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Otological findings ten years after myringotomy with tympanostomy tube insertion
Behrouz Barati1, Seyed Mostafa Hashemi, Ali Goljanian Tabrizi
1Department of Otorhinolaryngology and Head and Neck Surgery, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Insights
Tympanostomy tube insertion for otitis media with effusion in children shows a low risk of serious long-term complications 10 years post-surgery, indicating its safety and effectiveness.
Area of Science:
- Otolaryngology
- Pediatric Medicine
- Surgical Outcomes
Background:
- Otitis media with effusion (OME) is common in young children.
- Tympanostomy tube insertion is a frequent surgical intervention for OME.
- Long-term complications require thorough investigation.
Purpose of the Study:
- To assess the long-term complications of tympanostomy tube insertion.
- To evaluate outcomes 10 years after the procedure in pediatric patients.
Main Methods:
- Retrospective study of medical records of pediatric patients.
- Inclusion criteria: myringotomy with tympanostomy tube insertion (Feb 2000-Mar 2001).
- Evaluation of complications in 82 enrolled patients.
Main Results:
- Myringosclerosis observed in 17.1% of ears.
- Tympanic membrane atrophy (1.2%), permanent perforation (0.6%), and atelectasis (0.6%) were infrequent.
- No cases of cholesteatoma were reported as a complication.
Conclusions:
- Tympanostomy tube insertion demonstrates a low risk of serious long-term complications.
- The procedure is a safe and effective treatment for OME in children.
- Long-term follow-up supports the continued use of tympanostomy tubes.
Introduction:
To study the long-term complications of tympanostomy tube insertion in young children 10 years after surgery.
Materials And Methods:
In September 2011, the medical records of all patients who had undergone myringotomy with tympanostomy tube insertion between February 2000 and March 2001 at the two general hospitals of Isfahan University of Medical Sciences were studied. Of the 98 patients who fulfilled the inclusion criteria, 82 patients agreed to participate and were enrolled in the study. The complications of the operation were evaluated in these patients.
Results:
Of the 164 ears that were operated on, myringosclerosis was found in 17.1%, atrophy of the tympanic membrane in 1.2%, permanent perforation of the tympanic membrane in 0.6% and tympanic membrane atelectasis in 0.6%. None of the patients developed cholesteatoma as a complication of tympanostomy tube insertion.
Conclusion:
Considering the low risk of serious complications after 10 years, tympanostomy tube insertion is a safe and effective treatment option in the treatment of otitis media with effusion.
