Aadenoidectomy efficacy on the extrusion of tympanostomy tube
نویسنده
چکیده
I) The author should reflect the view points of the oppositions and any opponent of this idea. There are some misleading usages of references. For example in reference11 in Dr. M Farhadi et al's article, Song et al found that children with history of initial tympanostomy tube (TT) insertion had a longer extrusion time. Also patients with serous effusion had the shortest extrusion time (1). Gleinser et al believe that adenoidectomy may decline the need of repeated TT (2). On the other hand several authors reported no difference between the extrusion time in patients who underwent adenoidectomy and those who did not (1,3,4). Moreover in the study by Yaman et al on 80 patients (92%) adenoidectomy or adenotonsillectomy, they inserted Shepard grommet with an average extrusion time of 8.5 months (5). As a result, the length of TT in Dr. Farhadi and coworkers' study is likely due to inclusion of different criteria. Subsequently it may not contribute to adenoidectomy or location of TT in this study whatsoever. Furthermore, the author should have paid more attention to what eminent otologists attest about site of TT insertion. Although, Shah agreed with anterior inferior quadrant insertion (6) nonetheless, Paparella believes that insertion of TT in posterior inferior quadrant can be dangerous for round window or dehiscent high jug-
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