Clin Exp Otorhinolaryngol. 2010 Jun;3(2):70-5. doi: 10.3342/ceo.2010.3.2.70. Epub 2010 Jun 30.
Factors affecting the extrusion rate of ventilation tubes.
Clinical and experimental otorhinolaryngology
Chang Myeon Song, Min-Hyun Park, Young Ho Kim, Jun Ho Lee
Affiliations
Affiliations
- Department of Otorhinolaryngology, Boramae Medical Center, Seoul Metropolitan Government-Seoul National University, Seoul, Korea.
PMID: 20607075
PMCID: PMC2896736 DOI: 10.3342/ceo.2010.3.2.70
Abstract
OBJECTIVES: The objective of this study was to determine the various factors that affect the extrusion rate of ventilation tubes (VTs), including the nature of the middle ear effusion.
METHODS: A retrospective chart review of 82 pediatric patients (177 ears) who received VT insertion surgery under general anesthesia was carried out to evaluate the relationship between various factors and the VT extrusion rate. The factors we analyzed included age, gender, the adenoid size, the amount and content of the middle ear effusion after myringotomy, bleeding events, associated adenoidectomy and the findings of the tympanic membrane status, the tympanometry and the audiometry of the air bone gap.
RESULTS: The mean extrusion time was 254 days (range, 11 to 809 days). The patients with no history of previous VT insertion had a longer extrusion time (mean, 279 days) than did the patients who had undergone previous VT insertion (mean, 203 days). The patients with serous effusion had the shortest extrusion time (mean, 190 days) as compared to those patients with glue (273 days) and pus (295 days) effusions. Other factors had no statistical significant relationship with the extrusion time.
CONCLUSION: The mean VT extrusion time was 254 days. The VT extrusion time was significantly related to the characteristics of the middle ear effusion and a history of previous VT insertion. Thus, the nature of middle ear effusion can provide a clinical clue to predict the VT extrusion time.
Keywords: Extrusion rate; Extrusion time; Middle ear effusion; Otitis media with effusion; Tympanostomy tube; Ventilation tube
References
- Acta Otolaryngol. 1981 Nov-Dec;92(5-6):481-91 - PubMed
- J R Soc Med. 1984 Sep;77(9):751-3 - PubMed
- Arch Otolaryngol Head Neck Surg. 1997 Sep;123(9):984-8 - PubMed
- Laryngoscope. 1982 Mar;92(3):287-91 - PubMed
- Eur Arch Otorhinolaryngol. 2000;257(6):323-6 - PubMed
- Ann Otol Rhinol Laryngol. 2003 May;112(5):450-4 - PubMed
- JAMA. 1990 Apr 18;263(15):2066-73 - PubMed
- Acta Otolaryngol. 1994 Jul;114(4):406-9 - PubMed
- Laryngoscope. 2004 Nov;114(11):1967-72 - PubMed
- Auris Nasus Larynx. 1990;17(1):11-6 - PubMed
- AJR Am J Roentgenol. 1979 Sep;133(3):401-4 - PubMed
- J Infect Dis. 1989 Jul;160(1):83-94 - PubMed
- Auris Nasus Larynx. 1998 Dec;25(4):361-8 - PubMed
- Acta Otolaryngol Suppl. 1987;440:1-59 - PubMed
- Laryngoscope. 1997 Mar;107(3):369-72 - PubMed
- J Laryngol Otol. 1971 Mar;85(3):283-7 - PubMed
- Eur Arch Otorhinolaryngol. 2007 Dec;264(12):1393-7 - PubMed
- Pediatrics. 2006 Jun;117(6):e1119-23 - PubMed
- Acta Otolaryngol. 2005 Oct;125(10):1043-50 - PubMed
- J Laryngol Otol. 2005 Sep;119(9):699-703 - PubMed
- Otolaryngol Head Neck Surg. 1985 Dec;93(6):695-9 - PubMed
- J Laryngol Otol. 1999 Mar;113(3):207-11 - PubMed
- Clin Otolaryngol Allied Sci. 1993 Oct;18(5):396-9 - PubMed
- Otol Neurotol. 2006 Dec;27(8):1089-93 - PubMed
- ORL J Otorhinolaryngol Relat Spec. 1983;45(4):226-34 - PubMed
- Acta Otolaryngol. 1992;112(3):504-11 - PubMed
- Clin Otolaryngol Allied Sci. 1999 Sep;24(5):424-5 - PubMed
- Otolaryngol Head Neck Surg. 1980 Jul-Aug;88(4):447-54 - PubMed
- Ear Nose Throat J. 1992 Jun;71(6):273-5 - PubMed
Publication Types