Tracking tympanostomy tube outcomes in pediatric patients with otitis media using an electronic database

O’Niel, Mallory B.; Cassidy, Laura D.; Link, T. Roxanne; Kerschner, Joseph E.

doi:10.1016/j.ijporl.2015.05.029

Cited by 20 publications

(18 citation statements)

References 7 publications

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“…Controversy exists regarding the role of TT in pediatric patients with recurrent/persistent middle ear disease. While studies support short term resolution of fluid and improvement of hearing in children with otitis media with effusion [9][10][11], and possibly reduction in episodes of AOM in children with recurrent acute otitis media [12][13][14][15][16], there is also a possibility that the tubes themselves contribute to the development of chronic ear disease and abnormalities of the eardrum [3,[17][18][19]. Prompt insertion of TT does not improve developmental outcomes in children with persistent otitis media with effusion [20,21].…”

Section: Discussionmentioning

confidence: 99%

Association of tympanostomy tubes with future assistive hearing devices–a population based study

et al. 2020

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Background: Ear (tympanostomy) tube (TT) placement is a common ambulatory surgery in children. Despite the commonality of this treatment, the long-term effects are unknown. The objective of this study was to determine the rate of permanent hearing loss, as measured by use of a rehabilitative hearing device. Methods: A retrospective comprehensive population-based cohort study was performed, evaluating all hospitals in the Canadian province of Ontario. Three cohorts of children were constructed: TTat least one ear tube procedure (n = 193,880), No-TT -recurrent visits to a physician for middle ear disease, did not undergo ear tubes (n = 203,283), and Controlan age/sex matched group who had not undergone ear tubes and who didn't have repeat physician visits for middle ear disease (n = 961,168). The main outcome measures were risk and odds ratio (OR) of rehabilitative hearing devices. Results: The TT cohort had a higher risk of obtaining a hearing aid (OR 4.53 vs. No-TT, p < 0.001; OR 10.81 vs. Control, p < 0.001), an FM system (OR 3.84 vs. No-TT, p < 0.001; OR 15.13 vs. Control, p < 0.001), and an implanted bone conduction device (OR 5.08 vs. No-TT, p < 0.001; OR 15.67 vs. Control, p < 0.001). Conclusions: An association between ear tube placement and long-term need for a rehabilitative hearing device was found. This association warrants future prospective research in this area.

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Section: Discussionmentioning

confidence: 99%

Association of tympanostomy tubes with future assistive hearing devices–a population based study

et al. 2020

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“…After deliberate removal of a retained tube or spontaneous extrusion, resultant perforations can occur at a rate of 1% to 11%. 20,[23][24][25] Perforations that last greater than 3 months after tube removal or extrusion will frequently be repaired with gelfoam placement, fat, or paper patch myringoplasty. This patient cohort showed 5.1% of patients requiring a myringoplasty and 2.1% requiring tympanoplasty closure.…”

Section: Discussionmentioning

confidence: 99%

“…Need for surgical removal for retained tubes has had published frequencies ranging from 3% to 12%. 20,22 Our study may underestimate the true incidence as patients can have tubes removed in the clinic or in the operating room bundled under a different procedure (eg, myringoplasty or tympanoplasty), and these patients were not captured in our inclusion criteria. However, this percentage is comparable to those cited in the literature.…”

Section: Discussionmentioning

confidence: 99%

Sequelae of Tympanostomy Tubes in a Multihospital Health System

Padia

Hall

Sjogren

et al. 2018

Otolaryngol.--head neck surg.

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Objectives Review the incidence of long-term sequelae after placement of tympanostomy tubes. Study Design Case series with chart review. Setting Multihospital network. Subjects Patients 0 to 3 years old undergoing tympanostomy tube (TT) placement. Methods A case series of 14,058 children between 2004 and 2010 was reviewed. The patients were followed for 5 years to determine number of repeated tube placements, need for surgical removal of tubes, and presence of perforation requiring repair. Results The study cohort included 14,058 children who underwent TT placement. The mean age at time of procedure was 1.4 years. A total of 14.4% of patients required a second set of tubes within the 5 years of follow-up studied, and 4.6% required 3 or more sets. Three percent required removal of a tube, and this occurred at an average time of 34.2 ± 17.6 months postplacement. In total, 5.1% had a resulting perforation after either tube extrusion or tube removal requiring myringoplasty. Conclusions The rate of multiple tube placements and myringoplasty and tympanoplasty to correct resulting perforations has yet to be studied in a single large population. This information allows for more detailed preoperative counseling to patients and families. Better characterization of these populations with accurate rates of sequelae can help to tailor treatment and preoperative counseling in the future.

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“…Quality-of-life improvement 12,13 must be weighed against the known risks of surgery and general anesthesia. 14…”

Section: What Is Recurrent Acute Otitis Media?mentioning

confidence: 99%

Tympanostomy Tubes—A Visual Guide for the Young Otolaryngologist

Isaacson

2020

Ear Nose Throat J

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Objectives: To illustrate some of the common dilemmas in tympanostomy tube care and describe time-tested ways to address them. Methods: Computerized literature review. Results: Issues including the correct diagnosis of recurrent acute otitis media, tympanostomy tube types and techniques for tube placement, management of tube clogging and otorrhea, and methods for tube removal and patching are illustrated. Conclusions: Tympanostomy tube placement is the most common surgery performed in children requiring general anesthesia. While some elements of tympanostomy tube care have been addressed in clinical studies, much of clinical practice is guided by shared experience.

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Tracking tympanostomy tube outcomes in pediatric patients with otitis media using an electronic database

Cited by 20 publications

References 7 publications

Association of tympanostomy tubes with future assistive hearing devices–a population based study

Association of tympanostomy tubes with future assistive hearing devices–a population based study

Sequelae of Tympanostomy Tubes in a Multihospital Health System

Tympanostomy Tubes—A Visual Guide for the Young Otolaryngologist

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