Prevention of persistent ear drum perforation after long-term ventilation tube treatment for otitis media with effusion in children

Pediatric Tympanostomy Tube Removal Technique and Effect on Rate of Persistent Tympanic Membrane Perforation

“…10 This rate of perforation was reduced to 3.33% for Paparella type II tubes and 0% for T tubes when a tape patch was used. 10 Tape patches were not used in any of the patients in the current study. However, other types of patches were used and did not yield a significantly reduced perforation rate in ears with either long-or short-term tubes.…”

Immediate repair of the tympanic membrane to prevent persistent perforation after intentional removal of long-lasting tubes

“…Hence, longer VT insertion is preferred when longer ventilation times are anticipated. However, complication rate increase as the tube remains in its place [4][5][6][7][8][9][10][11]19]. Among the tube-related complications, PP seems the most important one, because it is common and an additional surgery is necessary to treat this condition.…”

“…Group-B, the ears without a regular follow-up, in which tube removal was done whenever they came to control and no longer need for middle ear ventilation by the tube was considered. Hence, immediate repair of the perforation after removal of the tube has been recommended [10,11,[20][21][22]. It is easy and cheap to place a Steri-Strip TM (3M) patch on the rest perforation, which can be performed in a short while under general or local anaesthesia as the child can be cooperated.…”

“…Refreshing of the perforation edges combined with tape-patch technique was recommended by Saito et al [10] and Iwaki et al [11]. Saito et al reported that the perforation rate after removal of long-term tubes was 17.4% and in the group without the tape-patch procedure, and 0.3% in that with the tape-patch procedure [10].…”

“…It was suggested that closure of the perforation with a patch could prevent occurrence of a PP after removal of the long-lasting tube [10,11]. Saito and co-workers reported that PPR decreased from 17.4 to 0.3% by tape-patch technique [11].…”