Abstract | BACKGROUND:
Silver oxide-impregnated tympanostomy tubes have been shown to decrease the incidence of postoperative otorrhea, but without a significant effect in the first postoperative week. OBJECTIVE: To evaluate prospectively our results with silver oxide-impregnated tympanostomy tubes and to identify factors associated with a higher incidence of early postoperative otorrhea. DESIGN: Prospective nonrandomized study. SETTING: University referral center. PATIENTS AND OTHER PARTICIPANTS: INTERVENTIONS: MAIN OUTCOME MEASURES: RESULTS: The overall incidence of postoperative otorrhea was 1.9%. The incidence of otorrhea in the first postoperative week was 5.6%; the incidence of otorrhea after the first postoperative week was 1.2% (P<.001). Within the first postoperative week, a significantly greater incidence of otorrhea was noted in patients younger than 3 years (7.8%), in patients with mucoid effusions at surgery (8.6%), and in patients younger than 3 years with mucoid effusions at surgery (15.2%). CONCLUSIONS:
Silver oxide-impregnated tympanostomy tubes are associated with a low overall incidence of postoperative otorrhea. A significantly higher incidence of otorrhea is seen during the first postoperative week, compared with the incidence after the first week. Patients with thick middle ear effusions and age younger than 3 years have a significantly greater incidence of early otorrhea after tympanostomy tube placement.
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Authors | C G Gourin, R N Hubbell |
Journal | Archives of otolaryngology--head & neck surgery
(Arch Otolaryngol Head Neck Surg)
Vol. 125
Issue 4
Pg. 446-50
(Apr 1999)
ISSN: 0886-4470 [Print] United States |
PMID | 10208683
(Publication Type: Journal Article)
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Chemical References |
- Anti-Infective Agents
- Coated Materials, Biocompatible
- Oxides
- Silver Compounds
- disilver oxide
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Topics |
- Anti-Infective Agents
(administration & dosage)
- Child
- Child, Preschool
- Chronic Disease
- Coated Materials, Biocompatible
- Exudates and Transudates
- Female
- Humans
- Male
- Middle Ear Ventilation
- Otitis Media
(surgery)
- Otitis Media with Effusion
(surgery)
- Oxides
(administration & dosage)
- Postoperative Complications
(prevention & control)
- Prospective Studies
- Recurrence
- Silver Compounds
(administration & dosage)
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