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Follow-up care after grommet insertion in children: Review article
Zahir Mughal1, Vijay Thirunavukarasu1, Adnan Darr2
1Department of Otorhinolaryngology, Russells Hall Hospital, Pensnett Rd, Dudley, DY1 2HQ, UK.
International Journal of Pediatric Otorhinolaryngology
|August 7, 2016
Summary
Follow-up care after pediatric grommet insertion often includes unnecessary appointments. Shifting reviews to general practitioners or nurses could reduce otolaryngology clinic workload.
Area of Science:
- Otolaryngology
- Pediatric Healthcare Management
Background:
- Grommet insertion is a frequent pediatric surgical procedure.
- Extended otolaryngology follow-up negatively impacts clinic efficiency and hospital finances.
Purpose of the Study:
- To review current research and expert opinions on pediatric follow-up care post-grommet insertion.
Main Methods:
- A comprehensive literature search was conducted across major databases (MEDLINE, PubMed, Google Scholar, Web of Science) from January 1990 to September 2015.
Main Results:
- Follow-up protocols vary significantly, with many post-grommet insertion appointments being potentially unnecessary (up to 75% with normal findings).
- Alternative providers like General Practitioners (GPs), audiologists, or specialist nurses are suggested for routine reviews.
Conclusions:
- Current follow-up schedules are often based on consensus rather than strict evidence.
- Streamlining care by discharging patients earlier to less resource-intensive settings can alleviate outpatient burdens.
