Tympanic Membrane Abnormalities and Hearing Levels at the Ages of 5 and 6 Years in Relation to Persistent Otitis Media and Tympanostomy Tube Insertion in the First 3 Years of Life: A Prospective Study Incorporating a Randomized Clinical Trial

PEDIATRICS ◽  
2004 ◽  
Vol 114 (1) ◽  
pp. e58-e67 ◽  
Author(s):  
L. C. Johnston
Keyword(s):  
Clinical Trial ◽  
Prospective Study ◽  
Tympanic Membrane ◽  
Randomized Clinical Trial ◽  
Otitis Media ◽  
Tympanostomy Tube ◽  
Tube Insertion ◽  
A Prospective Study

Tympanostomy Tube Insertion: Anterosuperior vs. Anteroinferior Quadrant

1992 ◽  
Vol 106 (3) ◽  
pp. 241-242 ◽  
Author(s):  
Max M. April ◽  
Rafael R. Portella ◽  
Peter W. Orobello ◽  
Robert M. Naclerio
Keyword(s):  
Prospective Study ◽  
Type I ◽  
Tympanostomy Tube ◽  
Tube Insertion ◽  
Extrusion Rate ◽  
Tympanostomy Tubes ◽  
A Prospective Study

We studied the extrusion rate of Paparella type I tympanostomy tubes in the anterosuperior quadrant compared to those placed in the anteroinferior quadrant in a prospective study. Thirty-five patients were evaluated. The duration (mean ± SEM) in the anteroinferior quadrant was 211 ± 18 days, whereas the duration in the anterosuperior quadrant was 211 ± 11 days. We conclude that placement in the anterosuperior quadrant does not prolong duration of these tympanostomy tubes.

scholarly journals Clinical study and post operative outcomes of tympanostomy tube insertion in otitis media with effusion

2020 ◽  
Vol 6 (3) ◽  
pp. 538
Author(s):  
Ashutosh S. Kumar ◽  
Gundappa D. Mahajan ◽  
James Thomas ◽  
Tejal A. Sonar
Keyword(s):  
Quality Of Life ◽  
Tympanic Membrane ◽  
Otitis Media ◽  
Middle Ear ◽  
Otitis Media With Effusion ◽  
Age Groups ◽  
Tympanostomy Tube ◽  
Tube Insertion ◽  
Increased Risk

<p class="abstract"><strong>Background:</strong> Otitis media with effusion (OME) is defined as the presence of a middle ear effusion in the absence of infection. Fluid in the middle ear is associated most commonly with a conductive hearing loss and an increased risk of acute middle ear infection. It can have an impact on quality of life. The objective of our study was to assess symptomatology of OME, study complications following tympanostomy tube insertion in OME and to highlight the age, sex distribution of otitis media with effusion.</p><p class="abstract"><strong>Methods:</strong> This prospective study was conducted in Department of Otorhinolaryngology, Dr. D. Y. Patil Medical College and Hospital, Pimpri, Pune from October 2017 to March 2019. 50 ears of patients aged between 6 to 50 years with OME were included in the study. All the patients were observed for symptomatology and postoperative complications who underwent Tympanostomy tube insertion.  </p><p class="abstract"><strong>Results:</strong> OME is commoner in children and adolescents with no gender preponderance. The most common otoscopic findings pre-operatively included dull lustreless amber colored tympanic membrane in 56% (n=28), Retracted Tympanic Membrane and for shortened handle of malleus in 28% (n=14), air bubbles were seen in 12% (n=6) whereas fluid level was seen in 4% (n=2). Common complications post operatively included myringosclerosis and tympanic membrane atelectasis seen in 10% and 6% respectively.</p><p class="abstract"><strong>Conclusions:</strong> Tympanostomy tube insertion is one of the ideal treatments in management of otitis media with effusion, most commonly affecting younger age groups, with fewer complications, which can lead to a better quality of life.</p>

scholarly journals Gyermekkori otitis media serosa miatt tubussal ellátott betegek hosszú távú nyomon követése

