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Tympanostomy Tube

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2. Tympanostomy tubes in children with otitis media

Tympanostomy tubes in children with otitis media Tympanostomy tubes in children with otitis media Tympanostomy tubes in children with otitis media Steel D, Adam GP, Di M, Halladay C, Pan I, Coppersmith N, Balk EM, Trikalinos TA Record Status This is a bibliographic record of a published health technology assessment. No evaluation of the quality of this assessment has been made for the HTA database. Citation Steel D, Adam GP, Di M, Halladay C, Pan I, Coppersmith N, Balk EM, Trikalinos TA (...) . Tympanostomy tubes in children with otitis media. Rockville: Agency for Healthcare Research and Quality (AHRQ). Comparative Effectiveness Review No. 185. 2017 Authors' objectives The objectives for the systematic review are to synthesize information on the effectiveness of tympanostomy tubes (TT) in children with chronic otitis media with effusion and recurrent acute otitis media, summarize the frequency of adverse effects or complications associated with TT placement, synthesize information

2017 Health Technology Assessment (HTA) Database.

3. National clinical guideline on treatment with tympanostomy tubes

National clinical guideline on treatment with tympanostomy tubes NATIONAL CLINICAL GUIDELINE ON TREATMENT WITH TYMPANOSTOMY TUBES DIAGNOSIS OF OTITIS MEDIA AND INDICATIONS FOR, E.G., TYMPANOSTOMY TUBES AMONG CHILDREN AGED 0-5 YEARS Quick guide National clinical guideline on treatment with tympanostomy tubes. Published by the Danish Health Authority, June 2016 Diagnosis of acute otitis media (AOM) and treatment of children with otitis simplex (OS) ?? Examine the mobility of the tympanic membrane (...) adenoidectomy should only be offered to children scheduled for first time VT for RAOM or COME after careful consideration, as the effect is uncertain ( ? ???). Treatment of otorrhoea in children with tympanostomy tubes ?? Clinicians can prescribe topical antibiotic eardrops for children with VT otorrhea that persists for more than three days ( ??? ?). ?? Do not prescribe systemic antibiotics for children with uncomplicated VT otorrhea ( ??? ?).National clinical guideline on treatment with tympanostomy tubes

2016 Danish National Clinical Guidelines

4. Supplemental Project to Assess the Transparency of Reporting Requirements: Tympanostomy Tubes in Children With Otitis Media

Supplemental Project to Assess the Transparency of Reporting Requirements: Tympanostomy Tubes in Children With Otitis Media Methods Research Report Supplemental Project To Assess the Transparency of Reporting Requirements: Tympanostomy Tubes in Children With Otitis Media Methods Research Report Supplemental Project To Assess the Transparency of Reporting Requirements: Tympanostomy Tubes in Children With Otitis Media Prepared for: Agency for Healthcare Research and Quality U.S. Department (...) . Supplemental Project to Assess the Transparency of Reporting Requirements: Tympanostomy Tubes in Children With Otitis Media. Methods Research Report. (Prepared by the Brown University Evidence-based Practice Center under Contract No. 290-2015-00002-I; 290-32004-T). AHRQ Publication No. 17-EHC018-EF. Rockville, MD: Agency for Healthcare Research and Quality. June 2017. www.effectivehealthcare.ahrq.gov/reports/final.cfm. DOI: https://doi.org/10.23970/ AHRQEPCMETH2. ii Preface The Agency for Healthcare

2017 Effective Health Care Program (AHRQ)

5. Tympanostomy Tubes in Children with Otitis Media

Tympanostomy Tubes in Children with Otitis Media Comparative Effectiveness Review Number 185 Tympanostomy Tubes in Children With Otitis Media eComparative Effectiveness Review Number 185 Tympanostomy Tubes in Children With Otitis Media Prepared for: Agency for Healthcare Research and Quality U.S. Department of Health and Human Services 5600 Fishers Lane Rockville, MD 20857 www.ahrq.gov Contract No. 290-2015-00002-I Prepared by: Brown Evidence-based Practice Center Providence, RI Investigators (...) of the report. Persons using assistive technology may not be able to fully access information in this report. For assistance contact EffectiveHealthCare@ahrq.hhs.gov. Suggested citation: Steel D, Adam GP, Di M, Halladay C, Pan I, Coppersmith N, Balk EM, Trikalinos TA. Tympanostomy Tubes in Children With Otitis Media. Comparative Effectiveness Review No. 185. (Prepared by the Brown Evidence-based Practice Center under Contract No. 290-2015-00002-I.) AHRQ Publication No. 17-EHC003-EF. Rockville, MD: Agency

