Second Sets of Tympanostomy Tubes Extrude Sooner.
Myringotomy tube
extrusion
otitis media
tympanostomy tube
Journal
The Laryngoscope
ISSN: 1531-4995
Titre abrégé: Laryngoscope
Pays: United States
ID NLM: 8607378
Informations de publication
Date de publication:
01 2022
01 2022
Historique:
revised:
19
06
2021
received:
20
04
2021
accepted:
22
06
2021
pubmed:
30
6
2021
medline:
15
2
2022
entrez:
29
6
2021
Statut:
ppublish
Résumé
Some clinicians believe second sets of tympanostomy tubes extrude more quickly than first sets. Retrospective case-control series. We identified children who were examined 12 months after placement of their second set of tympanostomy tubes and compared them to a similar number of children who were examined 12 months after their first set of tympanostomy tubes. Extrusion was determined by otoscopy, otomicroscopy, and/or tympanometry. One hundred eighteen children had 12-month follow-up data available after their first set of tubes, 54 had 12-month follow-up data available for their second set, and 56 had 12-month follow-up data after their first and second sets. A total of 568 tubes were observed. Looking at each tube, second set tubes were significantly more likely to be extruded at 12 months (48%) compared to first set (28%) (P < .001). Patient age was not associated with extrusion rate. For patients who had 12-month follow-up for both their first and second set of tubes, there was no correlation between extrusion of first and second set tubes. Second set tympanostomy tubes are significantly less likely to remain functional 12 months after placement than first sets, independent of patient age at placement and independent of whether the child's first tubes extruded by 12 months. Given the short duration of second tube function, delaying second set placement until the fall might be a better choice for some children. 3 Laryngoscope, 132:222-224, 2022.
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
222-224Informations de copyright
© 2021 The American Laryngological, Rhinological and Otological Society, Inc.
Références
Owings MF, Kozak LJ. Ambulatory and inpatient procedures in the United States, 1996. Vital Health Stat 13 1998;139:1-119.
Steele DW, Adam GP, Di M, Halladay CH, Balk EM, Trikalinos TA. Effectiveness of tympanostomy tubes for otitis media: a meta-analysis. Pediatrics 2017;139:e20170125. https://doi.org/10.1542/peds.2017-0125.
El-Bitar MA, Pena MT, Choi SS, Zalzal GH. Retained ventilation tubes: should they be removed at 2 years? Arch Otolaryngol Head Neck Surg 2002;128:1357-1360. https://doi.org/10.1001/archotol.128.12.1357.
Padia R, Hall D, Sjogren P, Narayanan P, Meier JD. Sequelae of tympanostomy tubes in a multihospital health system. Otolaryngol Head Neck Surg 2018;158:930-933. https://doi.org/10.1177/0194599817752633.
Huyett P, Sturm JJ, Shaffer AD, Kitsko DJ, Chi DH. Second tympanostomy tube placement in children with recurrent acute otitis media. Laryngoscope 2018;128:1476-1479. https://doi.org/10.1002/lary.26926.
Gibb AG, McKenzie IJ. The extrusion rate of grommets. Otolaryngol Head Neck Surg 1985;93:695-699. https://doi.org/10.1177/019459988509300601.
Weigel MT, Parker MY, Goldsmith MM, Postma DS, Pillsbury HC. A prospective randomized study of four commonly used tympanostomy tubes. Laryngoscope 1989;99:252-256. https://doi.org/10.1288/00005537-198903000-00003.
Lindstrom DR, Reuben B, Jacobson K, Flanary VA, Kerschner JE. Long-term results of Armstrong beveled grommet tympanostomy tubes in children. Laryngoscope 2004;114:490-494. https://doi.org/10.1097/00005537-200403000-00019.
Leopold DA, McCabe BF. Factors influencing tympanostomy tube function and extrusion: a study of 1,127 ears. Otolaryngol Head Neck Surg 1980;88:447-454.
Kaleida PH, Stool SE. Assessment of otoscopists' accuracy regarding middle-ear effusion. Otoscopic validation. Am J Dis Child 1992;146:433-435. https://doi.org/10.1001/archpedi.1992.02160160053013.
Bates D, Mächler M, Bolker B, Walker S. Fitting linear mixed-effects models using lme4. Published online 2014. arXiv Prepr arXiv14065823.
Casselbrant ML, Kaleida PH, Rockette HE, et al. Efficacy of antimicrobial prophylaxis and of tympanostomy tube insertion for prevention of recurrent acute otitis media: results of a randomized clinical trial. Pediatr Infect Dis J 1992;11:278-286. https://doi.org/10.1097/00006454-199204000-00004.
Stenfeldt K, Johansson C, Hellström S. The collagen structure of the tympanic membrane: collagen types I, II, and III in the healthy tympanic membrane, during healing of a perforation, and during infection. Arch Otolaryngol Head Neck Surg 2006;132:293-298. https://doi.org/10.1001/archotol.132.3.293.
Sadé J. Atelectatic tympanic membrane: histologic study. Ann Otol Rhinol Laryngol 1993;102:712-716. https://doi.org/10.1177/000348949310200912.