Faculty Collaboration Database

Otolaryngologic surgeries are frequent in children with eosinophilic esophagitis. Ann Otol Rhinol Laryngol 2015 May;124(5):355-60

Date

11/12/2014

Pubmed ID

25385840

Pubmed Central ID

PMC4627634

DOI

10.1177/0003489414558108

Scopus ID

2-s2.0-84941013401 (requires institutional sign-in at Scopus site)   11 Citations

Abstract

OBJECTIVE: The aim was to study the prevalence of otolaryngologic surgeries in pediatric patients with eosinophilic esophagitis (EoE).

METHODS: Retrospective cohort study at a tertiary care center. The type of otolaryngologic surgeries performed in patients with diagnosis of EoE was recorded during a 5-year period.

RESULTS: Seventy-five percent of patients were male, with average age of EoE diagnosis at 7.5 years with an 83% incidence of atopy. Cohort analysis revealed that 33% (119/362) had a total of 275 otolaryngologic surgeries. Surgeries performed on 119 patients are as follows: 20% bilateral myringotomy with tubes, 14% tonsillectomy, 18.5% adenoidectomy, 1.4% sinus irrigation, 3.3% bronchoscopy, and 1.4% laryngotracheoplasty (LTP); 63% of patients underwent multiple procedures. Thirty percent of patients undergoing bilateral myringotomy with tube placement (BMT) needed additional tubes. Four of 5 LTP patients had successful operations. Twelve percent of patients had EoE diagnosis prior to an otolaryngologic surgery.

CONCLUSION: Thirty-three percent of children with EoE required otolaryngologic surgical intervention and nearly one-third who underwent BMT required additional ear tubes. A large fraction of children with EoE will undergo an otolaryngologic surgery, only a minority with a preoperative EoE diagnosis. Until the nature of this relationship is clarified, the high coincidence with otolaryngologic surgeries dictates that otolaryngologists should be familiar with diagnosis of EoE in patients.

Author List

Kelly EA, Linn D, Keppel KL, Noel RJ, Chun RH

Authors

Robert H. Chun MD Professor in the Otolaryngology department at Medical College of Wisconsin
Kristina L. Keppel NP APP Outpatient in the Otolaryngology department at Medical College of Wisconsin

MESH terms used to index this publication - Major topics in bold

Child
Eosinophilic Esophagitis
Esophagoscopy
Female
Follow-Up Studies
Humans
Male
Otorhinolaryngologic Surgical Procedures
Prevalence
Retrospective Studies
Wisconsin