2017 Effective Health Care Program (AHRQ)

6. Including auditory tube function on models is relevant to assess water exposure after tympanostomy tubes-Multiphase computerized fluid dynamics model. (PubMed)

Including auditory tube function on models is relevant to assess water exposure after tympanostomy tubes-Multiphase computerized fluid dynamics model. Myringotomy with tympanostomy tube is the most common otologic surgery and some patients are still advised to avoid water. However, there is no evidence supporting this, with published papers questioning the need for this advice.A Multiphase Computational Fluid Dynamics (CFD) model was created using computerized tomography images of a child's (...) healthy ear. It was then used to study the flow of fluids through the external ear, tympanic cavity, and auditory tube, with and without submersion.The model accurately described the behavior of the air retained in the patient's nasopharynx and tympanic cavity. A simulated elevation of pressure in the external auditory canal without submersion, without increase of pressure in the nasopharynx, demonstrated that fluids promptly crossed the tympanostomy tube into the middle ear. However, simulated

2018 International Journal of Pediatric Otorhinolaryngology

7. Association of Tympanostomy Tubes With Future Risk of Advanced Ear Surgery-A Population Study. (PubMed)

Association of Tympanostomy Tubes With Future Risk of Advanced Ear Surgery-A Population Study. To investigate future surgery for chronic ear disease in children who underwent tympanostomy tube (TT) placement, compared with non-surgically treated patients and healthy controls.Retrospective population-based cohort study.All hospitals in the Canadian province of Ontario.Of children aged 18 years and younger, three cohorts were constructed: 1) TT: patients who had undergone at least one TT

2019 Otology and Neurotology

8. Preventing unnecessary tympanostomy tube placement in children. (PubMed)

Preventing unnecessary tympanostomy tube placement in children. In 2013 the American Academy of Otolaryngology published tympanostomy tube guidelines for children; Action Statement 6 recommends against tube placement without middle ear effusion (MEE) at time of assessment. To date, little research has directly evaluated this recommendation in reducing the need for ear tubes. We evaluated the effectiveness of this recommendation and potential risk factors that influence the success of watchful (...) patients met criteria, with 81 still in WW to date (66% success rate). 42 children failed WW and received tympanostomy tubes (34% failure rate). There were no statistically significant associations between age, race, gender, smoking exposure, daycare, or month of presentation between children who failed WW compared to children receiving tubes.Tympanostomy tube guidelines mitigate unnecessary tube placement in a majority of children with recurrent AOM without MEE. To our knowledge, this is the first

2019 International Journal of Pediatric Otorhinolaryngology

9. Early Otorrhea Rates: A Randomized Trial of Ciprofloxacin versus Saline Drops after Tympanostomy Tubes. (PubMed)

Early Otorrhea Rates: A Randomized Trial of Ciprofloxacin versus Saline Drops after Tympanostomy Tubes. The objectives of this study are to evaluate incidence, duration, and quality of life (QOL) impact of early tympanostomy tube otorrhea and tube patency when comparing topical ciprofloxacin versus normal saline use in the perioperative period.Overall, 200 patients undergoing tube placement between November 19, 2015, and September 12, 2016, were randomized to intraoperative plus 5 days (...) . The percentage of days otorrhea was present, likewise, was not statistically different (normal saline 4.5%, ciprofloxacin 2.8%; P = .74). The QOL impact was not statistically different (normal saline 1.2, ciprofloxacin 1.5; P = .71). Tube patency was not statistically different, with only 1 of 280 ears occluded at follow-up.We find no difference in the incidence, duration, and QOL impact of early tympanostomy tube otorrhea or tube patency between ciprofloxacin and normal saline. This supports the option

2019 Rhinology and Laryngology

10. AventaMed device for tympanostomy tube placement

AventaMed device for tympanostomy tube placement AventaMed device for tympanostomy tube placement AventaMed device for tympanostomy tube placement NIHR HSRIC Record Status This is a bibliographic record of a published health technology assessment. No evaluation of the quality of this assessment has been made for the HTA database. Citation NIHR HSRIC. AventaMed device for tympanostomy tube placement. Birmingham: NIHR Horizon Scanning Research&Intelligence Centre. Horizon Scanning Review. 2015 (...) Authors' objectives The AventaMed device has been developed by AventaMed Ltd to perform tympanostomy tube surgery in children and adults with otitis media with effusion, Eustachian tube dysfunction and barotrauma. A tympanostomy tube (also known as a grommet or myringotomy tube) is a small drainage tube inserted into a small incision in the ear drum to relieve pressure, retain aeration and prevent the accumulation of fluid in the middle ear by allowing it to drain. Final publication URL Indexing

