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Critical evaluation of Per-Lee tubes in children
The Journal of Laryngology and Otology
|February 1, 1990
Insights
Per-Lee tubes are not ideal for long-term middle ear ventilation in children. While initially effective, complications like recurrent otorrhoea and perforations led to removal in some cases, impacting hearing.
Area of Science:
- Otolaryngology
- Pediatric Otology
Background:
- Middle ear ventilation is crucial for managing conditions like otitis media.
- Various tympanostomy tubes exist, each with specific indications and limitations.
Purpose of the Study:
- To evaluate the long-term efficacy and safety of Per-Lee tubes in pediatric patients.
- To identify complications associated with Per-Lee tube use in children.
Main Methods:
- Retrospective review of 37 Per-Lee tubes.
- Analysis of data from 29 pediatric patients over four years.
- Assessment of tube in-situ status and reasons for removal.
Main Results:
- All 37 tubes were initially in place.
- Eleven tubes required removal due to recurrent otorrhoea or tympanic membrane perforations.
- Hearing impairment, particularly in children, was associated with these complications.
Conclusions:
- Per-Lee tubes are not suitable for long-term middle ear ventilation in pediatric populations.
- Complications can arise, necessitating tube removal and potentially impacting hearing.
- Alternative ventilation strategies may be preferred for extended middle ear management in children.
Abstract:
A retrospective view of 37 Per-Lee tubes inserted into 29 patients over a period of four years. At the time of review all the tubes were in situ but eleven had to be removed due to recurrent otorrhoea or perforations causing increasing deafness particularly in children. Per-Lee tubes are not suitable for long-term ventilation of the middle ear cavity in children.