A Clinical Evaluation of Gold-Plated Tubes for Middle-Ear Ventilation

Tami, Thomas A.; Kennedy, Kevin S.; Harley, Earl H.

doi:10.1001/archotol.1987.01860090077023

Cited by 19 publications

(16 citation statements)

References 7 publications

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“…They have had various shapes, lumen diameters, and material compositions 3–8. As well, many different tube coatings have been tested9–13 and several in vitro and animal studies have shown some decreased complication rates. There are other studies that demonstrate a reduction in biofilm formation with certain coating materials,12, 13 which may lead to diminished tube related issues such as otorrhea and blockage.…”

Section: Introductionmentioning

confidence: 99%

A randomized double‐blind controlled trial of phosphorylcholine‐coated tympanostomy tube versus standard tympanostomy tube in children with recurrent acute and chronic otitis media

Hong

Smith²,

Johnson

et al. 2010

The Laryngoscope

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Section: Introductionmentioning

confidence: 99%

A randomized double‐blind controlled trial of phosphorylcholine‐coated tympanostomy tube versus standard tympanostomy tube in children with recurrent acute and chronic otitis media

Hong

Smith²,

Johnson

et al. 2010

The Laryngoscope

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“…The investigators found no statistically significant difference in the rate of tube otorrhea between the tubes, but that the gold-plated tube had a significantly higher rate of early extrusion compared to the Teflon tube. 16 A similar study by Karlan et al, demonstrated that compared with silicone tubes, fluoroplastic tubes showed significantly less otorrhea in the early postoperative period. 13 Another study with 31 children comparing titanium tubes in one ear and fluoroplastic tubes in the other showed a nonsignificant trend toward tube otorrhea with the titanium tubes.…”

Section: Tube Otorrheamentioning

confidence: 85%

“…Gold is another example of a metal that has been used to create TTs. 16 Other substances, such as fluoroplastic (Teflon, PTFE) are also used to create TTs. Their high heat resistance along with their chemical inertness helps to prevent rejection.…”

Section: Biocompatibilitymentioning

confidence: 99%

“…They found no significant difference in tube occlusion rates after 1 year. 16 A study by Tsao et al in 2003 looked at the effect of tube composition on the opening of plugged TTs. 42 They examined silicone Paperellas, titanium fluoroplastic, stainless steel Reuter-Bobbins, ion-bombarded silicone Donaldsons and PC-coated fluoroplastic Reuter-Bobbins.…”

Section: Occlusionmentioning

confidence: 99%

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Tympanostomy Tube Selection: A Review of the Evidence

Sandra¹,

Kay²

2016

International Journal of Head and Neck Surgery

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Tympanostomy tube (TT) insertion for ventilation of the middle ear is one of most commonly performed procedures in the United States. Indications for tube insertion include otitis media with effusion, recurrent acute otitis media, hearing loss caused by middle ear effusion and persistent acute otitis media. In gene ral, TTs are divided into two categories, short-term tubes and long-term tubes. Depending on the indications for tube placement and surgeon experience with the TT, different tubes can be used. A myriad of tubes have been created since their first documented use in 1845 in attempts to provide better middle ear ventilation, improve ease of placement and prevent complications, such as post-tube otorrhea, persistent perforation and tube occlusion. In order for a tube to be effective, it should be biocompatible with the middle ear to minimize a foreign body reaction. Teflon and silicone remain two of the most commonly used materials in TTs. In addition, the tube design also plays a role for insertion and retention times of TTs. Lastly, TTs can also be coated with various substances, such as silver-oxide, phosphorylcholine and more recently, antibiotics and albumin, in order to prevent biofilm formation and decrease the rate of post-TT otorrhea. Persistent middle ear effusion affects many children each year and can impact their quality of life as well as hearing and language development. With nearly 1 out of every 15 children by the age of 3 years receiving TTs, it is imperative that the right tube be chosen to facilitate optimal ventilation of the middle ear while minimizing complications.

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“…There is documented research on the effectiveness of various materials such as gold, silver and titanium for the production of ventilation tubes [15][16][17][18]. However, the question is whether it is the material itself or the surface properties of the material that is effective in the reduction of complications and increase in benefit.…”

Section: Discussionmentioning

confidence: 99%