Chronic otitis media surgery and re-operation risk factor analysis

A nationwide retrospective cohort study of 18 895 patients

Chien Fu Yeh, Chuan Song Wu, Chii Yuan Huang, Chao Hsiun Tang, Ting Yu Kuo, Tzong Yang Tu

Research output: Contribution to journalArticle

2 Citations (Scopus)

Abstract

Conclusion: Patients with risk factors including younger age, mastoiditis, external ear disease, treatment by older surgeons, and concomitant mastoidectomy should receive detailed management to minimize the probability of re-operation for chronic otitis media (COM).Objectives: Although COM remains a common ear disease requiring surgical intervention, its re-operation risks are less well-documented. This study aimed to compare patients with COM who underwent re-operation and those patients with no re-operation, and identify the risks of re-operation.Method: This retrospective cohort study analyzed the trend of COM surgery from 1999-2009, and identified the re-operation risks of 18 895 patients with COM who underwent surgery from 2002-2006 using the National Health Insurance Research Database in Taiwan.Results: Among the study population, 129 patients underwent revision surgery during a 5.5 ± 1.5 year follow-up period. A univariate logistic regression analysis showed that the re-operation rate was significantly higher in patients under 18 years of age, those with mastoiditis, disorders of external ear, treatment by surgeons of 50-64 years of age, use of a very high volume surgeon, and combined surgery with mastoidectomy. A multivariate analysis further limited the re-operation risk factors to younger patients, those with mastoiditis, external ear disorders, treatment by older surgeons, and concomitant mastoidectomy.

Original languageEnglish
Pages (from-to)259-265
Number of pages7
JournalActa Oto-Laryngologica
Volume136
Issue number3
DOIs
Publication statusPublished - Mar 3 2016

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Otitis Media
Statistical Factor Analysis
Cohort Studies
Retrospective Studies
Mastoiditis
External Ear
Ear Diseases
National Health Programs
Taiwan
Reoperation
Therapeutics
Multivariate Analysis
Logistic Models
Regression Analysis
Databases
Surgeons
Research
Population

Keywords

  • Mastoidectomy
  • Populationbased study
  • Revision
  • Tympanoplasty

ASJC Scopus subject areas

  • Otorhinolaryngology

Cite this

Chronic otitis media surgery and re-operation risk factor analysis : A nationwide retrospective cohort study of 18 895 patients. / Yeh, Chien Fu; Wu, Chuan Song; Huang, Chii Yuan; Tang, Chao Hsiun; Kuo, Ting Yu; Tu, Tzong Yang.

In: Acta Oto-Laryngologica, Vol. 136, No. 3, 03.03.2016, p. 259-265.

Research output: Contribution to journalArticle

Yeh, Chien Fu ; Wu, Chuan Song ; Huang, Chii Yuan ; Tang, Chao Hsiun ; Kuo, Ting Yu ; Tu, Tzong Yang. / Chronic otitis media surgery and re-operation risk factor analysis : A nationwide retrospective cohort study of 18 895 patients. In: Acta Oto-Laryngologica. 2016 ; Vol. 136, No. 3. pp. 259-265.
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