Rate of persistent perforation after elective tympanostomy tube removal in pediatric patients
| Autor: | Alan J. Nissen, Eric J. Lentsch, Steve Goudy, Julie L. Goldman, Toni M. Ganzel |
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| Rok vydání: | 2000 |
| Předmět: |
Male
medicine.medical_specialty medicine.medical_treatment Risk Assessment Recurrence medicine Intubation Humans Tympanostomy tube Grommet Child Device Removal Probability Retrospective Studies Tympanic Membrane Perforation business.industry Otitis Media with Effusion Incidence Tympan Granulation tissue Infant General Medicine Prognosis Middle Ear Ventilation Surgery medicine.anatomical_structure Otorhinolaryngology Elective Surgical Procedures Concomitant Child Preschool Pediatrics Perinatology and Child Health Chronic Disease Female Elective Surgical Procedure Complication business |
| Zdroj: | International journal of pediatric otorhinolaryngology. 54(2-3) |
| ISSN: | 0165-5876 |
| Popis: | This study was performed to determine the rate of persistent perforations according to age, tube type and duration of intubation in children who underwent elective tympanostomy tube removal. Our retrospective analysis of hospital and clinic charts included all patients who underwent elective tube removal from July 1995 to December 1997 at our institution. Information from the chart review included patient age at time of tube removal, type of tube removed, duration of intubation, presence of granulation tissue/polyps, and concomitant paper patch placement. The outcome of each surgical removal was determined by examining follow-up clinic charts. A patient was deemed to have a persistent perforation if the eardrum had not adequately healed within 3 months after surgery. Data on 201 patients were gathered. These patients had 273 tube removals. Eleven percent of ears (29/273) had persistent perforations. According to tube type, no perforations (0/48) occurred with Collar Bobbin tubes, 6% (3/50) with Tytan tubes, 7% (3/44) with Duravent tubes, and 22% (16/74) with Paparella II tubes. Three percent (3/101) of tubes in place for3 years and 15% (26/172) of tubes in place for3 years showed persistent perforations after removal. Ears with granulation polyps had a 9% (18/203) rate of perforations, whereas those without granulation polyps had a 16% (11/70) rate of perforations. Forty percent (4/10) of ears were treated with paper patches at the time of tube removal showed persistent perforations. Our data indicate that the rate of persistent perforation (11%) after elective tympanostomy tube removal is high. The factors associated with higher rates of persistent perforation (P0.05) include duration of intubation3 years prior to removal and the use of long-term Paparella II tubes. |
| Databáze: | OpenAIRE |
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