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A Novel Rescue Technique for Difficult Intubation and Difficult Ventilation
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A Novel Rescue Technique for Difficult Intubation and Difficult Ventilation

Published on: January 17, 2011

A rare complication of use of the middle ear ventilation tube (PVC)

R Reck

    HNO
    |March 1, 1977
    PubMed

    Insights

    Purulent otitis media occurred in 2.2% of patients after middle ear ventilation tube insertion. Tube removal effectively resolved infections and closed perforations, suggesting polyvinylchloride may cause adverse reactions.

    Area of Science:

    • Otolaryngology
    • Infectious Diseases
    • Materials Science

    Background:

    • Middle ear ventilation tubes are commonly used to treat otitis media.
    • Post-operative infections can complicate ventilation tube insertion.
    • The etiology of purulent otitis media following ventilation tube placement requires investigation.

    Purpose of the Study:

    • To investigate the incidence of purulent otitis media after middle ear ventilation tube insertion.
    • To evaluate the effectiveness of conservative treatment versus tube removal for post-operative infections.
    • To explore potential causes of these infections.

    Main Methods:

    • Retrospective analysis of 226 patients undergoing middle ear ventilation tube insertion.
    • Documentation of post-operative purulent otitis media incidence.
    • Comparison of treatment outcomes for conservative management and tube explantation.

    Main Results:

    • Purulent otitis media was observed in 2.2% of patients (5 out of 226).
    • Conservative treatment with the tube in situ rarely led to cure.
    • Removal of the ventilation tube resulted in prompt infection resolution and perforation closure.

    Conclusions:

    • Purulent otitis media is a potential complication following middle ear ventilation tube insertion.
    • Ventilation tube removal is an effective treatment for post-operative purulent otitis media.
    • Adverse reactions to polyvinylchloride of the ventilation tube are a possible causative factor.

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