Seqüelas de tubos de ventilação em crianças com otite média com efusão: um seguimento de três anos

Abstract

Tympanost omy tube (TT) insertion is one of the most frequently performed procedures in otolaryngology. Otorrhea, tympanosclerosis, retraction, perforation, and cholesteatoma are complications reported in the literature after its application. Aim: To determine the incidence and the type of TT insertion sequelae/complications in children presenting with recurrent otitis media and chronic otitis media with effusion undergoing myringotomy and tube placement. Study Design: prospective cohort study. Material and Method: A total of 75 children (150 ears) aged 11 months to 10 years were regularly followed up for up to 38 months after TT insertion. Results: Incidence of sequelae/complications: otorrhea -47.3% of the ears; perforation -2.1%; retractions -39.7%; tympanosclerosis -23.3%. Average length of stay: 12.13 months. Mean age at initial tube placement of children not requiring a second set of tubes = 35.9 months and mean age at initial tube insertion of children requiring an additional set of tubes = 25.6 months (P=0.04). TT stayed longer in the ears that had more episodes of otorrhea (P=0.01). TT insertion with adenoidectomy was associated with a smaller number of otorrhea episodes (P=0.02) Conclusions: Otorrhea was the most frequently found complication. TT placement with adenoidectomy was associated with fewer otorrhea episodes. TT extruded later in those ears that had more episodes of otorrhea. Younger age at the time of the initial tube placement is associated with higher incidence of additional tube placement. One in six patients will probably require a second set of ventilation tubes.

Achados audiológicos e comportamentais em crianças submetidas à miringoplastia bilateral - um estudo comparativo

“…The data corroborates the findings of Pereira et al 19 who underwent myringotomy surgery with short term ventilation tubes in 75 children in a private clinic, totaling 150 ears, with a mean age of 34.7 months. In the other hand, Beker's et al 20 finding differs somehow from the present work.…”

Estudo da audição em crianças com fissura labiopalatina não-sindrômica

“…Therefore, it is necessary to properly follow up the children who are submitted to this procedure. 25 As we analyze the results obtained from threshold tonal audiometry, we noticed that 34 of the children presented normal results (77.27%), 6 children (13.6%) had very mild conductive hearing loss, 3 children (6.8%) had mild hearing loss and one child (2.2%) had moderate mixed hearing loss ( Table 2). The results found point to a greater incidence of conductive hearing loss in the CLP population and are in agreement with the findings in the literature we studied.…”

“…Therefore, it is necessary to properly follow up the children who are submitted to this procedure. 25 …”