Water protection after tympanostomy (Shepard) tubes does not decrease otorrhea incidence – retrospective cohort study

[Tympanostomy tubes and water].

OBJECTIVE An in vitro study was conducted to set the necessary pressure in fluids that could break resistance and cross the opening of a tympanostomy tube. METHODS A water column model was created and graduated in centimeters from base to top. We adapted three sorts of tympanostomy tubes. In each model, fluids were tested (tap water, seawater, river water, soapy water and eardrops). The colum...

Topical ofloxacin treatment of otorrhea in children with tympanostomy tubes.

OBJECTIVE To determine the safety and efficacy of ofloxacin otic solution in the treatment of acute otorrhea in children with tympanostomy tubes. DESIGN Multicenter study with an open-label, prospective ofloxacin arm and retrospective historical and current practice arms. SETTING Ear, nose, and throat pediatric and general practice clinics and office-based practices. SUBJECTS Children you...

Parent-Reported Otorrhea in Children with Tympanostomy Tubes: Incidence and Predictors

PURPOSE Although common in children with tympanostomy tubes, the current incidence of tympanostomy tube otorrhea (TTO) is uncertain. TTO is generally a sign of otitis media, when middle ear fluid drains through the tube. Predictors for otitis media are therefore suggested to have predictive value for the occurrence of TTO. OBJECTIVE To determine the incidence of TTO and its predictors. METH...

Does topical antibiotic prophylaxis reduce post-tympanostomy tube otorrhea?

Purulent otorrhea is the most common complication of tympanostomy tube (TT) insertion. It may occur in the postoperative period or at any time during the sojourn of the tube. The efficacy of topical antimicrobial prophylaxis against purulent postoperative otorrhea (PPO) has been examined in 5 prospective, randomized studies; all demonstrated a reduction in PPO from topical antimicrobial prophyl...

Tympanostomy Tubes