2015 Health Technology Assessment (HTA) Database.

11. Intranasal fluticasone associated with delayed tympanostomy tube placement in children with eustachian tube dysfunction. (PubMed)

Intranasal fluticasone associated with delayed tympanostomy tube placement in children with eustachian tube dysfunction. Pediatric patient caregivers may prefer to avoid a surgical intervention and request a medical management option for eustachian tube dysfunction (ETD). However, there are limited published data evaluating the efficacy of intranasal fluticasone in the medical management of ETD as an alternative to tympanostomy tube placement. The objectives of this study were to: 1) determine (...) if intranasal fluticasone (INF) prevented tympanostomy tube placement in children with ETD, and 2) describe differences in patient response to INF related to cleft lip and/or palate (CLP) and Down syndrome.Case series with planned chart review at a Tertiary academic hospital. We reviewed pediatric patients treated with INF for ETD. Inclusion criteria included ETD, no prior intranasal or oral steroid therapy, and no prior tympanostomy tube placement. Outcomes included time-to- tympanostomy tube placement

2017 International Journal of Pediatric Otorhinolaryngology

12. Tympanostomy tubes in children

Tympanostomy tubes in children WA - Health Technology Assessment January 20, 2016 Final Tympanostomy Tubes in Children: Findings & Decision Page 1 of 3 Health Technology Clinical Committee Findings and Decision Topic: Tympanostomy Tubes in Children Meeting Date: November 20, 2015 Final Adoption: January 15, 2016 Meeting materials and transcript are available on the HTA website: www.hca.wa.gov/hta/meetingmaterials/Forms/ExtMeetingMaterials.aspx Number and Coverage Topic: 20151120B – Tympanostomy (...) Tubes in Children HTCC Coverage Determination: Tympanostomy tubes for children aged 16 years and younger is a covered benefit with conditions. HTCC Reimbursement Determination: Limitations of Coverage: For AOM – Acute Otitis Media: 1. Cover if AOM with complications or individuals immunocompromised or otherwise at-risk for complications of infection, OR 2. With 3 episodes of AOM in the last 6 months or 4 episodes in last 12 months with one occurring in the last 6 months and presence of effusion

2015 Washington Health Care Authority

13. Comparison of extrusion and patency of silicon versus thermoplastic elastomer tympanostomy tubes. (PubMed)

Comparison of extrusion and patency of silicon versus thermoplastic elastomer tympanostomy tubes. This study aimed to assess the differences in the extrusion rate, patency and incidence of otorrhea according to the material properties of tubes in tympanostomy tube (TT) procedures.A total of 75 children with bilateral chronic otitis media with effusion were randomized in this prospective trial to receive 1.02-mm-sized TTs (thermoplastic elastomer) in one ear and 1.14-mm-sized TTs (silicone (...) ) in the other ear. Data were obtained on ventilation tube type, time to extrusion, comorbidities, tube plugging, incidence of TT otorrhea during following up, and age of the patient. Postoperatively, follow-up by an otologist continued every two months to assess the incidence of otorrhea, plugging, and TT extrusion until all tubes were extruded.Out of the 75 children, 7 patients were excluded during surgery and 4 were lost during follow-up. The mean extrusion time of 1.02-mm-sized TTs (thermoplastic

2018 Auris, nasus, larynx

14. Clinical Study of the Solo Tympanostomy Tube Device

Clinical Study of the Solo Tympanostomy Tube Device Clinical Study of the Solo Tympanostomy Tube Device - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum number of saved studies (100). Please remove one or more studies before adding more. Clinical Study of the Solo Tympanostomy Tube Device (...) Party): AventaMed DAC Study Details Study Description Go to Brief Summary: The objective of this study is post-approval evaluation of the safety and performance of the Solo Tympanostomy Tube Device for the placement of tympanostomy tubes (grommets) in paediatric patients undergoing a tympanostomy procedure Condition or disease Intervention/treatment Phase Ear Infection Otitis Media Device: Solo TympanostomyTube Device Not Applicable Detailed Description: The study will be a multi-site, prospective

2018 Clinical Trials

15. Tympanostomy tube placement and ear drops: Evidence-based cost saving models. (PubMed)

Tympanostomy tube placement and ear drops: Evidence-based cost saving models. Tympanostomy tube placement is the most common surgical procedure in the pediatric population with important financial implications to our healthcare institutions. The purpose of this study is to apply various cost models in different clinical environments to determine the most cost effective way to prescribe ear drops after tympanostomy tube insertion.Two distinct practice models were designed: a Uniform Treatment (...) Model and a Disease Specific Model. Different cost simulations were run based on which medication(s) was chosen for all tympanostomy tube cases performed over the course of 1 year in a practice composed of four pediatric otolaryngologist. Two categories of ear drop medications were seen: high cost and low cost. The cost associated with initiation of drops in the operating room versus initiation as an outpatient via a prescription was evaluated.In both Uniform Treatment and Disease Specific Models

