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Otitis Media Following Tympanostomy Tube Placement in Children With IgG 2 Deficiency
Author(s) -
Masin Jeffrey S.,
Hostoffer Robert W.,
Arnold James E.
Publication year - 1995
Publication title -
the laryngoscope
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.181
H-Index - 148
eISSN - 1531-4995
pISSN - 0023-852X
DOI - 10.1288/00005537-199511000-00009
Subject(s) - medicine , tympanostomy tube , otitis , incidence (geometry) , cohort , acute otitis media , pediatrics , retrospective cohort study , eustachian tube , surgery , middle ear , physics , optics
Children with IgG 2 deficiency commonly develop recurrent acute otitis media. It is believed that these infections are secondary to impaired antibody response rather than eustachian tube dysfunction and are therefore less responsive to treatment with tympanostomy tubes. The authors compared the incidence of acute otitis media in IgG 2 ‐deficient patients following tympanostomy tube placement with controls in a retrospective cohort study. The charts of 20 patients (10 with IgG 2 deficiency and 10 controls) were reviewed. Episodes of otitis media were recorded for 12 months. IgG 2 ‐deficient patients experienced three times as many occurrences of otitis media as did controls. This suggests that otitis media is much more common in these patients following tympanostomy tube placement. We believe that an immunodeficiency workup should be considered in patients with multiple episodes of otitis media following placement of tympanostomy tubes.