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Follow-up of 366 ears after tympanostomy tube insertion: why is it draining?

M Tayyar Kalcioglu1, Yasar Cokkeser, Ahmet Kizilay

  • 1Department of Otolaryngology, Medical Faculty, Inonu University, Malatya, Turkey. mtkalcioglu@hotmail.com

Otolaryngology--Head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery
|April 23, 2003
PubMed

Insights

Tympanostomy tube insertion in children is generally safe, with low rates of otorrhea and no cholesteatoma cases. Hearing improved in most patients, though tympanosclerosis was common.

Area of Science:

  • Otolaryngology
  • Pediatric Surgery

Background:

  • Tympanostomy tube insertion is a common otolaryngologic procedure.
  • Potential complications include otorrhea, tympanosclerosis, and cholesteatoma.

Purpose of the Study:

  • To report complications and hearing outcomes following tympanostomy tube insertion in children.
  • To analyze the incidence of various complications and long-term results.

Main Methods:

  • A retrospective study of 239 children (439 ears) undergoing tympanostomy tube insertion.
  • Follow-up ranged from 7 to 73 months (median 29 months).
  • Complications, hearing results, and middle ear pressures were assessed in 366 ears.

Main Results:

  • Otorrhea occurred in 0.8% of cases; tympanosclerosis in 20.2%.
  • Other complications included tympanic membrane perforation (4.6%), retraction pockets (5.2%), granulation tissue (1.1%), and atelectasis (6%).
  • No cholesteatoma developed. Hearing improved in 93.4% of patients. Extrusion times varied for grommet and T-tubes.

Conclusions:

  • Tympanostomy tube insertion yields good hearing outcomes with manageable complication rates.
  • Otorrhea may be linked to multifactorial etiologies including underlying pathology or environmental factors like atopy.
Abstract

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