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In the USA in 1996 about 280 000 children under the age of 3 years had tympanostomy tubes inserted but there is still debate about the effects of these procedures. Two papers in the New England Journal of Medicine have addressed the timing of tube insertion and the effect of removing the adenoids at the same time. In Pittsburgh (Jack L Paradise and colleagues. New England Journal of Medicine2001;344:1179–87) 6350 babies were studied …
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