The prevention of tympanic membrane perforation following the removal of long-term Paparella type II ventilation tubes

1987 ◽  
Vol 12 (5) ◽  
pp. 377-381 ◽  
Author(s):  
ELFY CHEVRETTON ◽  
B. J. G. BINGHAM ◽  
EMMA FIRMAN
Keyword(s):  
Tympanic Membrane ◽  
Tympanic Membrane Perforation ◽  
Type Ii ◽  
Membrane Perforation ◽  
Ventilation Tubes

A long-term review of the Shah Permavent tube

1995 ◽  
Vol 109 (4) ◽  
pp. 277-280 ◽  
Author(s):  
J. D. Hern ◽  
A. Hasnie ◽  
N. S. Shah
Keyword(s):  
Retrospective Study ◽  
Tympanic Membrane ◽  
Tympanic Membrane Perforation ◽  
Recurrent Infections ◽  
Perforation Rate ◽  
Membrane Perforation ◽  
Ventilation Tubes ◽  
Long Term Ventilation

AbstractA retrospective study of 74 Shah Permavent tube insertions is presented. These were inserted into 74 ears of 55 patients during the period between 1985 and 1988. At the time of review, 35 tubes had extruded spontaneously, 11 tubes had been removed for recurrent infections, 10 tubes had been removed electively and 10 tubes were still insitu. On examination of the ears approximately 12 months after the tubes had extruded, the overall rate of tympanic membrane perforation was 18.2 per cent. In ears in which the Permavent tube extruded spontaneously the perforation rate was 22.2 per cent. In ears in which the tube was removed because of infection the perforation rate was 20.0 per cent. However in ears in which the tube was removed electively the perforation rate was zero. This finding has implications in the use and management of long-term ventilation tubes.

Care of the Child With Tympanostomy Tubes: A Visual Guide for the Pediatrician

PEDIATRICS ◽  
1994 ◽  
Vol 93 (6) ◽  
pp. 924-929
Author(s):  
Glenn Isaacson ◽  
Richard M. Rosenfeld
Keyword(s):  
Tympanic Membrane ◽  
Personal Communication ◽  
The United States ◽  
Tympanic Membrane Perforation ◽  
Nonsurgical Management ◽  
Tympanostomy Tubes ◽  
Membrane Perforation ◽  
Middle Ear Disease ◽  
Available Information

More than 2 million tympanostomy tubes are placed annually in the United States, primarily in children with chronic or recurrent otitis media refractory to nonsurgical management (J.S. Reilly, personal communication, 1994). Traditionally, the operating otolaryngologist has had the responsibility of caring for these patients, including: confirming middle ear disease, assuring tube patency, controlling refractory otorrhea, and managing complications such as tympanic membrane perforation or cholesteatoma. In response to pressures from a changing health care system, pediatricians are less able to refer children back to the otolaryngologist for routine tube surveillance, and must therefore perform it themselves, often with incomplete instrumentation and training. An approach is presented here for the care of the child with tympanostomy tubes based on the authors' combined experience with thousands of intubated children, and on available information from the pediatric and otolaryngic literature. With appropriate postoperative surveillance and follow-up care, the morbidity from tympanostomy tubes can be minimized. Although there are other ways of achieving the same goals, these time-honored methods are safe and effective. Because this is a visual guide, photographs are liberally interspersed to clarify and reinforce the written material. NORMAL TUBE APPEARANCE There are hundreds of different tube designs and materials and at least five different potential insertion sites in the tympanic membrane. This bewildering array of devices can be reduced to two general types: short-term tubes (intended to remain in the eardrum for 8 to 15 months) and long-term tubes (intended to remain in the eardrum > 15 months) (Fig 1A and B).

Spontaneous closure of traumatic tympanic membrane perforation following long-term observation

2019 ◽  
Vol 139 (6) ◽  
pp. 487-491 ◽  
Author(s):  
Tomoyasu Tachibana ◽  
Shin Kariya ◽  
Yorihisa Orita ◽  
Takuma Makino ◽  
Takenori Haruna ◽  
...  
Keyword(s):  
Tympanic Membrane ◽  
Tympanic Membrane Perforation ◽  
Spontaneous Closure ◽  
Membrane Perforation ◽  
Long Term Observation

Fat graft myringoplasty in children – a safe and successful day-stay procedure

1997 ◽  
Vol 111 (2) ◽  
pp. 106-108 ◽  
Author(s):  
R. B. Mitchell ◽  
Kevin D. Pereira ◽  
Rande H. Lazar
Keyword(s):  
Tympanic Membrane ◽  
Otitis Media With Effusion ◽  
Tympanic Membrane Perforation ◽  
Successful Outcome ◽  
Fat Graft ◽  
Graft Material ◽  
Surgical Closure ◽  
Tympanic Membrane Perforations ◽  
Membrane Perforation ◽  
Ventilation Tubes

AbstractThe surgical closure of dry tympanic membrane perforations in children remains a controversial issue due to conflicting opinions on the appropriate technique, graft material and success rate. We present a review of 342 children who underwent fat graft myringoplasty as a day-stay procedure over a six-year period. Successful closure of the tympanic membrane perforation was achieved in 92 per cent of ears. Subsequent recurrent otitis media with effusion required insertion of ventilation tubes in 12 per cent. No relationship was observed between the age of the child and a successful outcome. We conclude that day-stay fat graft myringoplasty is a safe and successful procedure which results in a dry and safe ear in the majority of children.

Sign in / Sign up

Export Citation Format

Share Document