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Water precautions in children with tympanostomy tubes
C S Derkay1, M N Shroyer, J Ashby
1Department of Otolaryngology-Head and Neck Surgery and Pediatrics, Eastern Virginia Medical School, Norfolk 23507-1912.
American Journal of Otolaryngology
|September 1, 1992
Summary
Otolaryngologists have varying opinions on water precautions for children with tympanostomy tubes. Most recommend some limitations, often using earplugs, but a clinical trial is needed to guide practice.
Area of Science:
- Otolaryngology
- Pediatric Medicine
- Public Health
Background:
- Water precautions for children with tympanostomy tubes are debated among otolaryngologists.
- Current practice standards lack consensus, leading to varied recommendations for parents.
Purpose of the Study:
- To survey otolaryngologists' current practice standards regarding water precautions for children with tympanostomy tubes.
- To understand the diversity of opinions and recommendations influencing patient care.
Main Methods:
- A survey was distributed to 1,266 board-certified otolaryngologists in the southern and eastern United States.
- The survey assessed current recommendations, limitations, and factors influencing practice regarding water exposure after tympanostomy tube placement.
Main Results:
- A significant portion of otolaryngologists (13.1%) restrict swimming, while a small percentage (3.1%) see no need for precautions.
- Most respondents (68%) limit swimming depth, and 18% restrict water type; earplugs are the most common recommendation (53.4%).
- Personal experience heavily influences recommendations, with 79% reporting liberalization of guidelines; most are open to changing practice based on new clinical data.
Conclusions:
- There is considerable diversity in otolaryngologist recommendations for water precautions after tympanostomy tube placement.
- The findings highlight the need for a prospective randomized clinical trial to establish evidence-based guidelines.