A retrospective review of Paparella Type 1 tympanostomy tubes

Sparks, Devika; Blake, Danielle M.; Carter, Bridgette; Schoem, Scott R.

doi:10.1016/j.ijporl.2019.109739

Cited by 3 publications

(3 citation statements)

References 10 publications

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“…Myringotomy with VT insertion is the most common surgery performed in children, accounting for up to 600,000 cases annually in the United States [ 12 ]. Clinical practice guidelines recommend bilateral VT insertion for bilateral OME lasting for >3 months and for cases with documented hearing loss or frequently recurring AOM (three episodes in 6 months or four episodes in 1 year) [ 2 , 7 ].…”

Section: Discussionmentioning

confidence: 99%

“…Complications associated with VT insertion include post-tube otorrhea, tube plugging (obstruction), granulation tissue formation, cholesteatoma development, and persistent tympanic membrane perforation [12]. Middle ear effusion status affects tube plugging rates, and longer tube retention is associated with higher persistent perforation and infection rates [13][14][15].…”

Section: Introductionmentioning

confidence: 99%

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Factors Affecting the Extrusion Rate and Complications After Ventilation Tube Insertion: A Multicenter Registry Study on the Effectiveness of Ventilation Tube Insertion in Pediatric Patients With Chronic Otitis Media With Effusion—Part II

Yoo

Cho

Choi

et al. 2022

Clin Exp Otorhinolaryngol

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Factors Affecting the Extrusion Rate and Complications After Ventilation Tube Insertion: A Multicenter Registry Study on the Effectiveness of Ventilation Tube Insertion in Pediatric Patients With Chronic Otitis Media With Effusion—Part II

Yoo

Cho

Choi

et al. 2022

Clin Exp Otorhinolaryngol

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“…Two types of Paparella tubes may be used, i.e., the Paparella type 1 ventilation tube with an inner diameter of 1.14 mm and the Paparella type 2 ventilation tube with a larger inner diameter of 1.52 mm. In previous studies, the removal of asymptomatically retained tympanostomy tubes was recommended after 18 months, but they may also remain in place for 4-5 years [9,10]. During this period, because the type 2 tube has a larger vent, it can provide better middle ear aeration.…”

Section: Introductionmentioning

confidence: 99%

Determination of Tympanostomy Tube Types for Otitis Media with Effusion in Patients with Cleft Palate: Comparison between Paparella Type 1 and Type 2 Tubes

Ha,

Gu,

Yeou

et al. 2023

JCM

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This study examined the effects of different types of tympanostomy tubes in pediatric patients undergoing cleft palate (CP) surgery in order to provide guidance for the proper insertion of tympanostomy tubes in the management of otitis media with effusion (OME). A total of 101 ears with middle ear effusion in 51 patients with CP were included in this study. Patients underwent palatoplasty and tympanostomy tube surgery at the same time. The type of tube inserted (Paparella type 1 or 2), the severity of CP, and types of palatoplasty surgeries were investigated. All patients were followed up for at least 6 months, and recurrence rates, complications, and reinsertion surgery were evaluated. The rate of OME recurrence after spontaneous tube extrusion was significantly higher in the type 1 group than in the type 2 group (44.3% vs. 19.4%, respectively, p = 0.016). Persistent eardrum perforation was more common in the type 2 group than in the type 1 group (41.9% vs. 12.9%, respectively, p = 0.001). The tube reinsertion rate was higher in the type 1 group than in the type 2 group (22.9% vs. 3.2%, respectively, p = 0.015). The tube reinsertion rate decreased to 8.6% in cases of palatoplasty with Sommerlad’s technique, even with type 1 tube insertion, which was not significantly different from the reinsertion rate in the type 2 group (3.7%, p = 0.439). The Paparella type 1 tube would be a better choice in cases of palatoplasty performed using Sommerlad’s technique, particularly considering the higher rate of persistent eardrum perforation after extrusion associated with the Paparella type 2 tube. Alternatively, a larger size type 2 tube may be considered in other surgeries to decrease the frequency of recurrence and tube reinsertion.

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Analysis of Paparella Type 1 tympanostomy tubes in pediatric patients: A single-center retrospective review

Demir,

Işık,

Arslan

et al. 2023

International Journal of Pediatric Otorhinolaryngology

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A retrospective review of Paparella Type 1 tympanostomy tubes

Cited by 3 publications

References 10 publications

Factors Affecting the Extrusion Rate and Complications After Ventilation Tube Insertion: A Multicenter Registry Study on the Effectiveness of Ventilation Tube Insertion in Pediatric Patients With Chronic Otitis Media With Effusion—Part II

Factors Affecting the Extrusion Rate and Complications After Ventilation Tube Insertion: A Multicenter Registry Study on the Effectiveness of Ventilation Tube Insertion in Pediatric Patients With Chronic Otitis Media With Effusion—Part II

Determination of Tympanostomy Tube Types for Otitis Media with Effusion in Patients with Cleft Palate: Comparison between Paparella Type 1 and Type 2 Tubes

Analysis of Paparella Type 1 tympanostomy tubes in pediatric patients: A single-center retrospective review

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