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April 12, 2000

Adenoidectomy and Adenotonsillectomy for Recurrent Otitis Media—Reply

Author Affiliations

Phil B.FontanarosaMD, Deputy EditorIndividualAuthorStephen J.LurieMD, PhD, Fishbein FellowIndividualAuthor

JAMA. 2000;283(14):1822-1824. doi:10.1001/jama.283.14.1821

In Reply: Dr Rosenfeld raises several important issues. As we reported, recurrences were more common in younger than in older children. In the 3-way trial, mean rates of occurrence of episodes of AOM during the first follow-up year in control children were 2.3 for those aged 3 and 4 years, 2.2 in those aged 5 and 6 years, and 1.3 in those aged 7 to 15 years. Corresponding rates in the 2-way trial in the 3 respective age groups were 2.9, 2.1, and 1.9. Mean proportions of time with MEE in the first follow-up year among control children in the 3 respective age groups in the 3-way trial were 34.9%, 29.5%, and 17.4% and in the 2-way trial were 24.9%, 23.9%, and 22.0% . Trends favoring older children also were seen in the second and third follow-up years in the 3-way trial but not in the 2-way trial.