Results of middle ear ventilation with Goode's tubes

Schoenberg, Marcelle Von; Wengraf, Carol; Gleeson, Michael

doi:10.1111/j.1365-2273.1989.tb00413.x

Cited by 20 publications

(14 citation statements)

References 28 publications

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“…The rate of otorrhoea in this study was 18.5 per cent and this compared favourably with studies on the Goode T-tube i.e. 21 per cent (Mangat et al, 1993), 28 per cent (Brockbank et al, 1987), 54.9 per cent (Prichard et al, 1992), 70.4 per cent (Von Schoenberg et al, 1989). The large variation in otorrhoea rates may be due to the somewhat arbitary nature in which otorrhea is recorded in retrospective studies.…”

Section: Discussionsupporting

confidence: 79%

A long-term review of the Shah Permavent tube

1995

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A retrospective study of 74 Shah Permavent tube insertions is presented. These were inserted into 74 ears of 55 patients during the period between 1985 and 1988. At the time of review, 35 tubes had extruded spontaneously, 11 tubes had been removed for recurrent infections, 10 tubes had been removed electively and 10 tubes were still insitu. On examination of the ears approximately 12 months after the tubes had extruded, the overall rate of tympanic membrane perforation was 18.2 per cent. In ears in which the Permavent tube extruded spontaneously the perforation rate was 22.2 per cent. In ears in which the tube was removed because of infection the perforation rate was 20.0 per cent. However in ears in which the tube was removed electively the perforation rate was zero. This finding has implications in the use and management of long-term ventilation tubes.

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Section: Discussionsupporting

confidence: 79%

A long-term review of the Shah Permavent tube

1995

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“…However, it seems obvious that those factors may contribute to the development of a persisting perforation. In other studies, young age and previous intubations were also found to be associated with a higher persisting perforation rate 14,17 . However, many of the factors that seem to be associated with the occurrence of otorrhoea or the development of a persisting perforation are inter‐related, i.e.…”

Section: Discussionmentioning

confidence: 86%

Long-term ventilation tubes: results of 726 insertions

Heerbeek¹,

Saar²,

Mulder³

2002

Clin Otolaryngol

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Patients with chronic or recurrent otitis media with effusion who do not respond to treatment with conventional ventilation tubes are often treated with long-term ventilation tubes. The aim of this retrospective study was to determine the extrusion and complication rates of long-term ventilation tubes. The median ventilation time of the tubes was 31.5 months. The most common complication was otorrhoea. One episode of otorrhoea occurred after 24% of all tube insertions, and recurrent otorrhoea occurred in 29%. A persisting perforation developed in 19% after extrusion or removal of the tube. Other, mostly minor, complications occurred in 36% with the tube in situ and in 3% after extrusion or removal of the tube. Long-term ventilation tubes provided prolonged ventilation of the middle ear, but also resulted in a considerable number of complications. For each individual case, one should therefore determine whether the advantages of long-term ventilation tubes outweigh the possible complications in view of the available alternatives for middle ear ventilation.

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“…However, the infection rates reported in the literature are highly variable. As an example, figures for Goode's T‐tubes vary from 35.2% 6 to 70.4% 7 . Studies vary widely in how they classify and describe infection experience and it is likely such lack of standard definition of infection frequency and severity explains much of the observed variability in reported figures.…”

Section: Discussionmentioning

confidence: 99%

Long-term Paparella II grommet use in the management of persistent childhood otitis media: a 5-year follow-up study

2004

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A comprehensive 5-year follow-up study of Paparella grommet use in UK. Study group consists of children previously treated with short-term grommets and with persistent glue ear. Mean functional period was 3.73 years with 52% being retainde for the full 5 year duration of the study. Infection and perforation rates increased with the duration of grommet in-situ and this was especially marked after 36 months. We advise the elective removal of these long-term grommets after 3 years of function to reduce compication rate.

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Results of middle ear ventilation with Goode's tubes

Cited by 20 publications

References 28 publications

A long-term review of the Shah Permavent tube

A long-term review of the Shah Permavent tube

Long-term ventilation tubes: results of 726 insertions

Long-term Paparella II grommet use in the management of persistent childhood otitis media: a 5-year follow-up study

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