Effectiveness of adenoidectomy on tympanostomy tubes retention duration
نویسندگان
چکیده مقاله:
Abstract Background: The children with middle ear effusion need repeated re-tympanostomies. Adenoidectomy is an effective surgical intervention in the management of chronic otitis media with effusion in conjunction with in-sertion of tympanostomy tubes (TTs). To find out whether TTs in different positions decrease the rate of re-tympanostomies study was done. Methods: The present study retrospectively evaluated the effectiveness of adenoidectomy on retention of Shepard TTs in antero-inferior quadrant (AIQ) and postero-inferior quadrant (PIQ) with chronic, persistent or recurrent otitis media. Eighty-five children (one-hundred and seventy ears) underwent bilateral myringotomy and TTs placement with and without adenoidectomy with informed consent. Results: According to the TTs retention duration rate, there was a significant difference between adenoidec-tomy and non-adenoidectomy groups in AIQ. Conclusion: It was concluded that TTs placement in the AIQ in conjunction with adenoidectomy showed better improvement and prolonged ventilation. This study suggests that adenoidectomy is an effective surgical intervention in the management of otitis media especially when it is performed in conjunction with insertion of TTs. This significantly decreases tube extrusion rate especially in an AIQ, which might be due to improving eustachian tube function that consequently reduces repeated otitis media.
منابع مشابه
effectiveness of adenoidectomy on tympanostomy tubes retention duration
abstract background: the children with middle ear effusion need repeated re-tympanostomies. adenoidectomy is an effective surgical intervention in the management of chronic otitis media with effusion in conjunction with in-sertion of tympanostomy tubes (tts). to find out whether tts in different positions decrease the rate of re-tympanostomies study was done. methods: the present study retrospe...
متن کاملThe role of adjuvant adenoidectomy and tonsillectomy in the outcome of the insertion of tympanostomy tubes.
BACKGROUND Otitis media is the most common medical problem in young children. The usual surgical treatment is myringotomy with insertion of tympanostomy tubes. There is debate about the usefulness of concomitant adenoidectomy or adenotonsillectomy. We examined the effects of these adjuvant procedures on the rates of reinsertion of tympanostomy tubes and rehospitalization for conditions related ...
متن کاملEffectiveness of Tympanostomy Tubes for Otitis Media: A Meta-analysis.
CONTEXT Tympanostomy tube placement is the most common ambulatory surgery performed on children in the United States. OBJECTIVES The goal of this study was to synthesize evidence for the effectiveness of tympanostomy tubes in children with chronic otitis media with effusion and recurrent acute otitis media. DATA SOURCES Searches were conducted in Medline, the Cochrane Central Trials Registr...
متن کاملa study on the effectiveness of task types (noticing-reformulation) on iranian low intermediate efl learners’ retention of collocations
چکیده پژوهش شبه تجربی حاضر به بررسی بکارگیری تمارین کلاسی که برانگیزنده آگاهی و توجه آگاهانه به همایندها بعنوان بخشی از یک دوره ی مکالمه زبان خارجی در یکی از آموزشگاه های زبان انگلیسی ایران است می پردازد.
[Tympanostomy tubes and water].
OBJECTIVE An in vitro study was conducted to set the necessary pressure in fluids that could break resistance and cross the opening of a tympanostomy tube. METHODS A water column model was created and graduated in centimeters from base to top. We adapted three sorts of tympanostomy tubes. In each model, fluids were tested (tap water, seawater, river water, soapy water and eardrops). The colum...
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عنوان ژورنال
دوره 25 شماره 3
صفحات 153- 157
تاریخ انتشار 2011-11
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