• Abdulaziz K Alaraifi, Abdullah S Alkhaldi, Ibrahim S Ababtain, and Fahad A Alsaab.
• From the Division of Otolaryngology - Head and Neck Surgery (Alaraifi, Alkhaldi, Alsaab), Department of Surgery, King Abdulaziz Medical City, Ministry of National Guard Health Affairs, and from College of Medicine (Ababtain), King Saud bin Abdulaziz University for Health Sciences, Riyadh, Kingdom of Saudi Arabia.
• Saudi Med J. 2022 Jul 1; 43 (7): 730734730-734.

ObjectivesTo investigate the impact and predictors of tympanostomy tube (TT) extrusion.MethodsA retrospective study on 258 ears underwent TT insertion during 2016-2018 at King Abdullah Specialized Children's Hospital, Riyadh, Saudi Arabia. Patients were followed for 36-48 months postoperatively to detect the recurrence rate. The sample was divided into 2 groups based on extrusion time and were compared to determine the predictors of TT extrusion.ResultsOtitis media with effusion (OME) recurrence after TT insertion was detected in 28.7%. A shorter TT extrusion time was associated with a higher recurrence (p=0.002). Small TTs increased the probability of early TT extrusion (odds ratio = 5.144; 95% confidence interval: [1.602-16.519]).ConclusionMore than one-fourth of the patients who underwent TT insertion for OME developed recurrence. Tympanostomy tube extrusion earlier than 12 months was associated with a higher recurrence rate. Small TTs increased the probability of early TT extrusion.Copyright: © Saudi Medical Journal.

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