Surgical indications and outcomes of tympanostomy tube removal

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

“…Overall, we found no statistical difference in the rate of persistent TM perforation following tube removal alone vs tube removal with freshening of TM edges and/or undertaking a patch myringoplasty. This finding was consistent with a previous study by Adkins and Friedman, 6 where no difference in persistent perforation was seen in 111 ears of 82 pediatric patients regardless of treatment at the time of removal. The overall 10% rate of persistent TM perforation following tympanostomy tube removal was also consistent with rates observed by others.…”

“…6 The present study evaluated the persistent TM perforation rate of 341 ears in 247 children and found it to be 10% (34 of 341). Overall, we found no statistical difference in the rate of persistent TM perforation following tube removal alone vs tube removal with freshening of TM edges and/or undertaking a patch myringoplasty.…”

Grommets in otitis media with effusion: the most frequent operation in children. But is it associated with significant complications?

“…Various methods have been tried to either avoid persistent perforations or to accelerate the healing process, including freshening the perforation's edge, tape-patch techniques using Steri-Strips, gelfoam or gelfilm or treatment with trichloroacetic acid [1,33,55,64,80]. The results seem to be encouraging [33,55,64].…”

A systematic review of concomitant interventions to prevent persistent perforations following the removal of long-term ventilation tubes

“…This is to act as a scaffold for the migration of epithelium and consequent closure of the defect. The materials used in previous studies have included silastic sheeting [12], gelfoam patching [13,20], gelfilm patching [6,13,20,23], gelfoam plug [14], steri-strip TM (3 M) or paper patching [5,6,[15][16][17][18][19], fat plug [6,21] and trichloroacetic acid [22]. The majority of these studies (see Table 1) were retrospective reviews and only one [12] was a randomised non-blinded controlled trial in which the incidence of persistent perforation was observed following freshening of the edges of the perforation and freshening of the edges with application of silastic sheeting to the defect.…”