Patients Requiring Gastrostomy Tube Insertion After Total Laryngectomy Have a Higher Incidence of Otitis Media

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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Developing a protocol for gastrostomy tube insertion in patients diagnosed with head and neck cancer

Oral Surgery Oral Medicine Oral Pathology and Oral Radiology ◽

10.1016/j.oooo.2013.12.412 ◽

2014 ◽

Vol 117 (5) ◽

pp. 551-559 ◽

Cited By ~ 3

Author(s):

Syed F. Habib ◽

Suhail Ahmed ◽

Rachel Skelly ◽

Kavita Bhatt ◽

Bhaveshree Patel ◽

...

Keyword(s):

Head And Neck Cancer ◽

Head And Neck ◽

Neck Cancer ◽

Gastrostomy Tube ◽

Tube Insertion

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Button Gastrostomy Tubes for Pediatric Patients: A Tertiary Care Center Experience

International Journal of Pediatrics ◽

10.1155/2020/5286283 ◽

2020 ◽

Vol 2020 ◽

pp. 1-5

Author(s):

Fayza Haider ◽

Hasan Mohamed Ali Isa ◽

Mohamed Amin Al Awadhi ◽

Barrak Ayoub ◽

Ezat Bakhsh ◽

...

Keyword(s):

Nasogastric Tube ◽

Neurological Disorders ◽

Pediatric Patients ◽

Tertiary Care ◽

Tube Feeding ◽

Gastrostomy Tube ◽

Tube Insertion ◽

Main Indication ◽

Nasogastric Tube Feeding ◽

Button Gastrostomy

Background and Objective. Gastrostomy tube insertion is one of the most common procedures performed as a radical choice to overcome feeding difficulty in children. This study is aimed at describing the replacement of a button tube instead of the long tube for feeding infants and children requiring gastrostomies in a tertiary care hospital. Design and Setting. This retrospective cross-sectional descriptive study was conducted between January 2009 and August 2019 at Salmaniya Medical Complex which is a tertiary health care institute in the Kingdom of Bahrain. Subjects and Methods. Both charts and electronic health records of pediatric patients between the ages of 0 and 14 years were reviewed. Data were collected including age, sex, nationality, diagnosis, surgical information (procedure center and procedure performed), complications, and follow-up. Results. Out of 34 patients who underwent gastrostomy tube insertion, 30 patients had their long tube replaced by a button gastrostomy. Majority were males (N=18, 60%). Prolonged nasogastric tube feeding was the main indication of referral (N=17, 56%) followed by feed intolerance (N=6, 17%) and gastroesophageal reflux disease (N=5, 16%). The main underlying diseases at referral were neurological impairment (N=19, 63%) and metabolic disorders (N=4, 13%). There was no significant difference between patients with neurological disorders and other diseases in terms of gender, nationality, or age. Laparotomy with gastrostomy is the main approach used (N=18, 60%). No reported complications of button tubes in 50% of the patients (N=15). Conclusions. Prolonged nasogastric tube feeding is the main indication of referral for gastrostomy tube insertion. Neurological disorders are the main diagnosis for the cases operated upon. Laparotomy with gastrostomy is the procedure of choice at our center. Majority of patients had no reported complications of button tube replacement. These children are likely to benefit from the button tube with fewer complications.

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Tympanostomy Tubes for Otitis Media: Quality-of-Life Improvement for Children and Parents

Ear Nose & Throat Journal ◽

10.1177/014556130508400712 ◽

2005 ◽

Vol 84 (7) ◽

pp. 418-424 ◽

Cited By ~ 14

Author(s):

Stanley Mui ◽

Barry M. Rasgon ◽

Raymond L. Hilsinger ◽

Brent Lewis ◽

Gretchen Lactao

Keyword(s):

Quality Of Life ◽

Otitis Media ◽

Chart Review ◽

Telephone Survey ◽

Tympanostomy Tube ◽

Tube Insertion ◽

Health Maintenance ◽

Cost Effective Treatment ◽

Tympanostomy Tubes

We measured quality of life issues for both children and their parents on the premise that parental quality of life should be an aspect of cost-effectiveness in otitis media treatment. The patients were less than 18 years of age and had had myringotomy with tube insertion at the head and neck surgery department of a large health maintenance organization. Quality of life for patients, parents, and caregivers was evaluated by telephone survey of parents or caregivers and by retrospective chart review of the number of pre- and postoperative healthcare visits and antibiotic usage. Chart review showed a significant postoperative reduction in the number of clinic visits and in use of antibiotic drugs after insertion of tympanostomy tubes. Improved postoperative hearing was noted, and tympanostomy tube insertion was shown to be safe. The chart-review cost analysis showed that tympanostomy tube insertion is a cost-effective treatment for otitis media in children, and the telephone survey results showed that it improves quality of life for children and their parents or other caregivers.

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Adult-onset otitis media with effusion: results following ventilation tube insertion

The Journal of Laryngology & Otology ◽

10.1258/0022215011909422 ◽

2001 ◽

Vol 115 (11) ◽

pp. 874-878 ◽

Cited By ~ 7

Author(s):

M. W. Yung ◽

R. Arasaratnam

Keyword(s):

Otitis Media ◽

Otitis Media With Effusion ◽

Previous History ◽

Endoscopic Examination ◽

Lateral Nasal Wall ◽

Adult Onset ◽

Ventilation Tube ◽

Tube Insertion ◽

Prick Test ◽

History Of

The outcome of otitis media with effusion (OME) in children is generally good. However, it is less clear in adults. All adult patients who had a ventilation tube inserted for OME at the Ipswich Hospital between 1996 and 1997 were studied. Of 53 patients studied, 28 had had a previous history of ventilation tube insertion. Furthermore, at 15–27 months following ventilation tube insertion, the ventilation tube had already extruded in 31 patients and the OME had already recurred in 19 of these. Endoscopic examination revealed that many patients still had evidence of inflammation at the lateral nasal wall (26.4 per cent) and at the eustachian tube orifice (51 per cent). There is also a strong history of atopy in the studied group and the skin prick test was positive in 57 per cent of the patients. This study shows that many patients with adult-onset OME have underlying pathology that could lead to recurrence of OME following ventilation tube extrusion.

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