What are the rate and predictors of electing for a second bilateral myringotomy and tympanostomy tube placement (BMT) in children with recurrent acute otitis media (RAOM)?
Children who underwent BMT for RAOM were more likely to undergo second BMT if they were of younger age, had a family history of RAOM/BMT, or were found to have middle ear fluid intraoperatively. The overall second BMT rate for children with RAOM is lower than in studies examining all BMT indications.
Explore this issue:June 2018
Background: BMT represents the most commonly performed procedure requiring general anesthesia in the United States. A multitude of studies have demonstrated the efficacy and safety of BMT in children with RAOM. The need for further surgery should be discussed as a component of the informed consent process. Further surgery most often consists of repeat BMT.
Study design: Retrospective chart review.