The History of Myringotomy and Grommets

Rimmer, Joanne; Giddings, Charles; Weir, Neil

doi:10.1177/0145561320914438

Cited by 7 publications

(3 citation statements)

References 32 publications

(43 reference statements)

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“…First, a slight incision of tympanic membrane is performed, followed by proper placement of the ventilation tube. This procedure enables the pressure between the ear canal and the middle ear to equalize ( 14 ). The ventilation tubes usually remain at the insertion site between 6 and 12 months, but in a large number of cases, they can fall out spontaneously, which means no re-operative removal is required ( 15 ).…”

Section: Discussionmentioning

confidence: 99%

Characteristics of Hearing Recovery in Children with Chronic Otitis Media with Effusion after Ventilation Tube Insertion

Dželalija

2023

ACC

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SUMMARY The objective was to determine the range of hearing improvement (in dB) post ventilation tube insertion in children with chronic otitis media with effusion (COME), and whether there was a difference in hearing improvement between age groups and genders. This study also investigated whether there was a difference in the mean hearing improvement between the left and right ear, how many months passed before recovery of eustachian tube function, and how long the aeration of the middle ear lasted. The children included in the study were between six and twelve years of age, diagnosed with COME by audiological processing (type B tympanometric recording and conductive hearing loss up to 40 dB on pure tone audiometry) and underwent surgical insertion of ventilation tubes in both ears. Patient data included preoperative tympanometric records, preoperative and postoperative tone audiometry findings, tubometry findings 6 and 10 months after insertion of ventilation tubes, age and gender data, and length of time during which the tubes were in place. The mean hearing improvement of the included patients was 24.2 dB on the right ear and 24.5 dB on the left ear. There was no statistically significant difference between the left and right ear or between the genders. Older age groups had a higher mean hearing improvement compared with the younger age group. Younger age groups had a longer expected period of eustachian tube function recovery, and were expected to have ventilation tubes inserted for a longer period of time. Treatment with ventilation tube insertion resulted in significant improvement in hearing in children where previous conservative therapy failed to recover eustachian tube function and improve hearing. Although children of older age groups had greater preoperative hearing impairment, the recovery of both eustachian tube function and hearing improvement was faster, and the mean length of time that the ventilation tubes had to be inserted was shorter.

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Section: Discussionmentioning

confidence: 99%

Characteristics of Hearing Recovery in Children with Chronic Otitis Media with Effusion after Ventilation Tube Insertion

Dželalija

2023

ACC

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“…In cases of serous otitis media where it is challenging to drain fluid via an incision in the anteroinferior quadrant, the incision at the anterosuperior quadrant is preferred. These tubes were first used in the late 1800s and were remade using plastic in 1954 by Beverley Armstrong [6]. After that, many advances have been made in the materials used for composition and designs.…”

Section: Tympanostomy Tubementioning

confidence: 99%

An Overview of the Tympanostomy Tube

Nagar¹,

Deshmukh²

2022

Cureus

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Otitis media is a disorder of the middle ear, which can occur at any age but is more common among infants and children. The patient usually presents with earaches, impaired hearing, and fever. If antibiotics and decongestants do not suit the patient, a myringotomy can be performed to achieve middle ear aeration. In myringotomy, a slit is created in the tympanic membrane, and fluid is removed with suction. In cases where myringotomy, aspiration, and medical care don't help and the fluid recurs, a tympanostomy tube is inserted to create continuous aeration of the middle ear. A tympanostomy tube is a small tube inserted in the tympanic membrane which helps in the prevention of fluid accumulation in the middle ear. These tubes are temporary and often fall off after the ear heals. Other names for tympanostomy tubes are grommet, myringotomy tube, or pressure equalizing tube. Initially, tympanostomy tubes were made of metal but now fluoroplastic or silicone elastomers are used to make them. The two basic designs of a tympanostomy tube are short-term tube and long-term tube. The choice of a tympanostomy tube depends on factors like age, the period needed for ventilation, socioeconomic status, and the extent of the retracted eardrum. The incidence of occlusion, infection, functional duration, and persistent perforation following extrusion varies between the designs and materials. Every year, many children are affected by recurrent otitis media, which can negatively influence their quality of life and their ability to hear and communicate. With so many children requiring tympanostomy tubes, choosing the appropriate tube is vital to provide optimal treatment and limit complications.

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“…I read the article ''The History of Myringotomy and Grommets'' with great interest. 1 It was the philosopher, Friedrich Nietzsche who said that we are all doomed to perpetuate the lies and myths of history. Are we also condemned to perpetuate the inaccuracies that we have already read about in the history of otolaryngology?…”

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confidence: 99%