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myringotomy tubes

Matthew E Smith, James R Tysome
OBJECTIVE: Balloon eustachian tuboplasty (BET) has entered clinical use as a treatment for eustachian tube dysfunction. Some surgeons perform myringotomy prior to BET due to concerns that the increase in middle ear (ME) pressure caused by BET may cause otic barotrauma. We investigated the ME pressure changes occurring during BET in cadavers. STUDY DESIGN: Human cadaver investigation of a surgical technique SETTING: Laboratory study at a tertiary referral center...
October 11, 2016: Otolaryngology—Head and Neck Surgery
Henrik Szőke, Márta Maródi, Zsuzsa Sallay, Balázs Székely, Martin-Günther Sterner, Gabriella Hegyi
BACKGROUND: Chronic otitis media with effusion (COME) and adenoid hypertrophy (AH) are common entities in the pediatric population. The conventional treatment approach (conventional medicine; COM) involved mainly surgery after a period of close observation. In this study, we aimed to introduce an integrative, non-invasive approach (integrative medicine; IM) for COME, AH, and associated episodes of recurrent acute otitis media, and compared outcomes with conventional treatment. METHODS: We conducted a prospective, non-randomized study in an integrative primary care pediatric practice and a conventional pediatric otolaryngological clinic, where treatment modality was determined by patient preference...
2016: Forschende Komplementärmedizin, Research in Complementary Medicine
Svetlana Diacova, Thomas J McDonald, Ion Ababii
We conducted a prospective, observational study over a 3-year period to compare the clinical, functional, and surgical findings in children with chronic bilateral otitis media with effusion who underwent one of three different types of treatment. Our study population was made up of 150 patients-79 boys and 71 girls aged 24 to 84 months-who were randomly assigned to one of the three treatment groups of 50 patients each. One group was treated with myringotomy, tympanostomy tube insertion, and adenoidectomy (T+A group); another with a combination of physical conservative treatment and adenoidectomy (P+A group); and the third with physical conservative treatment alone (P-only group)...
August 2016: Ear, Nose, & Throat Journal
Numan Kokten, Oguz Kadir Egilmez, A Isin Dogan Ekici, M Tayyar Kalcioglu, Muhammet Tekin, Erdem Yesilada
OBJECTIVES: In this study, our aim was to identify the possible effects of Nigella sativa L. (NS) [blackcumin] seed oil on the prevention of experimentally induced myringosclerosis (MS). MATERIALS AND METHODS: Fourteen Guinea pigs were used and they were divided into three groups. Tympanic membranes (TM) of all animals were perforated and then group I was treated with saline soaked gel foams as a control group, group II was treated with 0.5 ml NS oil soaked gel foams at 0, 24 and 48 h and group III was treated with 5 ml NS oil orally at 0, 24, 48, 72 and 120 h...
September 2016: International Journal of Pediatric Otorhinolaryngology
Phawana Asawapittayanont, Ryoukichi Ikeda, Hidetoshi Oshima, Toshiaki Kikuchi, Hiromitsu Miyazaki, Tetsuaki Kawase, Yukio Katori, Toshimitsu Kobayashi
OBJECTIVE: To re-evaluate the incidence of Eustachian tube closing failure in acquired middle ear cholesteatoma. METHOD: Thirty-one cases with acquired middle ear cholesteatoma who received surgery were enrolled. Presence of Eustachian tube closing failure was determined through two Eustachian tube function tests. First Step Tests: Test 1: Positive sniff test identified by retraction of the tympanic membrane upon sniffing was observed. Test 2: The pressure in the external auditory meatus was found to change synchronously with that of the nasopharynx during respiration or upon sniffing...
July 11, 2016: Auris, Nasus, Larynx
Hazem Saeed Amer, Mohammad Waheed El-Anwar, Alaa Eldin Elfeky
INTRODUCTION: Otitis media with effusion (OME) is a leading cause of hearing impairment in children. Therefore, early and proper management is essential. OBJECTIVES: The objective of this research is to assess the efficacy of intratympanic (IT) steroids injection for management of otitis media with effusion (OME). METHODS: This study involved 42 children (84 ears) with bilateral OME. We used tympanometry to confirm the childreńs middle ear effusion and pure tone audiometry to determine hearing threshold...
