Post-myringotomy oto-liquorrhea in children - A case study and literature review

Urík, Milan; Šlapák, Ivo; Laštovička, David; Jančíková, Jana; Pavlovská, Denisa; Hošnová, Dagmar; Žarošská, Eliška; Ťoukalková, Michaela

doi:10.1016/j.ijporl.2018.06.013

Cited by 1 publication

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“…Myringotomy and tube insertion is one of the most commonly practiced procedures within otolaryngology. 1 Though a relatively safe procedure, tube insertion is related to various risks including recurrent otorrhea, myringosclerosis, retraction pockets, persistent tympanic membrane perforation, or tympanic ventilation tube blockage. 2 Moreover, complications like chronic otorrhea were shown to have a significant association with hearing loss, which may further affect patient’s learning, speech, and communication.…”

Section: Introductionmentioning

confidence: 99%

Factors Affecting Compliance With Myringotomy Tube Follow-up Care

Soh

Keefe

Sambhu

et al. 2022

Ann Otol Rhinol Laryngol

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Objective: Myringotomy and tube insertion is a commonly practiced procedure within pediatric otolaryngology. Though relatively safe, follow-up appointments are critical in preventing further complications and monitoring for improvement. This study sought to evaluate the factors associated with compliance of post-myringotomy follow-up visits in an urban safety-net tertiary care setting. Methods: This study is a retrospective chart review conducted in outpatient otolaryngology clinic at an urban, safety-net, tertiary-care, academic medical center. All patients from ages 0 to 18 who received myringotomy and tube placement between February 3, 2012, to May 30, 2018 at the aforementioned clinic were included. Results: A total of 806 patients had myringotomy tubes placed during this period; 190 patients were excluded due to no visits being scheduled within 1 and 6 month visit windows post-operatively, leaving 616 patients included for analysis. Of 616 patients, 574 patients were seen for the 1-month visit, (42 patients did not have follow-up visits within the 1-month window), and 356 patients were examined for the 6-month visit (260 patients did not schedule follow-up visits within the 6-month window). For the 1-month follow-up visits post-procedure, only race/ethnicity type “Other” was associated with lower no-show rates (OR = 0.330, 95% CI: 0.093-0.968). With the 6-month follow-up visits, having private insurance (OR = 0.446, 95% CI: 0.229-0.867) and not having a 1-month visit scheduled (OR = 0.404, 95% CI: 0.174-0.937) predicted lower no-show rates. Conclusion: No meaningful factors studied were significantly associated with compliance of short-term, 1-month visits post-myringotomy. Compliance of longer-term, 6-month post-operative visits was associated with insurance type and previous visit status.

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Section: Introductionmentioning

confidence: 99%