Tympanostomy Tube Innovation: Advances in Device Material, Design, and Office-Based Technology

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Advances in Translaryngeal Tube Technology

Intubation of the trachea with a cuffed tube can be performed by the translaryngeal route (endotracheal tube) or through a tracheal stoma (tracheostomy tube). Tracheal intubation by one of these routes is the only way to simultaneously provide a secure airway, ventilatory support, and convenient access to the trachea. Unfortunately, the presence of an artificial airway bypasses many of the pati...

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Behavioral techniques to optimize success of in-office pediatric tympanostomy tube placement without sedation.

OBJECTIVE Tympanostomy tube insertion is the most common pediatric surgery, but it typically requires general anesthesia. To facilitate in-office tube placement without general anesthesia, two complementary technologies have recently been developed comprising an iontophoresis system for delivering local anesthesia and an integrated tube delivery system. The purpose of this study was to evaluate...

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In vitro testing of tympanostomy tube occlusion.

OBJECTIVE Tympanostomy tubes (TTs) are commonly rendered nonfunctional by mucus plug formation. The purpose of this study was to determine whether an in vitro model could be developed to assess TT plug formation with results consistent with human trials. STUDY DESIGN An ear chamber was designed to mimic middle ear air and mucus flow conditions in post-TT otorrhea. TT occlusion was tested and ...

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Prophylactic ciprofloxacin drops after tympanostomy tube insertion.

OBJECTIVE To evaluate the effectiveness of prophylactic ciprofloxacin drops in decreasing the incidence of post-tympanostomy otorrhea, and the relation between middle ear content and post-tympanostomy otorrhea. METHODS One hundred and fifty patients aged 3-14 years underwent tympanostomy and tube insertion at the Prince Rashid Ben Al-Hasan Hospital, Al-Husn, Jordan during the interval between...

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Shared Decision Making and Office Insertion of Tympanostomy Tubes.

Office insertion of tympanostomy tubes in young children without anesthesia is facilitated through shared decision making with families, including a candid discussion about anticipated pain (which is usually brief and transient) and how their child might react to being restrained. This commentary elaborates on the rationale for office tube insertion as an alternative to general anesthesia, incl...

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ژورنال

عنوان ژورنال: Ear, Nose & Throat Journal

سال: 2020

ISSN: 0145-5613,1942-7522

DOI: 10.1177/0145561320924910