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Related Experiment Videos

Grommet insertion: some basic questions answered.

J W Curley

    Clinical Otolaryngology and Allied Sciences
    |February 1, 1986
    PubMed
    Summary
    This summary is machine-generated.

    Grommets improve middle ear ventilation in children, but nearly 50% extrude within 6 months. Repeated admissions are more likely for children aged 3-4 years first listed for grommet insertion.

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    Area of Science:

    • Otolaryngology
    • Pediatric Surgery
    • Public Health

    Background:

    • Grommets (tympanostomy tubes) are widely used to treat middle ear ventilation issues in children.
    • Understanding the outcomes and re-admission rates associated with grommet insertion is crucial for pediatric otolaryngology practice.

    Purpose of the Study:

    • To retrospectively analyze admissions for myringotomy and grommet insertion in children.
    • To investigate the duration of grommet patency and factors influencing re-admission rates.
    • To identify complication rates associated with grommet insertion procedures.

    Main Methods:

    • Retrospective survey of 1011 pediatric admissions for myringotomy and/or grommet insertion.
    • Analysis of re-admission data, grommet extrusion times, and complication incidence.

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  • Comparison of outcomes based on age at first listing and seasonality of middle ear effusions.

    • Main Results:

    • The average re-admission rate was 1.6 per child, with 64% admitted once.
    • Children aged 3-4 years at first listing had higher re-admission rates.
    • Approximately 50% of grommets extruded within 6 months, and 80% within 1 year.
    • Middle ear effusions diagnosed in summer showed higher spontaneous resolution rates.
    • Significant complications occurred in 2.2% of grommet insertions.

    Conclusions:

    • Grommet insertion is a common procedure in pediatric otolaryngology, with a notable rate of extrusion and re-admission.
    • Age and seasonality may influence the need for repeat procedures and spontaneous resolution of middle ear effusions.
    • While generally safe, monitoring for complications is essential post-insertion.