2015 ◽  
Vol 156 (46) ◽  
pp. 1859-1864 ◽  
Author(s):  
Gabriella Fekete-Szabó ◽  
Fekete Kiss ◽  
László Rovó
Keyword(s):  
Hearing Loss ◽  
Sensorineural Hearing Loss ◽  
Tympanic Membrane ◽  
Otitis Media ◽  
Eustachian Tube ◽  
Sensorineural Hearing ◽  
Hearing Level ◽  
Tympanostomy Tube ◽  
Tube Insertion ◽  
Serous Otitis Media

Introduction: The authors report about the efficacy of inserted tympanostomy tube in children with serous otitis media. Aim: The aim of the authors was to assess the status of eardrum, the function of Eustachian tube and hearing level 10 years after the use of tympanostomy tube. Method: Patients filled up a questionnaire and microscopic examination of tympanic membrane, tympanometry, Eustachian tube function examination, and audiometry tests were performed. Results: In the period of 2003–2004, ventilation tube insertion was performed in 711 patients in the ENT Department of Pediatric Health Center of University of Szeged. In 349 patients adenotomy and tympanostomy tube insertion, in 18 cases tonsillectomy and grommet insertion and in 344 patients only typmanostomy tube insertion were performed. Due to objective difficulties (address change, no phone number) 453 patients were asked for control test and 312 persons accepted the invitation. Normal hearing level was found in 84.6% of patients and normal tympanometry result occurred in 82%. Tympanic ventilation disorder, perforation of tympanic membrane, sensorineural hearing loss and sensorineural hearing loss due to noise exposure were diagnosed. Conclusions: Application of tympanostomy tube is effective in the treatment of serous otitis media resulting from ventilation disorder. The authors draw attention to the importance of tympanometry examination to prevent the adhesive processes and cholesteatoma in chronic ventilation disorder of the middle ear. Orv. Hetil., 2015, 156(46), 1859–1864.

scholarly journals Compliance for single and multiple dose regimens of superactivated charcoal: A prospective study of patients in a clinical trial

2007 ◽  
Vol 45 (2) ◽  
pp. 132-135 ◽  
Author(s):  
Fahim Mohamed ◽  
M. Roshini Sooriyarachchi ◽  
Lalith Senarathna ◽  
Shifa Azhar ◽  
M.H. Rezvi Sheriff ◽  
...  
Keyword(s):  
Clinical Trial ◽  
Prospective Study ◽  
Multiple Dose ◽  
A Prospective Study

Adenoidectomy plus tympanostomy tube insertion versus adenoidectomy plus myringotomy in children with obstructive sleep apnoea syndrome

2010 ◽  
Vol 125 (3) ◽  
pp. 274-278 ◽  
Author(s):  
I M Vlastos ◽  
M Houlakis ◽  
D Kandiloros ◽  
L Manolopoulos ◽  
E Ferekidis ◽  
...  
Keyword(s):  
Otitis Media ◽  
Obstructive Sleep Apnoea ◽  
Otitis Media With Effusion ◽  
Sleep Apnoea ◽  
Obstructive Sleep Apnoea Syndrome ◽  
Tympanostomy Tube ◽  
Tube Insertion ◽  
Sleep Apnoea Syndrome ◽  
Obstructive Sleep

AbstractObjective:To determine whether tympanostomy tube insertion has benefit, compared with simple myringotomy, in children with otitis media with effusion who receive concurrent adenoidectomy as treatment for obstructive sleep apnoea syndrome caused by adenoid hypertrophy.Methods:Fifty-two children older than three years with obstructive sleep apnoea syndrome were randomly assigned to receive either adenoidectomy plus tympanostomy tube insertion (group one, n = 25) or adenoidectomy plus myringotomy (group two, n = 27). Pre- and post-operative health-related quality of life was assessed using the otitis media-6 (OM-6) tool, and audiological outcomes were recorded six and 12 months post-operatively.Results:Group one showed better quality of life scores six months post-operatively (score difference −0.38, confidence interval −0.65 to −0.10) but not 12 months post-operatively (score difference −0.23, confidence interval −0.76 to 0.11), compared with pre-operative values. Audiological outcomes did not differ significantly at either time point, compared with pre-operative values.Conclusion:Tympanostomy tube insertion confers a short term benefit, compared with simple myringotomy, in children older than three years with otitis media with effusion who receive concurrent adenoidectomy as treatment for obstructive sleep apnoea syndrome. Further studies are necessary to identify which of these children will receive long-lasting benefit from tympanostomy tube insertion.

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