The impact of XXXX exposure on development of @entity2972 after myringotomy tube placement.

@entity1 @entity286 @entity2122 @entity2972
INTRODUCTION: @entity2972 is a common sequela after myringotomy with tube placement (MTP). The purpose of this study was to identify any significant relationship between passive @entity286 exposure and the development of post-tympanostomy tube @entity2972 . METHODS: Retrospective chart review was performed on 774 cases of @entity1 who underwent MTP by a single surgeon at a tertiary pediatric hospital from 2012 to 2014. @entity1 with multiple medical comorbidities, @entity2122 , syndromes and those over 12 years of age were excluded. Multivariate logistic regression analysis was performed to determine if there was a relationship between risk factors (including @entity286 exposure, age, pre-operative diagnosis, operative findings and duration of follow-up) and the development of post-tympanostomy tube @entity2972 . RESULTS: One hundred and ninety-one @entity1 (average age of 1.92 years) were included. Overall, 16.8% of @entity1 (32/191) had exposure to @entity286 smoke. Of @entity1 with passive smoke exposure, 65.6% (21/32) developed @entity2972 , as compared to 45.3% (72/159) of those without @entity286 exposure. Passive exposure to @entity286 smoke by (OR  =  2.307; p  =  0.009; 95% CI, 1.734-6.028) and younger age (p  =  0.012; 95% CI, 0.602-0.938) were associated with increased risk for @entity2972 . DISCUSSION: This study suggests that in a cohort of @entity1 undergoing MTP, passive exposure to @entity286 smoke significantly increases the risk of developing post-operative @entity2972 . This information is valuable to include in parental preoperative counseling regarding tympanostomy tube placement.
