Oral prednisolone is an effective adjuvant therapy for acute otitis media with discharge through tympanostomy tubes

Otorrhea is the most frequent complication of the use of tympanostomy tubes. When it occurs after the immediate postoperative period, otorrhea is probably the result of external contamination of the middle ear or acute otitis media. We analyzed data from 627 operations upon 1248 ears of 491 children with chronic secretory otitis media and found that delayed onset (longer than 7 weeks) postoperative otorrhea occurred after 26.4 percent of the 382 operations in which tympanostomy tubes were used. The average number of episodes of otorrhea per case was 1.46 and ranged from 1 to 9. The rate of otorrhea occurrence in patients with tubes in place was significantly higher in the summer months. Otorrhea also occurred after 9.0 percent of 245 myringotomy procedures. The average number of episodes was 1.32 and ranged from 1 to 3. Treatment of postoperative otorrhea increases the health care costs of surgical treatment of chronic otitis media with effusion; this problem should be included in the calculation of cost-effectiveness.

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Topical Ciprofloxacin/Dexamethasone Otic Suspension is Superior to Ofloxacin Otic Solution in the Treatment of Granulation Tissue in Children with Acute Otitis Media With Otorrhea Through Tympanostomy Tubes

Otolaryngology ◽

10.1016/j.otohns.2004.02.037 ◽

2004 ◽

Vol 130 (6) ◽

pp. 736-741 ◽

Cited By ~ 33

Author(s):

Peter S. Roland ◽

Joseph E. Dohar ◽

Brent J. Lanier ◽

Robert Hekkenburg ◽

Edward M. Lane ◽

...

Keyword(s):

Otitis Media ◽

Granulation Tissue ◽

Acute Otitis Media ◽

Tympanostomy Tubes

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Microbiology of Acute Otitis Media With Tympanostomy Tubes

Yearbook of Otolaryngology-Head and Neck Surgery ◽

10.1016/s1041-892x(08)70071-4 ◽

2006 ◽

Vol 2006 ◽

pp. 72-73

Author(s):

M.M. Paparella

Keyword(s):

Otitis Media ◽

Acute Otitis Media ◽

Tympanostomy Tubes

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Otitis Media

Pediatrics in Review ◽

10.1542/pir.15.3.93 ◽

1994 ◽

Vol 15 (3) ◽

pp. 93-93

Keyword(s):

Otitis Media ◽

Otitis Media With Effusion ◽

Pediatric Population ◽

Acute Otitis Media ◽

Line Treatment ◽

First Line ◽

Tympanostomy Tubes ◽

First Line Treatment

A reader questioned Dr. Howie's article on otitis media (PIR 1993;14: 320-323) on three counts: 1. His recommendation not to use amoxicillin as first-line treatment for acute otitis media; 2. His discussion of otitis media with perforation; and 3. His recommendation to place tympanostomy tubes in "any youngster who has otitis media with effusion that persists for 6 to 12 weeks." Dr. Howie responds: "I share with you the frustration of the ever-present challenge of otitis media with effusion (OME), whether acute, recurrent acute, or persistent, in the pediatric population that we serve. The `relapsogenic nature' of aminopenicillins (eg, ampicillin and amoxicillin) seems to be part and parcel of the problem.

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