July 2016: International Archives of Otorhinolaryngology
Carla Branco, Daniel Monteiro, João Paço
Myringotomy with the insertion of ventilation tubes is the most frequent surgical procedure performed in children, and the appearance of myringosclerosis is one of its most frequent long-term complications. The objective of this study is to identify clinical factors and technique variations that may have a relation with the appearance of myringosclerosis, after tube insertion. Patients submitted to myringotomy with transtympanic short-term tube insertion were studied in a longitudinal prospective and analytical cohort study with the prospective randomized open, blinded endpoint (PROBE) methodology, to study the influence of the location of myringotomy (anterior-inferior quadrant or posterior-inferior), directions of the incision (radial or non-radial) and aspiration or not of the middle ear...
July 9, 2016: European Archives of Oto-rhino-laryngology
V V Vishnyakov, Yu S Pravednikova
The objective of the present study was the comparative analysis of the surgical method employed for the treatment of exudative otitis medium, such as bypass surgery and laser myringotomy. The study included 125 patients suffering from the said pathology. The following two methods were used in cases of poor efficiency of conservative therapy: laser myringotomy with the use of a LUMENISc CO2-laser operated at a wavelength of 10.6 mcm with the SurgiTouch scanner and bypass of the tympanic cavity. Each of these methods was applied to treat 38 patients...
2016: Vestnik Otorinolaringologii
Maxie L Phillips, Bryan C Willis, Aaron J Broman, Humphrey V Lam, Thanh T Nguyen, Thomas M Austin
STUDY OBJECTIVE: Bilateral myringotomy and tympanostomy tube placement (BMT) is one of the most frequently performed pediatric outpatient procedures with 667,000 children receiving tympanostomy tubes annually. Because of this high volume, discovering the ideal analgesic regimen may lead to decreased overall postanesthesia care unit (PACU) costs while increasing patient and parent satisfaction. The purpose of this study is to determine if there is any benefit in supplementing intranasal (IN) fentanyl with intramuscular (IM) ketorolac with regard to immediate recovery characteristics...
August 2016: Journal of Clinical Anesthesia
Rachael Lawrence, Paddy McGowan, Matija Daniel
1.The All-In-One Tympanostomy tube (TT) insertion device with its preloaded tympanostomy tube allows a safe, intuitive and rapid myringotomy and TT insertion. 2.In plastic ear models, the TT was successfully inserted into the tympanic membrane in all cases. 3.In cadavers, TT insertion was successful in all 14 ears, but with one premature deployment. 4.The all-in-one TT device has the potential to be used without the requirement for General Anaesthesia (GA) in appropriately selected adults and children. 5.The all-in-one TT device could reduce waiting times and costs...
June 7, 2016: Clinical Otolaryngology
Stefan J Friedrichsdorf, James Sidman, Elliot J Krane
Rosenfeld et al in their recent article "Office Insertion of Tympanostomy Tubes without Anesthesia in Young Children" describe using a "papoose board for restraint" while performing a procedure resulting in severe pain for a significant number of children: a myringotomy and tube insertion. In 2016, it is inappropriate to perform elective painful procedures in children without treatment to avoid or minimize pain. We strongly disagree with the authors' conclusion "that office insertion of tubes in young children is a feasible alternative to general anesthesia for caregivers and clinicians who are comfortable with this choice...
May 2016: Otolaryngology—Head and Neck Surgery
Wafaa A Kaf, Enass S Mohamed, Hamza Elshafiey
PURPOSE: Accurate estimation of mild, low-frequency hearing loss is difficult in young children. This study aimed to determine the accuracy of 40-Hz sinusoidal auditory steady-state response (sASSR) compared with tone burst auditory brainstem response (TB-ABR) to detect mild, low-frequency hearing loss in children with otitis media with effusion and to measure postoperative thresholds. METHODS: Thresholds at 500 and 4000 Hz were measured behaviorally and electrophysiologically using TB-ABR and 40-Hz sASSR with a Kalman filter in 26 children with otitis media with effusion...
March 2016: American Journal of Audiology
Pasquale Capaccio, Sara Torretta, Givlia Anna Marciante, Paola Marchisio, Stella Forti, Lorenzo Pignataro
OBJECTIVES: Surgical management of children with chronic otitis media with effusion (OME) includes tympanostomy tube insertion or adenoidectomy, alone or with myringotomy and tube insertion. The aim of this study was to compare the effectiveness of transoral microdebrider endoscopic-assisted adenoidectomy (TOMEA) and traditional adenoidectomy in the management of children with mild hearing loss due to OME and chronic adenoiditis. METHODS: This prospective, double-blind and controlled study involved 120 consecutive patients aged 4-12 years, who were randomised 1:1 to undergo TOMEA or traditional adenoidectomy under general anesthesia...
