Related Experiment Video

Updated: Aug 10, 2026

Endaural Endoscopic Atticoantrotomy (Retrograde Mastoidectomy) using a Constant Suction Bone-drilling Technique
07:06

Endaural Endoscopic Atticoantrotomy (Retrograde Mastoidectomy) using a Constant Suction Bone-drilling Technique

Published on: May 23, 2021

Rate of persistent perforation after elective tympanostomy tube removal in pediatric patients

E J Lentsch1, S Goudy, T M Ganzel

  • 1Department of Surgery, Division of Otolaryngology, University of Louisville School of Medicine, 40292, Louisville, KY, USA.

International Journal of Pediatric Otorhinolaryngology
|September 1, 2000
PubMed

Insights

Persistent perforations after tympanostomy tube removal occur in 11% of cases. Factors like longer tube duration and specific tube types increase this risk.

Area of Science:

  • Otolaryngology
  • Pediatric Surgery
  • Medical Device Research

Background:

  • Tympanostomy tubes are commonly used to treat otitis media in children.
  • Persistent tympanic membrane perforations can result from tube removal.
  • Understanding risk factors is crucial for optimizing surgical outcomes.

Purpose of the Study:

  • To determine the incidence of persistent perforations after elective tympanostomy tube removal in children.
  • To identify factors influencing perforation rates, including tube type and duration of intubation.

Main Methods:

  • Retrospective chart analysis of 201 children undergoing 273 elective tympanostomy tube removals.
  • Data collected included patient age, tube type, duration of intubation, and presence of granulation tissue.
  • Persistent perforation defined as eardrum not healed within 3 months post-removal.

Main Results:

  • An overall persistent perforation rate of 11% was observed.
  • Paparella II tubes (22%) and durations >3 years (15%) were associated with higher perforation rates.
  • Collar Bobbin tubes had no associated perforations.

Conclusions:

  • The rate of persistent perforation following elective tympanostomy tube removal is significant.
  • Longer intubation duration (>3 years) and use of Paparella II tubes are risk factors.
  • Further research into tube materials and surgical techniques may reduce perforation rates.

More Related Videos

Endoscopic Cholesteatoma Surgery08:47

Endoscopic Cholesteatoma Surgery

Published on: January 19, 2022

Robot-Assisted Transcanal Endoscopic Ear Surgery for Congenital Cholesteatoma02:37

Robot-Assisted Transcanal Endoscopic Ear Surgery for Congenital Cholesteatoma

Published on: December 15, 2023

Related Concept Videos

Tracheostomy: Procedure and Tubes01:28

Tracheostomy: Procedure and Tubes

A tracheostomy is a surgical procedure that creates an artificial opening into the trachea, typically at the second or third cartilaginous ring level. This opening allows the insertion of a tracheostomy tube, which can replace an endotracheal tube, provide mechanical ventilation, bypass an upper airway obstruction, or remove accumulated tracheobronchial secretions.
Tracheostomy tubes can be made of semiflexible plastic (polyurethane or silicone), rigid plastic, or metal, and they come in...
Suctioning the Nasopharyngeal Airway01:29

Suctioning the Nasopharyngeal Airway

Nasopharyngeal suctioning is a procedure to remove secretions from the upper part of the respiratory tract that the patient cannot clear independently. It helps maintain airway patency and prevents complications such as aspiration pneumonia.
Equipment Required
Esophageal Perforation-I: Introduction01:22

Esophageal Perforation-I: Introduction

Esophageal perforation is a severe medical condition characterized by a breach in the integrity of the esophageal wall. This breach can occur due to various factors such as trauma, medical procedures, or underlying diseases. When the esophageal wall is compromised, it allows food, fluids, and digestive juices into the chest cavity or adjacent structures, leading to potential complications and health risks.
The location of esophageal perforation can vary, occurring anywhere along the esophagus.
Esophageal Perforation-II: Clinical Manifestations and Management01:28

Esophageal Perforation-II: Clinical Manifestations and Management

Esophageal perforations manifest in various clinical forms, influenced by factors such as the perforation's cause and location (cervical, intrathoracic, or intra-abdominal), the extent of contamination, and potential injury to adjacent mediastinal structures. The timing between the perforation occurrence and treatment initiation also affects the clinical presentation.
Clinical Manifestations: