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Otorrhea after insertion of silver oxide-impregnated silastic tympanostomy tubes.
Arch Otolaryngol Head Neck Surg 1999; 125(4):446-50AO

Abstract

BACKGROUND

Silver oxide-impregnated tympanostomy tubes have been shown to decrease the incidence of postoperative otorrhea, but without a significant effect in the first postoperative week.

OBJECTIVE

To evaluate prospectively our results with silver oxide-impregnated tympanostomy tubes and to identify factors associated with a higher incidence of early postoperative otorrhea.

DESIGN

Prospective nonrandomized study.

SETTING

University referral center.

PATIENTS AND OTHER PARTICIPANTS

Six hundred thirty patients with chronic otitis media with effusion or recurrent otitis media.

INTERVENTIONS

Silver oxide-impregnated Silastic tympanostomy tubes were inserted in 1254 ears. Subjects with mucoid or purulent effusions or blood at the myringotomy site at surgery were treated with topical antibiotic prophylaxis (sulfacetamide sodium-prednisolone acetate or neomycin sulfate-polymyxin B sulfate-hydrocortisone) for 5 days after tympanostomy tube placement.

MAIN OUTCOME MEASURES

Incidence of otorrhea after tympanostomy tube insertion at 1 week and 1, 3, 6, 9, and 12 months after surgery.

RESULTS

The overall incidence of postoperative otorrhea was 1.9%. The incidence of otorrhea in the first postoperative week was 5.6%; the incidence of otorrhea after the first postoperative week was 1.2% (P<.001). Within the first postoperative week, a significantly greater incidence of otorrhea was noted in patients younger than 3 years (7.8%), in patients with mucoid effusions at surgery (8.6%), and in patients younger than 3 years with mucoid effusions at surgery (15.2%).

CONCLUSIONS

Silver oxide-impregnated tympanostomy tubes are associated with a low overall incidence of postoperative otorrhea. A significantly higher incidence of otorrhea is seen during the first postoperative week, compared with the incidence after the first week. Patients with thick middle ear effusions and age younger than 3 years have a significantly greater incidence of early otorrhea after tympanostomy tube placement.

Authors+Show Affiliations

Department of Surgery, College of Medicine, University of Vermont, Burlington, USA.No affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

10208683

Citation

Gourin, C G., and R N. Hubbell. "Otorrhea After Insertion of Silver Oxide-impregnated Silastic Tympanostomy Tubes." Archives of Otolaryngology--head & Neck Surgery, vol. 125, no. 4, 1999, pp. 446-50.
Gourin CG, Hubbell RN. Otorrhea after insertion of silver oxide-impregnated silastic tympanostomy tubes. Arch Otolaryngol Head Neck Surg. 1999;125(4):446-50.
Gourin, C. G., & Hubbell, R. N. (1999). Otorrhea after insertion of silver oxide-impregnated silastic tympanostomy tubes. Archives of Otolaryngology--head & Neck Surgery, 125(4), pp. 446-50.
Gourin CG, Hubbell RN. Otorrhea After Insertion of Silver Oxide-impregnated Silastic Tympanostomy Tubes. Arch Otolaryngol Head Neck Surg. 1999;125(4):446-50. PubMed PMID: 10208683.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Otorrhea after insertion of silver oxide-impregnated silastic tympanostomy tubes. AU - Gourin,C G, AU - Hubbell,R N, PY - 1999/4/20/pubmed PY - 1999/4/20/medline PY - 1999/4/20/entrez SP - 446 EP - 50 JF - Archives of otolaryngology--head & neck surgery JO - Arch. Otolaryngol. Head Neck Surg. VL - 125 IS - 4 N2 - BACKGROUND: Silver oxide-impregnated tympanostomy tubes have been shown to decrease the incidence of postoperative otorrhea, but without a significant effect in the first postoperative week. OBJECTIVE: To evaluate prospectively our results with silver oxide-impregnated tympanostomy tubes and to identify factors associated with a higher incidence of early postoperative otorrhea. DESIGN: Prospective nonrandomized study. SETTING: University referral center. PATIENTS AND OTHER PARTICIPANTS: Six hundred thirty patients with chronic otitis media with effusion or recurrent otitis media. INTERVENTIONS: Silver oxide-impregnated Silastic tympanostomy tubes were inserted in 1254 ears. Subjects with mucoid or purulent effusions or blood at the myringotomy site at surgery were treated with topical antibiotic prophylaxis (sulfacetamide sodium-prednisolone acetate or neomycin sulfate-polymyxin B sulfate-hydrocortisone) for 5 days after tympanostomy tube placement. MAIN OUTCOME MEASURES: Incidence of otorrhea after tympanostomy tube insertion at 1 week and 1, 3, 6, 9, and 12 months after surgery. RESULTS: The overall incidence of postoperative otorrhea was 1.9%. The incidence of otorrhea in the first postoperative week was 5.6%; the incidence of otorrhea after the first postoperative week was 1.2% (P<.001). Within the first postoperative week, a significantly greater incidence of otorrhea was noted in patients younger than 3 years (7.8%), in patients with mucoid effusions at surgery (8.6%), and in patients younger than 3 years with mucoid effusions at surgery (15.2%). CONCLUSIONS: Silver oxide-impregnated tympanostomy tubes are associated with a low overall incidence of postoperative otorrhea. A significantly higher incidence of otorrhea is seen during the first postoperative week, compared with the incidence after the first week. Patients with thick middle ear effusions and age younger than 3 years have a significantly greater incidence of early otorrhea after tympanostomy tube placement. SN - 0886-4470 UR - https://www.unboundmedicine.com/medline/citation/10208683/Otorrhea_after_insertion_of_silver_oxide_impregnated_silastic_tympanostomy_tubes_ L2 - https://jamanetwork.com/journals/jamaotolaryngology/fullarticle/vol/125/pg/446 DB - PRIME DP - Unbound Medicine ER -