ArticleEuropean archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery2025
Evaluation of inflammatory markers in pediatric patients with otitis media with effusion: a retrospective analysis.
Article in European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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1 citing paper in PubMed.
- Inflammatory markers as determinants of glue-type effusion and recurrent ventilation tube placement.European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery · 2026Article
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Abstract
purposeOtitis media with effusion (OME) is a common pediatric condition associated with hearing loss and reduced quality of life. This study aims to evaluate the clinical significance of various inflammatory markers in pediatric OME patients who have undergone surgical treatment.
methodsA retrospective analysis was conducted on 1,121 pediatric patients aged 2-15 years, including 613 OME patients who underwent tympanostomy tube placement (with or without adenoidectomy) and 508 healthy controls. Complete blood count parameters were recorded. Patients were divided into two groups based on the viscosity of intraoperative middle ear effusion as serous or mucoid and graded according to their adenoid sizes. Comparisons between groups were analyzed using appropriate statistical methods.
resultsThere was a significant difference in %LUC, SII, SIRI, and MLR values between the OME patients and the control group (p < 0.05). SII, SIRI, and MLR values were higher in the OME patient group, whereas %LUC was higher in the control group. ROC analysis did not yield significant cut-off values for any marker. Among adenoid grade groups, only %LUC showed a statistically significant difference (p = 0.018). There was no significant relationship between the viscosity of middle ear effusion and any of the inflammatory markers.
conclusionThe data suggest that inflammatory markers may be associated with OME; however, their clinical utility remains uncertain. Further prospective studies are needed to evaluate their potential role in the diagnosis and follow-up of at-risk pediatric patients.
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