Tympanostomy tube sequelae in children with otitis media with effusion: a three-year follow-up study

Abstract

Otorrhea was the most frequently found complication. TT placement with adenoidectomy was associated with fewer otorrhea episodes. TT extruded later in those ears that had more episodes of otorrhea. Younger age at the time of the initial tube placement is associated with higher incidence of additional tube placement. One in six patients will probably require a second set of ventilation tubes.

The Role of Gastric Pepsin in the Inflammatory Cascade of Pediatric Otitis Media

“…A limitation of the study is that we did not collect data on the indications for having a second or third tube placement (eg, recurrent acute otitis media vs chronic middle ear effusions). It has been reported that younger age at the initial tube placement is associated with a higher incidence of additional tube placement, while tympanostomy tube with adenoidectomy reduces the probability to have a second bilateral myringotomy and tubes (BMTs 46,47 ); however, we did not find a correlation between age and the need for a second or third tube placement in our study participants. Investigating children with post-bilateral myringotomy and tube otorrhea will help to further delineate the role of EERD in otitis media.…”

Gene expression profile of collagen types, osteopontin in the tympanic membrane of patients with tympanosclerosis

“…12,23 The clinical observations indicate that the frequency of myringosclerosis is much higher in tympanic membranes with tympanostomy tube insertion than in tympanic membranes with no tympanostomy tube insertion (23-70% and 0-13%, respectively). 5,11,[23][24][25][26][27][28][29][30] It was also observed that the myringosclerosis rate increased with a larger size of tube, several tube insertions and time of tympanostomy tube stay. 25,29,31,32 Based on computer modeling, it has been shown that ventilation tube insertion induces shear stress in the structure of the tympanic membrane.…”

Adenoidectomy as an Adjuvant to Primary Tympanostomy Tube Placement

“…Qualitatively, 10 studies suggested that Ad + TT was superior to TT only, with a total of 71 353 patients. 8,12,[14][15][16][18][19][20]23,24 Eight studies showed a reduction in the rate of r-TT in the Ad + TT group compared with the TT-only group, with a total of 71 215 patients. 8,12,14,15,19,20,23,24 Of the 8 studies, 5 were retrospective, with a total of 70 590 patients.…”