March 2016: Clinical and Experimental Otorhinolaryngology
R R Ciuman
Tympanostomy is the most frequently performed surgery procedure in Germany. It enables middle ear ventilation and discharge of secretion from the middle ear with immediate hearing improvement and avoidance of complications and long-term pathologies of the tympanic membrane and the tympanum. The economical importance is emphasized by the fact that about 300,000 myringotomies are performed yearly. The best type of middle ear drainage and ventilation should be chosen on a case-by-case basis. In this context, the various techniques like conventional myringotomy, laser-myringotomy, short-term and long-term tympanostomy tubes and indications, complications and their treatments are described...
March 2016: Laryngo- Rhino- Otologie
Jack M Leschke, Michael L Mumert, Shekar N Kurpad
BACKGROUND: Syringomyelia results from obstruction of cerebrospinal fluid (CSF) flow due to a multitude of causes. Often symptoms of pain, weakness, and sensory disturbance are progressive and require surgical treatment. We present here a rare technique for syringosubarachnoid shunting. CASE DESCRIPTION: We present the case of a 38-year-old male who suffered a traumatic cervical spinal cord injury due to a motor vehicle accident. With progressive pain and motor decline, a magnetic resonance imaging was obtained and showed a new syrinx extending cervical multiple segments...
2016: Surgical Neurology International
Yakup Yegin, Mustafa Çelik, Burak Olgun, Hasan Emre Koçak, Fatma Tülin Kayhan
OBJECTIVES: To compare audiological outcomes of ventilation tube insertion(VTI) and myringotomy alone in association with adenoidectomy in patient with otitis media with effusion(OME). STUDY DESIGN: Retrospective clinical chart review. SUBJECTS AND METHODS: In total, 148 patients (78 male, 70 female; average age of 6,02 ± 1,98 years, range 4 to 7 years) who had been underwent adenoidectomy in association with VTI or myringotomy alone in our clinic were included in this study...
2015: Otolaryngologia Polska. the Polish Otolaryngology
Daniel Moualed, Liam Masterson, Sanjiv Kumar, Neil Donnelly
BACKGROUND: Following middle ear ventilation tube (tympanostomy tube or grommet) insertion, most surgeons advise that a child's ears should be kept dry during the immediate postoperative period. Following the initial period some surgeons will permit swimming or bathing, whereas other surgeons will recommend ongoing water precautions. A large number of studies have been conducted to explore the association between water exposure and ear infections in children with ventilation tubes, however a range of differing conclusions exist regarding the need for water precautions and there is wide variation in clinical practice...
2016: Cochrane Database of Systematic Reviews
Eyal Raveh, David Ulanovski, Joseph Attias, Yotam Shkedy, Meirav Sokolov
OBJECTIVES: Cochlear implantation is performed at a young age, when children are prone to acute otitis media. Acute mastoiditis is the most common complication of otitis media, but data on its management in the presence of a cochlear implant are sparse. The objective of this study was to assess the characteristics, treatment, and outcome of acute mastoiditis in children with a cochlear implant. METHODS: The medical files of all children who underwent cochlear implantation at a pediatric tertiary medical center in 2000-2014 were retrospectively reviewed...
February 2016: International Journal of Pediatric Otorhinolaryngology
Yoko Yamamoto, Yoshihiro Noguchi, Mitsuhiro Enomoto, Kazuyoshi Yagishita, Ken Kitamura
The objective of the present study was to clarify the features of otological complications for hyperbaric oxygen therapy (HBOT) and the risk factors for these complications. We enrolled 1115 patients (776 males and 339 females; age 5-89 years) who underwent HBOT. All otological symptoms experienced during HBOT sessions were evaluated, and risk factors were analysed using multivariate logistic regression analysis. Otoscopic findings and interventions for otological complications were assessed in 58 symptomatic patients who visited the Otolaryngology Department...
September 2016: European Archives of Oto-rhino-laryngology
Jacob W Zeiders, Charles A Syms, Mary T Mitskavich, David M Yen, Daniel T Harfe, Ryan D Shields, Brent J Lanier, Andrew R Gould, Jason Mouzakes, C Layton Elliott
OBJECTIVES: Tympanostomy tube (tube) placement is the most common pediatric otolaryngologic surgery in the United States. Most surgeries are performed in an operating-room setting under general anesthesia due to the lack of tolerable and reliable local anesthesia methods suitable for pediatric patients, and concerns regarding myringotomy procedures in a mobile child. This study evaluated the safety and efficacy of an iontophoresis system (IPS) to achieve local anesthesia in combination with a tube delivery system (TDS) for tube placement in pediatric patients in an office setting...
December 2015: International Journal of Pediatric Otorhinolaryngology
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