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Predictors for postoperative otorrhea following tympanostomy tube insertion.
Arch Otolaryngol Head Neck Surg 1992; 118(5):491-4AO

Abstract

This controlled prospective study was designed to identify predictors for postoperative otorrhea among 157 children with chronic otitis media with effusion undergoing myringotomy and tympanostomy tube placement (intubation). Ear canal disinfection with 70% alcohol or povidone-iodine did not significantly alter ear canal or middle ear effusion bacteriology, or the frequency of otorrhea during the first 7 days after surgery. However, the risk of otorrhea on the second postoperative day was significantly increased by the presence of a bacterial pathogen in the ear canal (relative risk, 2.4), or in the middle ear effusion (relative risk, 1.9), and the presence of inflamed middle ear mucosa at surgery (relative risk, 1.7) after controlling for age, preoperative antibiotics, and postoperative ototopical cortisporin treatment. The use of systemic antimicrobial treatment in children with inflamed middle ear mucosa at surgery or whose ear canal or middle ear effusion cultures are positive for bacterial pathogens might reduce the incidence of post-operative otorrhea in children undergoing intubation for chronic otitis media with effusion.

Authors+Show Affiliations

Otitis Media Research Center, University of Minnesota School of Medicine, Minneapolis.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Clinical Trial
Journal Article
Randomized Controlled Trial
Research Support, U.S. Gov't, P.H.S.

Language

eng

PubMed ID

1571119

Citation

Giebink, G S., et al. "Predictors for Postoperative Otorrhea Following Tympanostomy Tube Insertion." Archives of Otolaryngology--head & Neck Surgery, vol. 118, no. 5, 1992, pp. 491-4.
Giebink GS, Daly K, Buran DJ, et al. Predictors for postoperative otorrhea following tympanostomy tube insertion. Arch Otolaryngol Head Neck Surg. 1992;118(5):491-4.
Giebink, G. S., Daly, K., Buran, D. J., Satz, M., & Ayre, T. (1992). Predictors for postoperative otorrhea following tympanostomy tube insertion. Archives of Otolaryngology--head & Neck Surgery, 118(5), pp. 491-4.
Giebink GS, et al. Predictors for Postoperative Otorrhea Following Tympanostomy Tube Insertion. Arch Otolaryngol Head Neck Surg. 1992;118(5):491-4. PubMed PMID: 1571119.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Predictors for postoperative otorrhea following tympanostomy tube insertion. AU - Giebink,G S, AU - Daly,K, AU - Buran,D J, AU - Satz,M, AU - Ayre,T, PY - 1992/5/1/pubmed PY - 1992/5/1/medline PY - 1992/5/1/entrez SP - 491 EP - 4 JF - Archives of otolaryngology--head & neck surgery JO - Arch. Otolaryngol. Head Neck Surg. VL - 118 IS - 5 N2 - This controlled prospective study was designed to identify predictors for postoperative otorrhea among 157 children with chronic otitis media with effusion undergoing myringotomy and tympanostomy tube placement (intubation). Ear canal disinfection with 70% alcohol or povidone-iodine did not significantly alter ear canal or middle ear effusion bacteriology, or the frequency of otorrhea during the first 7 days after surgery. However, the risk of otorrhea on the second postoperative day was significantly increased by the presence of a bacterial pathogen in the ear canal (relative risk, 2.4), or in the middle ear effusion (relative risk, 1.9), and the presence of inflamed middle ear mucosa at surgery (relative risk, 1.7) after controlling for age, preoperative antibiotics, and postoperative ototopical cortisporin treatment. The use of systemic antimicrobial treatment in children with inflamed middle ear mucosa at surgery or whose ear canal or middle ear effusion cultures are positive for bacterial pathogens might reduce the incidence of post-operative otorrhea in children undergoing intubation for chronic otitis media with effusion. SN - 0886-4470 UR - https://www.unboundmedicine.com/medline/citation/1571119/Predictors_for_postoperative_otorrhea_following_tympanostomy_tube_insertion_ L2 - https://jamanetwork.com/journals/jamaotolaryngology/fullarticle/vol/118/pg/491 DB - PRIME DP - Unbound Medicine ER -