than others. The  incidence of premature extrusion of TT was significantly higher with gold TT,  comparing to others (6/33, 18%; p < 0.001). We also found significantly more  frequent medial displacement with silicone TT than with other ones (2/4, 50%;  p < 0.001). Conclusion. There are many early postoperative complications of  TT insertion, but they depend on the meticulous surgery techniques, regular  postoperative examinations and the type of TT. The type of TT should be  determined according to own experience

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Early postoperative complications in children with secretory otitis media after tympanostomy tube insertion in the Military Medical Academy during 2000-2009