When Should a Retained Tympanostomy Tube be Removed?

2021 ◽  
Author(s):  
Alahni Becks ◽  
Bing M. Teh ◽  
Anil K. Lalwani
Keyword(s):  
Tympanostomy Tube

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 Outcomes of Mastoidectomy With Antibiotic Catheter Irrigation for Patients With Draining Ventilation Tubes

2021 ◽  
pp. 014556132110257
Author(s):  
Joel W. Jones ◽  
Daniel P. Ballard ◽  
Todd A. Hillman ◽  
Douglas A. Chen
Keyword(s):  
Chart Review ◽  
Methicillin Resistant Staphylococcus Aureus ◽  
Otitis Media With Effusion ◽  
Tympanostomy Tube ◽  
Indwelling Catheter ◽  
Intravenous Antibiotics ◽  
Significant Difference ◽  
Ventilation Tubes ◽  
Catheter Irrigation

Objectives: To evaluate the effectiveness of mastoidectomy with antibiotic catheter irrigation in patients with chronic tympanostomy tube otorrhea. Methods: A chart review of adult and pediatric patients with persistent tympanostomy tube otorrhea who had failed outpatient medical management and underwent mastoidectomy with placement of a temporary indwelling catheter for antibiotic instillation was performed. Patients were retrospectively followed for recurrent drainage after 2 months and outcomes were categorized as resolution (0-1 episodes of otorrhea or otitis media with effusion during follow-up), improvement (2-3 episodes), or continued episodic (>3 episodes). Results: There were 22 patients and 23 operated ears. Median age was 46 years (interquartile range, IQR = 29-65). The median duration of otorrhea from referral was 5.5 months (IQR = 2.8-12). Following surgery, 14 ears had resolution of drainage, 6 had improvement, and 3 had episodic. The observed percentage of resolved/improved ears (87%) was significant ( P = .0005, 95% CI = 67.9%-95.5%). Median follow-up time was 25 months (IQR = 12-59). Pre and postoperative pure tone averages improved (difference of medians = −3.3 dB, P = .02) with no significant difference in word recognition scores ( P = .68). Methicillin-resistant Staphylococcus aureus was the most common isolated microbe while no growth was most frequently noted on intraoperative cultures. Conclusions: Mastoidectomy with antibiotic catheter irrigation may be an effective surgical strategy, and single stage alternative to intravenous antibiotics, for select patients with persistent tube otorrhea who have failed topical and oral antibiotics.

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

Degraded Tympanostomy Tube in the Middle Ear

2013 ◽  
Vol 92 (7) ◽  
pp. 292-294
Author(s):  
Nitin J. Patel ◽  
Joshua Bedwell ◽  
Nancy Bauman ◽  
Brian K. Reilly
Keyword(s):  
Middle Ear ◽  
Tympanostomy Tube

scholarly journals Risk Factors Associated With Postoperative Tympanostomy Tube Obstruction

2014 ◽  
Vol 140 (8) ◽  
pp. 727 ◽  
Author(s):  
David E. Conrad ◽  
Jessica R. Levi ◽  
Zachary A. Theroux ◽  
Yell Inverso ◽  
Udayan K. Shah
Keyword(s):  
Risk Factors ◽  
Tympanostomy Tube ◽  
Factors Associated ◽  
Tube Obstruction

Rate of persistent perforation after elective tympanostomy tube removal in pediatric patients

2000 ◽  
Vol 54 (2-3) ◽  
pp. 143-148 ◽  
Author(s):  
Eric J Lentsch ◽  
Steve Goudy ◽  
Toni M Ganzel ◽  
Julie L Goldman ◽  
Alan J Nissen
Keyword(s):  
Pediatric Patients ◽  
Tympanostomy Tube ◽  
Tube Removal

Clinical Results and Complications of Tympanostomy

1976 ◽  
Vol 85 (2_suppl) ◽  
pp. 277-279 ◽  
Author(s):  
Eino Kokko ◽  
Tauno Palva
Keyword(s):  
Treatment Time ◽  
Clinical Results ◽  
Purulent Discharge ◽  
Tympanostomy Tube ◽  
Glue Ear

Tympanostomy tube treatment was used in 181 patients on 323 ears and a followup study was made as an average three years and two months later. Sixty-five percent of the ears had healed completely and in these the average tube treatment time had been 11.3 months. In 22% the tubes were still in position, the average time for treatment being 24.2 months. Five percent showed purulent discharge and recurrence of the glue ear was noted in 3%. A dry perforation developed in five patients. Cholesteatoma was seen in four ears but in only one of these it may have been related to the location of the tube at the posterior drum margin.

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