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Water precautions in children with tympanostomy tubes.
Arch Otolaryngol Head Neck Surg 1996; 122(3):276-80AO

Abstract

OBJECTIVE

To compare the effectiveness of antibiotic ear drops (suspension of polymyxin B sulfate, neomycin sulfate, and hydrocortisone [Pediotic]), prefabricated ear molds, or no precautions in decreasing the incidence of posttympanostomy water-related otorrhea.

DESIGN

Five-year prospective controlled study.

SETTINGS

University referral center.

PATIENTS

Five hundred thirty-three pediatric patients who were undergoing tympanostomy tube placement (including those who were undergoing tonsillectomy, adenoidectomy, or both) were self-selected into four groups.

INTERVENTIONS

The use of antibiotic ear drops that contained polymyxin B, neomycin, and hydrocortisone and the use of prefabricated ear molds. Group 1 comprised patients who were not given any water precautions with swimming regardless of the depth or type of water; group 2 comprised patients in whom antibiotic ear drops were applied after all forms of swimming; group 3 comprised patients who used ear molds with all forms of swimming (all children were advised against diving and swimming more than 180 cm below the surface, and parents were cautioned to avoid the entrance of soapy water into their child's ears during bathing); and group 4 comprised patients who were selected not to swim at all (they served as a control group).

RESULTS

No statistically significant difference was observed in the incidence of posttympanostomy swimming-related otorrhea among the three swimming groups (11%, 14%, and 20% of children in groups 1, 2, and 3, respectively, reported swimming-related otorrhea [P=.26, df-2, chi-square=2.66]). Children who did not swim at all (group 4) did not differ significantly in their overall incidence of otorrhea (59%) from the three swimming groups combined (68%) during the follow-up period (P=.11, df=1, chi-square=2.54).

CONCLUSION

Young children with tympanostomy tubes who surface swim and do not dive receive no additional benefit from the taking of water precautions in the form of earplugs or antibiotic ear drops.

Authors+Show Affiliations

Department of Otolaryngology - Head and Neck Surgery, Eastern Virginia Medical School, Norfolk, USA.No affiliation info available

Pub Type(s)

Clinical Trial
Controlled Clinical Trial
Journal Article

Language

eng

PubMed ID

8607955

Citation

Salata, J A., and C S. Derkay. "Water Precautions in Children With Tympanostomy Tubes." Archives of Otolaryngology--head & Neck Surgery, vol. 122, no. 3, 1996, pp. 276-80.
Salata JA, Derkay CS. Water precautions in children with tympanostomy tubes. Arch Otolaryngol Head Neck Surg. 1996;122(3):276-80.
Salata, J. A., & Derkay, C. S. (1996). Water precautions in children with tympanostomy tubes. Archives of Otolaryngology--head & Neck Surgery, 122(3), pp. 276-80.
Salata JA, Derkay CS. Water Precautions in Children With Tympanostomy Tubes. Arch Otolaryngol Head Neck Surg. 1996;122(3):276-80. PubMed PMID: 8607955.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Water precautions in children with tympanostomy tubes. AU - Salata,J A, AU - Derkay,C S, PY - 1996/3/1/pubmed PY - 1996/3/1/medline PY - 1996/3/1/entrez SP - 276 EP - 80 JF - Archives of otolaryngology--head & neck surgery JO - Arch. Otolaryngol. Head Neck Surg. VL - 122 IS - 3 N2 - OBJECTIVE: To compare the effectiveness of antibiotic ear drops (suspension of polymyxin B sulfate, neomycin sulfate, and hydrocortisone [Pediotic]), prefabricated ear molds, or no precautions in decreasing the incidence of posttympanostomy water-related otorrhea. DESIGN: Five-year prospective controlled study. SETTINGS: University referral center. PATIENTS: Five hundred thirty-three pediatric patients who were undergoing tympanostomy tube placement (including those who were undergoing tonsillectomy, adenoidectomy, or both) were self-selected into four groups. INTERVENTIONS: The use of antibiotic ear drops that contained polymyxin B, neomycin, and hydrocortisone and the use of prefabricated ear molds. Group 1 comprised patients who were not given any water precautions with swimming regardless of the depth or type of water; group 2 comprised patients in whom antibiotic ear drops were applied after all forms of swimming; group 3 comprised patients who used ear molds with all forms of swimming (all children were advised against diving and swimming more than 180 cm below the surface, and parents were cautioned to avoid the entrance of soapy water into their child's ears during bathing); and group 4 comprised patients who were selected not to swim at all (they served as a control group). RESULTS: No statistically significant difference was observed in the incidence of posttympanostomy swimming-related otorrhea among the three swimming groups (11%, 14%, and 20% of children in groups 1, 2, and 3, respectively, reported swimming-related otorrhea [P=.26, df-2, chi-square=2.66]). Children who did not swim at all (group 4) did not differ significantly in their overall incidence of otorrhea (59%) from the three swimming groups combined (68%) during the follow-up period (P=.11, df=1, chi-square=2.54). CONCLUSION: Young children with tympanostomy tubes who surface swim and do not dive receive no additional benefit from the taking of water precautions in the form of earplugs or antibiotic ear drops. SN - 0886-4470 UR - https://www.unboundmedicine.com/medline/citation/8607955/Water_precautions_in_children_with_tympanostomy_tubes_ L2 - https://jamanetwork.com/journals/jamaotolaryngology/fullarticle/vol/122/pg/276 DB - PRIME DP - Unbound Medicine ER -