Swimming and grommets.
نویسندگان
چکیده
BACKGROUND Traditionally, children with tympanostomy ventilating tubes, or grommets, were advised that water should not enter their ears in order to prevent ear infections. This group of children has been considered somewhat handicapped regarding swimming. We conducted a prospective study to determine if there is a relation between suppurative otitis media and surface swimming in children with grommets. METHODS Forty-two children with tympanostomy ventilating tubes were included in this study. Of the 42 children, 22 were swimmers and 20 were nonswimmers, who served as the control group. The age range was 3 to 12 years, and there was no difference in the age distribution between the groups. Surface swimming was allowed without earplugs or a bathing cap, although it was mandatory to use polymyxin B-neomycin-hydrocortisone eardrops at bedtime on the day of swimming. No diving was allowed. RESULTS Three of 22 swimmers and 2 of 20 nonswimmers developed otorrhea. In 4 of the 5 children, the otorrhea was followed by an upper respiratory tract infection. In all cases, a bacterial culture revealed Pseudomonas. The ear drainage was easily controlled with local otic treatment in all the patients. CONCLUSIONS Taking into consideration the possible risks of infection and bearing in mind the value and joy of swimming to children and parents, families should be reassured that surface swimming does not increase the risk of infection in children with tympanostomy tubes.
منابع مشابه
Flexible hinge silicone implant with or without titanium grommets for arthroplasty of the first metatarsophalangeal joint.
PURPOSE To review outcomes of 37 patients who underwent arthroplasty of the first metatarsophalangeal joint using flexible hinge silicone implants with or without titanium grommets. METHODS 36 women and one man (63 feet) underwent arthroplasty of the first metatarsophalangeal joint for rheumatoid arthritis (RA) using Swanson flexible hinge silicone toe implants with or without titanium gromme...
متن کاملDo-it-yourself grommets.
In the absence of a healthcare budget enabling the import of ready-made aural grommets, Myanmar ENT surgeons have devised an ingenious 'home-grown' solution. We describe how grommets are made from raw materials bought from the local market.
متن کامل[Long-term result of grommets in children with secretory otitis media].
4-year retrospective study was performed in 152 children (279 ears) with secretory otitis media (SOM) in order to evaluate the long-term result with grommets. In 158 ears which were well controlled by grommets, the mean duration of treatment was 13.8 months. The tube was inserted once in 98 ears (62%), twice in 31 ears (20%), three times in 19 ears (12%) and four times or more in 10 (6%). Otosc...
متن کاملIs early surgical referral for children with persistent otitis media with effusion (OME) appropriate?
Trial: Paradise JL, Feldman HM, Campbell TF, et al. Effect of early or delayed insertion of tympanostomy tubes for persistent otitis media on developmental outcomes at the age of three years. Question Is early surgical referral for children with persistent otitis media with effusion (OME) appropriate? Setting: Two hospitals and six private paediatric group practices from the Pittsburgh region i...
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید
ثبت ناماگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید
ورودعنوان ژورنال:
- The Journal of family practice
دوره 38 1 شماره
صفحات -
تاریخ انتشار 1992