Abstract
Objective
To investigate the impact of with tympanostomy tubes (TT) on infrared tympanic membrane thermometer (ITMT) results and to provide a systematic review of ITMT results in non-naïve tympanic membranes.
Study design
Original prospective blinded case series and systematic literature review.
Settings
A single tertiary university-affiliated medical center.
Methods
ITMT measurements of patients with unilateral TT and contralateral naïve control ear were randomly conducted by a single investigator blinded to the TT side before and after cerumen was removed from the external auditory canals. A systematic literature search of “MEDLINE” via “PubMed,” “Embase,” and “Google Scholar” on comparable published cases was performed.
Results
The mean paired differences (95% confidence interval [CI]) between ventilated and non-ventilated ears before and after cerumen removal were 0.08 ºC/0.14 ºF (−0.04 to 0.19 ºC/− 0.07º–0.34º) and 0.62 ºC/1.12 ºF (0.04–0.25 ºC/0.07–0.45 ºF), respectively (P < 0.001 and P = 0.01, respectively).
Conclusion
These findings support the validity and accuracy of ITMT in the setting of ventilated ears.
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US: data collection and analysis, manuscript writing; OH: data collection; NM: Literature review; YO: manuscript design; RAE: manuscript writing; GH: critical revision; AW: Critical revision; OJU: data collection and analysis, manuscript writing and systematic literature review.
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This study was approved by the Tel Aviv "Sourasky" Medical Center review board (0470–21-TLV).
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Shapira, U., Handzel, O., Muhanna, N. et al. Is tympanic infrared thermometry valid in non-naive tympanic membranes?. Eur Arch Otorhinolaryngol 280, 549–556 (2023). https://doi.org/10.1007/s00405-022-07488-3
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DOI: https://doi.org/10.1007/s00405-022-07488-3