Are water precautions necessary after tympanostomy tube placement? A cadaver study

2021 ◽  
Vol 143 ◽  
pp. 110632
Author(s):  
Anthony Sanchez ◽  
Gabriel Arom ◽  
Hector A. Perez ◽  
Laura Royal ◽  
TJ O-Lee
Keyword(s):  
Cadaver Study ◽  
Tube Placement ◽  
Tympanostomy Tube

Helping Children with Special Needs: Who Receives Tympanostomy Tubes?

2021 ◽  
pp. 000348942098742
Author(s):  
David W. Wassef ◽  
Nehal Dhaduk ◽  
Savannah C. Roy ◽  
Gregory L. Barinsky ◽  
Evelyne Kalyoussef
Keyword(s):  
Developmental Disorders ◽  
Developmental Disorder ◽  
Private Insurance ◽  
Insurance Coverage ◽  
Tube Placement ◽  
Hospital Charges ◽  
Tympanostomy Tube ◽  
Tube Insertion ◽  
Tympanostomy Tubes

Objectives: Tympanostomy tubes can prevent sequelae of otitis media that adversely affect long term hearing and language development in children. These negative outcomes compound the existing difficulties faced by children who are already diagnosed with developmental disorders. This study aims to characterize this subset of children with developmental disorders undergoing myringotomy and tympanostomy tube insertion. Methods: A retrospective review using the Kids’ Inpatient Database (KID) was conducted, with codes from International Classification of Diseases, Ninth Revision used to query data from the years 2003 to 2012 to determine a study group of children with a diagnosis of a developmental disorder undergoing myringotomy and tympanostomy insertion. This group was compared statistically to patients undergoing these procedures who did not have a diagnosed developmental disorder. Results: In total, 21 945 cases of patients with myringotomy with or without tympanostomy tube insertion were identified, of which 1200 (5.5%) had a diagnosis of a developmental disorder. Children with developmental disorders had a higher mean age (3.3 years vs 2.9 years, P = .002) and higher mean hospital charges ($43 704.77 vs $32 764.22, P = .003). This cohort also had higher proportions of black (17.6% vs 12.3%, P < .001) and Hispanic (23.9% vs 20.6%, P = .014) patients, and had lower rates of private insurance coverage (39.6% vs 49%, P < .001). Conclusion: The population of children with developmental disorders undergoing myringotomy or tympanostomy tube placement has a different demographic composition than the general population and faces distinct financial and insurance coverage burdens. Further study should be done to assess if these differences impact long term outcomes.

scholarly journals The Effect of the COVID-19 Pandemic on Pediatric Tympanostomy Tube Placement

2021 ◽  
pp. 019459982110089
Author(s):  
Gillian R. Diercks ◽  
Michael S. Cohen
Keyword(s):  
Tertiary Care ◽  
Chronic Otitis Media ◽  
Community Setting ◽  
Tube Placement ◽  
Tympanostomy Tube ◽  
Care Providers ◽  
Billing Data ◽  
Patient Age ◽  
Patient Âgé ◽  
Tympanostomy Tubes

Objective To evaluate how the coronavirus disease 2019 (COVID-19) pandemic has affected tympanostomy tube placement and practice patterns. Study Design A retrospective review of billing data. Setting A large-volume practice with both community and tertiary care providers. Methods As part of a quality initiative, billing data were queried to identify children <18 years of age who underwent tympanostomy tube placement between January 2019 and December 2020. Patient age, practice location, and case numbers were gathered. Results The study included data from 2652 patients. Prior to state-mandated clinic and operating room restrictions, there were no significant differences in the number of tympanostomy tubes placed ( P = .64), including month-to-month comparisons, the distribution of patients being cared for at community vs tertiary care sites ( P = .63), or patient age at the time of surgery ( P = .97) between 2019 and 2020. After resumption of outpatient clinical and elective surgical activities, the number of tympanostomy tubes placed decreased significantly between 2019 and 2020 (831 vs 303 cases, P = .003), with a persistent month-to-month difference. In addition, patients undergoing tube placement were older (4.5 vs 3.2 years, P < .001). The distribution of cases performed in the community setting decreased during this time period as well ( P < .001). Conclusion During the COVID-19 pandemic, the rate of pediatric tympanostomy tube placement has significantly decreased. The age of patients undergoing surgery has increased, and more children are being cared for in a tertiary setting. These findings may reflect changes in the prevalence of acute and chronic otitis media as the result of the pandemic.

Advanced Practice Provider Clinics: Expediting Care For Children Undergoing Tympanostomy Tube Placement

2021 ◽  
Author(s):  
Michael A. Belsky ◽  
Anisha Konanur ◽  
Edward Sim ◽  
Annie Yan ◽  
Amber D. Shaffer ◽  
...  
Keyword(s):  
Tube Placement ◽  
Advanced Practice ◽  
Tympanostomy Tube

The Impact of Timing of Tympanostomy Tube Placement on Sequelae in Children With Cleft Palate

2018 ◽  
Vol 56 (6) ◽  
pp. 720-728 ◽  
Author(s):  
Amber D. Shaffer ◽  
Matthew D. Ford ◽  
Sukgi S. Choi ◽  
Noel Jabbour
Keyword(s):  
Cleft Palate ◽  
Tube Placement ◽  
Tympanostomy Tube ◽  
The Impact

scholarly journals Shape-Memory Nitinol Tympanostomy Tube and All-in-One Introducer Device for Treatment of Otitis Media

2010 ◽  
Vol 4 (2) ◽  
Author(s):  
Michael Loushin ◽  
Keith Leland
Keyword(s):  
Shape Memory ◽  
Otitis Media ◽  
Point Of Care ◽  
The United States ◽  
Tube Placement ◽  
Tympanostomy Tube ◽  
Office Visits ◽  
Antibiotic Resistant ◽  
Bacterial Organism ◽  
Disposable Device

Otitis media is the most common bacterial illness in children, resulting in millions of office visits, antibiotic prescriptions, and surgical procedures annually in the United States. Antibiotics are commonly prescribed and has resulted in increased prevalence of antibiotic resistant strains of organisms. Additionally, patients with otitis media are candidates for tympanocentesis, myringotomy, and tympanostomy tube placement procedures. The ability to safely and efficiently perform these procedures to accurately diagnose, identify the bacterial organism, and treat otitis media with point of care therapy is needed. A shape-memory nitinol tympanostomy tube and an all-in-one introducer device (OtoStent tympanostomy device) currently under development will allow clinicians to safely and efficiently perform myringotomy, tympanocentesis, and tympanostomy tube placement with a single disposable device.

scholarly journals Contemporary Guidelines for Tympanostomy Tube Placement

2015 ◽  
Vol 1 (3) ◽  
pp. 234-241 ◽  
Author(s):  
Bianca Siegel ◽  
David H. Chi
Keyword(s):  
Tube Placement ◽  
Tympanostomy Tube

Diagnostic utilities of tracheal ultrasound and USB-endoscope for the confirmation of endotracheal tube placement: A cadaver study

2018 ◽  
Vol 36 (11) ◽  
pp. 1943-1946
Author(s):  
Erkman Sanri ◽  
Ebru Unal Akoglu ◽  
Sinan Karacabey ◽  
Ural Verimli ◽  
Haldun Akoglu ◽  
...  
Keyword(s):  
Endotracheal Tube ◽  
Cadaver Study ◽  
Tube Placement ◽  
Endotracheal Tube Placement
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