OBJECTIVES To compare tympanostomy tube insertion for children with otitis media in 2002 with the recommendations of two sets of expert guidelines. DESIGN Retrospective cohort study. SETTING New York metropolitan area practices associated with five diverse hospitals. PARTICIPANTS 682 of 1046 children who received tympanostomy tubes in the five hospitals for whom charts from the hospital, ...

Myringotomy and tympanostomy are related terms that are sometimes used interchangeably to describe an opening in the tympanic membrane. In this policy, the term myringotomy will be used to describe a temporary opening in the tympanic membrane without insertion of a pressure-equalizing tube (PET), while tympanostomy will be used to describe an opening in the tympanic membrane in conjunction with...

OBJECTIVE Few cases of medial migration of tympanostomy tubes have been reported and its optimal management has not been well delineated especially in asymptomatic patients. The aim of this review is to present all cases of medialized tympanostomy tubes reported in the literature in order to provide the most beneficial management option. METHODS Eligible articles were identified through a com...

OBJECTIVE To investigate the efficacy, safety, and microbiology of a thermosensitive otic suspension of ciprofloxacin (OTO-201) in children with bilateral middle ear effusion undergoing tympanostomy tube placement. STUDY DESIGN Two randomized, double-blind, sham-controlled phase 3 trials. Patients were randomized to intratympanic OTO-201 or sham. SETTING Children with bilateral middle ear e...

The objective of this study was to determine if video otoscope still images (640 x 480 pixel resolution) of the tympanic membrane following surgical placement of tympanostomy tubes are comparable to an in-person microscopic examination. Forty patients having undergone tympanostomy tube placement in both ears were independently examined in-person by two otolaryngologists and imaged using a video...

In a paper from the Dutch group long-term consequences of tympanostomy tube treatment is reported. Three hundred fifty-eight subjects with a positive and negative history of OM or tympanostomy tube insertion derived from a birth cohort had been followed-up from preschool to adult age. TM abnormalities were investigated at ages of 8 and 18 years. The occurrence of myringosclerosis was 6 times as...

OBJECTIVE This exploratory clinical trial evaluated the safety and clinical activity of a novel, sustained-exposure formulation of ciprofloxacin microparticulates in poloxamer (OTO-201) administered during tympanostomy tube placement in children. METHODS Double-blind, randomized, prospective, placebo- and sham-controlled, multicenter Phase 1b trial in children (6 months to 12 years) with bila...

OBJECTIVE To determine hearing outcomes in young children receiving early and repeated tympanostomy tube insertion for recurrent acute otitis media or otitis media with effusion. DESIGN Prospective 14-year follow-up. SETTING Central Hospital of Central Finland, a tertiary care hospital. Patients Three hundred five consecutive infants and young children with otitis media received initial tym...