2018 International Journal of Pediatric Otorhinolaryngology

16. A randomized study of four different types of tympanostomy ventilation tubes - Full-term follow-up. (PubMed)

A randomized study of four different types of tympanostomy ventilation tubes - Full-term follow-up. To evaluate the impact of tympanostomy ventilation tube material (silicone vs fluoroplastic) and shape (short vs long) regarding time to extrusion, occurrence of otorrhea, occlusion, tube removal and occurrence of persistent perforation.Four different types of ventilation tubes were used; Long Armstrong tubes, Donaldson tubes, Shepard tubes and straight tubes, representing four specific (...) combinations of VT material (silicone or fluoroplastic) and shape (short, double flanged or long, single flanged). Four hundred children scheduled for bilateral tube insertion were included in a randomized trial. The patients received one type of tube in the right ear and another type in the left ear. The incidence of tube extrusion and complications were monitored postoperatively every third month by an otolaryngologist.Twenty-two children were excluded during surgery. Out of the studied 378 children

2018 International Journal of Pediatric Otorhinolaryngology

17. What to do with medialized tympanostomy tubes? A survey of pediatric otolaryngologists. (PubMed)

What to do with medialized tympanostomy tubes? A survey of pediatric otolaryngologists. Tympanostomy tube placement is the most common surgical procedure performed in children. Medial migration of a tympanostomy tube is a rare occurrence where the tube migrates into the middle ear cavity as opposed to its normal extrusion into the external auditory canal. Whether medialized tympanostomy tubes should be surgically removed in asymptomatic patients is controversial. The objective of this study (...) was to determine experience and management approach of medialized tympanostomy tubes among pediatric otolaryngologists.A 12-question cross-section survey was designed and distributed to the American Society of Pediatric Otolaryngology (ASPO) members. The survey study was granted McGill University institutional review board and ASPO research committee approval. The survey data were filtered and cross-tabulated. Descriptive statistics were generated.128 pediatric otolaryngologists completed the 12-question

2018 International Journal of Pediatric Otorhinolaryngology

18. Tympanostomy tubes for serous otitis media and risk of recurrences. (PubMed)

Tympanostomy tubes for serous otitis media and risk of recurrences. To determine the value of tympanostomy tubes (TTs) in the management of serous otitis media (SOM) and the risk factors for SOM recurrence.This single-centre cohort study was performed in the University hospital of Amiens, France; and concerned 215 under-12 children having undergone at least one bilateral TT (Shepard grommet-type) placements for SOM.The mean TT retention time was 10 months. SOM recurred in 79 children (62.79

2018 International Journal of Pediatric Otorhinolaryngology

19. Study of the Hummingbird TTSâ„¢ Tympanostomy Tube System

Study of the Hummingbird TTSâ„¢ Tympanostomy Tube System Study of the Hummingbird TTS™ Tympanostomy Tube System - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum number of saved studies (100). Please remove one or more studies before adding more. Study of the Hummingbird TTS™ Tympanostomy (...) provided by (Responsible Party): Preceptis Medical, Inc. Study Details Study Description Go to Brief Summary: The objective of this study is continued commercial evaluation of the intraoperative safety and performance of the H-TTS for the placement of ventilation tubes in pediatric patients undergoing a tympanostomy procedure under moderate sedation and local anesthetic. Condition or disease Intervention/treatment Otitis Media Device: Hummingbird Tympanostomy Tube System Detailed Description: The study

2018 Clinical Trials

20. Does Topical Otic Drop Use at Time of Tympanostomy Tube Surgery Improve Outcomes When no Middle Ear Effusion is Present

Does Topical Otic Drop Use at Time of Tympanostomy Tube Surgery Improve Outcomes When no Middle Ear Effusion is Present Does Topical Otic Drop Use at Time of Tympanostomy Tube Surgery Improve Outcomes When no Middle Ear Effusion is Present - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum (...) number of saved studies (100). Please remove one or more studies before adding more. Does Topical Otic Drop Use at Time of Tympanostomy Tube Surgery Improve Outcomes When no Middle Ear Effusion is Present The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. of clinical studies and talk to your health care provider before participating. Read our for details

2018 Clinical Trials

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