Use of Prophylactic Otic Drops After Tympanostomy Tube Insertion

Ramadan, Hassan H.; Tarazi, Toni; Zaytoun, George

doi:10.1001/archotol.1991.01870170083018

Cited by 27 publications

(22 citation statements)

References 3 publications

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“…A distinction should be made between early otorrhea, which appears within 2-4 weeks after the operation, and delayed otorrhea, which occurs several months postoperatively [40]. The prevalence of early otorrhea ranges from 10 to 20% [4,5,19,22,26,36,57,65,66,81], whereas delayed otorrhea seems to be more frequent, occurring in 26% of cases [36]. Other studies have reported even higher rates of otorrhea, up to 50% of cases within a 3-year observation period [41,42] and even 83% in a study on children up to 36 months old at the time of insertion.…”

Section: Otorrheamentioning

confidence: 99%

Grommets in otitis media with effusion: the most frequent operation in children. But is it associated with significant complications?

Vlastarakos

Nikolopoulos²,

Korres

et al. 2007

Eur J Pediatr

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Section: Otorrheamentioning

confidence: 99%

Grommets in otitis media with effusion: the most frequent operation in children. But is it associated with significant complications?

Vlastarakos

Nikolopoulos²,

Korres

et al. 2007

Eur J Pediatr

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“…Many trials have studied the impact of ototopical agents on the rate of otorrhea in the post-operative period [5][6][7][8][9][10][11][12][13][14]. These studies have been conducted in patients at University academic settings.…”

Section: Introductionmentioning

confidence: 99%

Ciprofloxacin/dexamethasone drops decrease the incidence of physician and patient outcomes of otorrhea after tube placement

Giles¹,

Dohar

Iverson

et al. 2007

International Journal of Pediatric Otorhinolaryngology

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“…Eine derzeit laufende prospektive Studie wird zur weiteren Klärung dieses Sachverhaltes beitragen. xapolyspektran-Ohrentropfen [22]. Mit diesen Maßnahmen konnte die Rate der postoperativen Otorrhö jedoch nicht entscheidend verringert werden.…”

Section: Ergebnisseunclassified

Infektionshäufigkeit und Keimspektrum nach Paukendrainage im Kindesalter

Schmäl

Nieschalk

Delank

et al. 1999

HNO

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Otorrhea is the most common complication after tympanostomy tube insertions. In Germany there are currently two commonly used types of tympanostomy tubes: silicon tubes (ST) and gilded silver tubes (GT). Previously published in vitro studies by Tajima uncovered a positive correlation between the silicon concentration in culture fluid and the rate of growth of Staphylococcus aureus. Our study retrospectively evaluates the types of bacteria and rates of otorrhea after ST and GT insertions. The present study was undertaken to determine which of these tubes had a higher incidence of otorrhea and then whether silicon tubes stimulated the growth of certain types of bacteria, such as Staphylococcus aureus. In all, 186 ST and 59 GT were placed in 245 ears of 144 children. Both ST and GT were separated into three groups: first insertion of a tympanostomy tube, second implantation and insertion of a tympanostomy tube in an infected ear in the course of a mastoidectomy. No differences between ST and GT in causing otorrhea were found in the three groups. Nevertheless, ST in comparison to GT was associated with a higher incidence of infections with Pseudomonas aeruginosa. In contrast, a higher incidence of Staphylococcus aureus related to ST could not be proved. Twenty percent of the ears with mastoiditis were found to have Pseudomonas aeruginosa, but none of these ears implanted with a GT developed postoperative otorrhea. Our findings show that GT should be used when a ventilation tube is used during a mastoidectomy. Further, it is tenable to implant only GT because postoperative otorrhea in many cases is caused by insufficient water protection and water is frequently polluted with Pseudomonas aeruginosa.

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Use of Prophylactic Otic Drops After Tympanostomy Tube Insertion

Cited by 27 publications

References 3 publications

Grommets in otitis media with effusion: the most frequent operation in children. But is it associated with significant complications?

Grommets in otitis media with effusion: the most frequent operation in children. But is it associated with significant complications?

Ciprofloxacin/dexamethasone drops decrease the incidence of physician and patient outcomes of otorrhea after tube placement

Infektionshäufigkeit und Keimspektrum nach Paukendrainage im Kindesalter

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