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Myringotomy with and without tympanostomy tubes for chronic otitis media with effusion.
Arch Otolaryngol Head Neck Surg 1989; 115(10):1217-24AO

Abstract

We studied 109 children with otitis media with effusion of 2 months' duration or longer that was unresponsive to medical management. Eighty-six subjects who had neither "significant" hearing loss nor defined symptoms were randomly assigned to receive myringotomy, myringotomy with tympanostomy tube insertion, or no surgery, and 23 subjects with significant hearing loss, defined symptoms, or both were randomly assigned to receive either myringotomy or myringotomy with tube insertion. Myringotomy with tube insertion provided more disease-free time and better hearing than either myringotomy alone or no surgery; however, some subjects who underwent myringotomy with tube insertion developed otorrhea or persistent perforation of the tympanic membrane. Myringotomy offered no advantage over no surgery regarding percent of time with middle-ear effusion, number of acute otitis media episodes, and number of subsequent surgical procedures. These results may not properly be extrapolated to less severely affected children.

Authors+Show Affiliations

Department of Pediatrics, Graduate School of Public Health, University of Pittsburgh, Pa.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

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

Language

eng

PubMed ID

2789777

Citation

Mandel, E M., et al. "Myringotomy With and Without Tympanostomy Tubes for Chronic Otitis Media With Effusion." Archives of Otolaryngology--head & Neck Surgery, vol. 115, no. 10, 1989, pp. 1217-24.
Mandel EM, Rockette HE, Bluestone CD, et al. Myringotomy with and without tympanostomy tubes for chronic otitis media with effusion. Arch Otolaryngol Head Neck Surg. 1989;115(10):1217-24.
Mandel, E. M., Rockette, H. E., Bluestone, C. D., Paradise, J. L., & Nozza, R. J. (1989). Myringotomy with and without tympanostomy tubes for chronic otitis media with effusion. Archives of Otolaryngology--head & Neck Surgery, 115(10), pp. 1217-24.
Mandel EM, et al. Myringotomy With and Without Tympanostomy Tubes for Chronic Otitis Media With Effusion. Arch Otolaryngol Head Neck Surg. 1989;115(10):1217-24. PubMed PMID: 2789777.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Myringotomy with and without tympanostomy tubes for chronic otitis media with effusion. AU - Mandel,E M, AU - Rockette,H E, AU - Bluestone,C D, AU - Paradise,J L, AU - Nozza,R J, PY - 1989/10/1/pubmed PY - 1989/10/1/medline PY - 1989/10/1/entrez SP - 1217 EP - 24 JF - Archives of otolaryngology--head & neck surgery JO - Arch. Otolaryngol. Head Neck Surg. VL - 115 IS - 10 N2 - We studied 109 children with otitis media with effusion of 2 months' duration or longer that was unresponsive to medical management. Eighty-six subjects who had neither "significant" hearing loss nor defined symptoms were randomly assigned to receive myringotomy, myringotomy with tympanostomy tube insertion, or no surgery, and 23 subjects with significant hearing loss, defined symptoms, or both were randomly assigned to receive either myringotomy or myringotomy with tube insertion. Myringotomy with tube insertion provided more disease-free time and better hearing than either myringotomy alone or no surgery; however, some subjects who underwent myringotomy with tube insertion developed otorrhea or persistent perforation of the tympanic membrane. Myringotomy offered no advantage over no surgery regarding percent of time with middle-ear effusion, number of acute otitis media episodes, and number of subsequent surgical procedures. These results may not properly be extrapolated to less severely affected children. SN - 0886-4470 UR - https://www.unboundmedicine.com/medline/citation/2789777/Myringotomy_with_and_without_tympanostomy_tubes_for_chronic_otitis_media_with_effusion_ L2 - https://jamanetwork.com/journals/jamaotolaryngology/fullarticle/vol/115/pg/1217 DB - PRIME DP - Unbound Medicine ER -