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Tympanostomy Tubes and Otorrhea

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Pediatric Otolaryngology for the Clinician

Key Points

  • Otitis media represents failure of eustachian tube function.

  • Patent tubes effectively address eustachian tube dysfunction.

  • Most common indications are recurrent acute otitis media and chronic otitis media with effusion.

  • Common complications are otorrhea, tympanic membrane perforation, and foreign body reaction.

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References

  1. Teele DW, Klein JO, Rosner B: The Greater Boston Otitis Media Study Group. Epidemiology of otitis media during the first seven years of life in children in Greater Boston: a prospective cohort study. J Infect Dis 1989;160:83–94.

    Article  PubMed  CAS  Google Scholar 

  2. Klein JO, et al: Otitis media and the development of speech, language, and cognitive abilities at seven years of age. In: Lim DJ, ed. Recent Advances in Otitis Media, Philadelphia: BC Decker, 1988:396–397.

    Google Scholar 

  3. Paradise JL, et al: Tympanostomy tubes and developmental outcomes at 9 to 11 years of age. N Engl J Med 2007;356(3):248–261.

    Article  PubMed  CAS  Google Scholar 

  4. Le CT, Freeman DW, Fireman BH: Evaluation of ventilating tubes and myringotomy in the treatment of recurrent or persistent otitis media. Pediatr Infect Dis J 1991;10:2–11.

    Article  PubMed  CAS  Google Scholar 

  5. American Academy of Otolaryngology-Head and Neck Surgery: 1995 Clinical Indicators Compendium: Guidelines for Tonsillectomy, Adenoidectomy, Adenotonsillectomy, Alexandria, VA: American Academy of Otolaryngology-Head and Neck Surgery, 1995.

    Google Scholar 

  6. Chole RA, Hubbell RN: Antimicrobial activity of silastic tympanostomy tubes impregnated with silver oxide. A randomized double-blind trial. Arch Otolaryngol Head Neck Surg 1995;121:562–565.

    Article  PubMed  CAS  Google Scholar 

  7. Garcia P, Gates GA, Schechtman KB: Does topical antibiotic prophylaxis reduce post-tympanostomy tube otorrhea? Ann Otol Rhinol Laryngol 1994;103:54–58.

    PubMed  CAS  Google Scholar 

  8. Podoshin L, Fradis M, Ben DJ: Ototoxicity of ear drops in patients suffering from chronic otitis media. J Laryngol Otol 1989;103:46.

    PubMed  CAS  Google Scholar 

  9. Parker GS, et al: The effect of water exposure after tympanostomy tube insertion. Am J Otolaryngol 1994;15:193–196.

    Article  PubMed  CAS  Google Scholar 

  10. Mandel EM, Casselbrant ML, Kurs-Lasky M: Acute otorrhea: bacteriology of a common complication of tympanostomy tubes. Ann Otol Rhinol Laryngol 1994;103:713–718.

    PubMed  CAS  Google Scholar 

  11. Roland PS, Anon JB, Moe RD, et al: Topical Ciprofloxacin/Dexamethasosne is superior to ciprofloxacin alone in pediatric patients with acute otitis media and otorrhea through tympanostomy tubes. Laryngoscope 2003;113:2116–2122.

    Article  Google Scholar 

  12. Roland PS, Kreisler LS, Reese B, et al: Topical ciprofloxacin/dexamethasone otic suspension is superior to ofloxacin otic solution in the treatment of children with acute otitis media with otorrhea through tympanostomy tubes. Pediatrics (online edition) January 2004;113:e40–e46.

    Article  Google Scholar 

  13. Dohar J, Giles W, Roland P, Bikhazi N, Carroll S, et al: Topical ciprofloxacin/dexamethasone is superior to oral amoxicillin/clavulanic acid in acute otitis media with otorrhea through tympanostomy tubes. Pediatrics 2006;118(3):e561–e569. Epub 2006 Jul 31.

    Article  PubMed  Google Scholar 

  14. Matt BH, et al: Incidence of perforation with Goode T-tube. Int J Pediatr Otorhinolaryngol 1991;21:1–6.

    Article  PubMed  CAS  Google Scholar 

  15. Hawthorne MR, Parker AJ: Perforations of the tympanic membrane following the use of Goode-Type ‘long term’ tympanostomy tubes. J Laryngol Otol 1988;102:997–999.

    Article  PubMed  CAS  Google Scholar 

  16. Tos M, Stangerup SE: Hearing loss in tympanosclerosis caused by grommets. Arch Otolaryngol Head Neck Surg 1989;115:931–935.

    Article  PubMed  CAS  Google Scholar 

  17. Roland PS, Dohar JE, Lanier BJ, Hekkenburg R, Lane EM, Conroy PJ, Wall GM, Dupre SJ, Potts S: Topical ciprofloxacin/dexamethasone otic suspension is superior to ofloxacin otic solution in the treatment of granulation tissue in children with acute otitis media with otorrhea through tympanostomy tubes. Otolaryngol Head Neck Surg 2004;130(6):736–741.

    Article  Google Scholar 

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Authors and Affiliations

  1. Department of Otolaryngology-Head and Neck Surgery, University of Texas Southwestern Medical Center at Dallas, Dallas, TX, USA

    Peter S. Roland & Tyler W. Scoresby

Authors
  1. Peter S. Roland
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  2. Tyler W. Scoresby
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Correspondence to Peter S. Roland .

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    © 2009 Humana Press, a part of Springer Science + Business Media, LLC

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    Roland, P.S., Scoresby, T.W. (2009). Tympanostomy Tubes and Otorrhea. In: Pereira, K., Mitchell, R. (eds) Pediatric Otolaryngology for the Clinician. Humana Press. https://doi.org/10.1007/978-1-60327-127-1_8

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    • DOI: https://doi.org/10.1007/978-1-60327-127-1_8

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    • Publisher Name: Humana Press

    • Print ISBN: 978-1-58829-542-2

    • Online ISBN: 978-1-60327-127-1

    • eBook Packages: MedicineMedicine (R0)

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