![]() A simple technique for tympanostomy T-tube insertion. Six Sigma tympanostomy tube insertion: achieving the highest safety levels during residency training. Early surgery compared with watchful waiting for glue ear and effect on language development in preschool children: a randomised trial. Maw R, Wilks J, Harvey I, Peters TJ, Golding J. Otitis media and tympanostomy tube insertion during the first three years of life: developmental outcomes at the age of four years. Paradise JL, Dollaghan CA, Campbell TF, et al. Clinical Practice Guideline: Otitis Media with Effusion (Update). Rosenfeld RM, Shin JJ, Schwartz SR, Coggins R, Gagnon L, Hackell JM, et al. Surgical management of otitis media with effusion in children. National Collaborating Centre for Women's and Children's Health. Ten (1.32%) perforations that have not resolved over time were noted after Armstrong tube placement.Ĭonclusions Armstrong beveled grommet tympanostomy tubes have complication rates comparable with those reported for Armstrong or other short-acting tubes in smaller series.Cotton RT, Gluckman JL. ![]() Four patients had histories of cholesteatoma, none of which developed in conjunction with Armstrong tubes. ![]() One hundred sixty episodes of otorrhea were noted in 148 patients. Mean and median times to extrusion were 16.5 and 15.5 months. The mean patient age at tube placement was 33.3 months, and the median age was 23 months. Follow-up to extrusion rates were available for 756 tubes. One thousand ninety-six Armstrong tubes were placed in these patients. Results Five hundred seven consecutive patients who had Armstrong tubes placed were reviewed. Otorrhea, perforation, and cholesteatoma rates were also assessed. Main Outcome Measures Patient age, diagnosis, operative findings, and time to tube extrusion were reviewed. This study was performed to assess outcome measures and complication rates of the Armstrong beveled grommet tube.ĭesign A retrospective case series of patients who had Armstrong beveled grommet tympanostomy tubes placed over a 3 year period by two Children's Hospital of Wisconsin pediatric Otolaryngology staff. An ideal tube would be easy to insert and would extrude at a predictable interval without complications. ![]() Despite the frequency of ventilation tube placement, very few large studies have examined the outcomes of patients receiving this procedure. Objective Many different tympanostomy tubes have been developed with different sizes, shapes, compositions, and coatings. ![]()
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