Pediatric Tympanostomy Tube Removal: Does Technique Affect the Rate of Persistent Tympanic Membrane Perforation?

Autor:	Nidhi Agrawal, Natalie Vercillo, Heather C. Nardone
Rok vydání:	2014
Předmět:	medicine.medical_specialty business.industry medicine.medical_treatment Perforation (oil well) Tertiary care Surgery Myringoplasty Otorhinolaryngology Ventilation tube Chart review medicine Tympanostomy tube Tube (container) business Tympanic Membrane Perforation
Zdroj:	Otolaryngology–Head and Neck Surgery. 151
ISSN:	1097-6817 0194-5998
DOI:	10.1177/0194599814541627a245
Popis:	Objectives:Determine whether various techniques used to promote tympanic membrane (TM) perforation closure at the time of ventilation tube removal impact the likelihood of TM perforation healing in children.Methods:A retrospective chart review was conducted of 265 children (341 ears) who underwent tympanostomy tube removal at a tertiary care pediatric hospital between January 2010 and November 2013. Techniques performed at the time of ventilation tube removal included tube removal only, freshening the perforation edges, performing paper patch myringoplasty, or both freshening edges and paper patch myringoplasty.Results:The persistent TM perforation rate was 9.97% (34/341). Technique was not found to significantly influence the likelihood for the TM to heal (P = .81), with 11/86 (12.7%) having persistent perforations with tube removal only, 6/62 (9.7%) with freshened perforation edges, 7/50 (14.0%) with paper patch myringoplasty and 10/109 (9.2%) with both edges freshened and paper patch myringoplasty. The...
Databáze:	OpenAIRE
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