A cost-benefit analysis of the post-operative use of antibiotic ear drops following grommet insertion

Pearson, C. R.; Thomas, Michelle; Cox, Helen; Garth, R. J. N.

doi:10.1017/s0022215100134176

Cited by 8 publications

(6 citation statements)

References 10 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…[16][17][18][19][20][21][22][23][24][25] Length of tube retention was longer in tubes that manufacturers identified as "long-term tubes." Specifically, Goode T-tubes and Paparella tubes were retained longer than Shah and Shepard tubes.…”

Section: Tympanostomy Tube Comparisonsmentioning

confidence: 99%

See 1 more Smart Citation

Surgical Treatments for Otitis Media With Effusion: A Systematic Review

et al. 2014

View full text Add to dashboard Cite

BACKGROUND AND OBJECTIVE: The near universality of otitis media with effusion (OME) in children makes a comparative review of treatment modalities important. This study' s objective was to compare the effectiveness of surgical strategies currently used for managing OME. METHODS:We identified 3 recent systematic reviews and searched 4 major electronic databases. Eligible studies included randomized controlled trials, nonrandomized trials, and cohort studies that compared myringotomy, adenoidectomy, tympanostomy tubes (tubes), and watchful waiting. Using established criteria, pairs of reviewers independently selected, extracted data, rated risk of bias, and graded strength of evidence of relevant studies. We incorporated meta-analyses from the earlier reviews and synthesized additional evidence qualitatively. RESULTS:We identified 41 unique studies through the earlier reviews and our independent searches. In comparison with watchful waiting or myringotomy (or both), tubes decreased time with OME and improved hearing; no specific tube type was superior. Adenoidectomy alone, as an adjunct to myringotomy, or combined with tubes, reduced OME and improved hearing in comparison with either myringotomy or watchful waiting. Tubes and watchful waiting did not differ in language, cognitive, or academic outcomes. Otorrhea and tympanosclerosis were more common in ears with tubes. Adenoidectomy increased the risk of postsurgical hemorrhage.CONCLUSIONS: Tubes and adenoidectomy reduce time with OME and improve hearing in the short-term. Both treatments have associated harms. Large, well-controlled studies could help resolve the riskbenefit ratio by measuring acute otitis media recurrence, functional outcomes, quality of life, and long-term outcomes. Research is needed to support treatment decisions in subpopulations, particularly in patients with comorbidities.

show abstract

Section: Tympanostomy Tube Comparisonsmentioning

confidence: 99%

“…[16][17][18][19][20]22,25,[60][61][62][63] Longer-term tubes related to a higher probability of otorrhea in 3 studies 16,19,60 (low SOE). Evidence about otorrhea was insufficient for other tube comparisons.…”

Section: Tympanostomy Tube Comparisonsmentioning

confidence: 99%

Surgical Treatments for Otitis Media With Effusion: A Systematic Review

et al. 2014

View full text Add to dashboard Cite

show abstract

“…Or, by preferentially filling the grommet lumen prevent its immediate blockage with blood. Two studies, one by Salam and Cable, 9 and one by Pearson et al 10 . conclude that antibiotic drops instilled at the time of grommet insertion have no significant effects on blockage rates.…”

Section: Discussionmentioning

confidence: 99%

Otic drops used to clear a blocked grommet: an in vitro prospective randomized controlled study with blinded assessment

2004

View full text Add to dashboard Cite

Clinicians often prescribe otic drops anecdotally to try and clear grommets blocked with blood. We carried out an in vitro double-blind randomized controlled study comparing the efficacy of sodium bicarbonate, Locorten Vioform and olive oil drops in clearing Shah grommets placed in 'artificial ears' and blocked with blood in a standardized fashion. There were 33 grommets in each group, and drops were inserted three times a day for 7 days. Olive oil drops cleared 17 of 33 (51.51%), Locorten Vioform cleared one of 33 (3%) and sodium bicarbonate cleared zero of 33 (0%) blocked grommets. Statistical comparison between pairs indicates that olive oil was significantly better than both Locorten Vioform (P < 0.001) and sodium bicarbonate drops (P < 0.001) at clearing grommets blocked with blood.

show abstract

“…Neither dexamethasone/framecetine nor betamethasone prevented blockage. 45,46 In contrast, a study of high quality 47 showed that obstruction decreased from 15% to 2%-4% by use of floxacillin or neomycin + polymyxin B-hydrocortisone drops.…”

Section: Ventilation Tube Routines For Insertionmentioning

confidence: 97%

Ventilation Tube Treatment

Hellström

Groth

Jørgensen

et al. 2011

Otolaryngol.--head neck surg.

109

View full text Add to dashboard Cite

This review shows that there is strong scientific evidence (grade 1) that VT treatment of SOM improves hearing for at least 9 months and that QoL is improved for up to 9 months (grade 2 scientific evidence). There was insufficient evidence to support an effect of VT treatment for rAOM. There was also insufficient evidence to determine whether the design or material of the VT or the procedure used for insertion had any influence on the effect; however, there was some evidence (grade 3) that aspiration of secretion at insertion does not prolong VT treatment. Further research is needed to address these issues.

show abstract

A cost-benefit analysis of the post-operative use of antibiotic ear drops following grommet insertion

Cited by 8 publications

References 10 publications

Surgical Treatments for Otitis Media With Effusion: A Systematic Review

Surgical Treatments for Otitis Media With Effusion: A Systematic Review

Otic drops used to clear a blocked grommet: an in vitro prospective randomized controlled study with blinded assessment

Ventilation Tube Treatment

Contact Info

Product

Resources

About