Tympanostomy Tubes in Children

Project Summary Title and Description

Title
Tympanostomy Tubes in Children
Description
N/A
Attribution
N/A
Authors of Report
N/A
Methodology description
Data sources. We conducted literature searches in MEDLINE®, the Cochrane Central Trials Registry and Cochrane Database of Systematic Reviews, Embase®, and CINAHL®. Additionally, we perused the reference lists of published relevant clinical practice guidelines and narrative and systematic reviews, and examined Scientific Information Packages from manufacturers. Citations were independently screened by two researchers. Review methods. Each study was extracted by one methodologist and confirmed by at least one other methodologist. Data were extracted into customized forms in the Systematic Review Data Repository (SRDR) online system. All included studies were summarized in narrative form and in summary tables. We conducted random effects meta-analyses of comparative studies that were sufficiently similar in population, interventions, and outcomes, and network meta-analyses to compare treatment alternatives across studies. Specific methods and metrics (summary measures) meta-analyzed were chosen based on available reported study data.
PROSPERO
CRD42015029623
DOI
10.26300/988y-5n81
Notes
Report PMID: 28817250 Data was entered prospectively.
Funding Source
This report is based on research conducted by the Brown Evidence-based Practice Center (EPC) under contract to the Agency for Healthcare Research and Quality (AHRQ), Rockville, MD (Contract No. 290-2015-00002-I).

Key Questions

1. For children with chronic otitis media with effusion, what is the effectiveness of tympanostomy tubes, compared to watchful waiting, on resolution of middle ear effusion, hearing and vestibular outcomes, quality of life and other patient-centered outcomes? a. What factors (such as age, age of onset, duration of effusion, comorbidities, and sociodemographic risk factors) predict which children are likely to benefit most from the intervention? b. Does obtaining a hearing test help identify which children are more likely to benefit from the intervention?
2. For children with recurrent acute otitis media, what is the effectiveness of tympanostomy tubes, compared to watchful waiting with episodic or prophylactic antibiotic therapy, on the frequency and severity of otitis media, quality of life, and other patient centered-outcomes? What factors (such as age, age of onset, number of recurrences, presence of persistent middle ear effusion, comorbidities, and sociodemographic risk factors, history of complications of acute otitis media, antibiotic allergy or intolerance) identify children who are most likely to benefit from the intervention?
3. What adverse events, surgical complications, and sequelae are associated with inserting tympanostomy tubes in children with either chronic otitis media with effusion or recurrent acute otitis media?
4. Do water precautions reduce the incidence of tympanostomy tube otorrhea, or affect quality of life?
5. In children with tympanostomy tube otorrhea, what is the comparative effectiveness of topical antibiotic drops versus systemic antibiotics or watchful waiting on duration of otorrhea, quality of life, or need for tube removal?

Associated Extraction Forms

Associated Studies (each link opens a new tab)

TitleAuthorsYear
Tympanostomy with and without adenoidectomy for the prevention of recurrences of acute otitis media: a randomized controlled trial.2012
Efficacy of antimicrobial prophylaxis and of tympanostomy tube insertion for prevention of recurrent acute otitis media: results of a randomized clinical trial.
A trial of treatment for acute otorrhea in children with tympanostomy tubes.2014
Topical ofloxacin versus systemic amoxicillin/clavulanate in purulent otorrhea in children with tympanostomy tubes.1998
Topical ciprofloxacin is superior to topical saline and systemic antibiotics in the treatment of tympanostomy tube otorrhea in children: the results of a randomized clinical trial.
The effect of water exposure after tympanostomy tube insertion.1994
The clinical status of the eardrum: an inclusion criterion for the treatment of chronic secretory otitis media in children.2011
Adjuvant adenoidectomy in persistent bilateral otitis media with effusion: hearing and revision surgery outcomes through 2 years in the TARGET randomised trial.2012
Randomised controlled trial of the effect of ventilation tubes (grommets) on quality of life at age 1-2 years.2001
Prevention of recurrent acute otitis media: chemoprophylaxis versus tympanostomy tubes.1986
Contact diode laser myringotomy for medium-duration middle ear ventilation in children.2006
Early surgery compared with watchful waiting for glue ear and effect on language development in preschool children: a randomised trial.1999
Oral prednisolone is an effective adjuvant therapy for acute otitis media with discharge through tympanostomy tubes.1999
Antibiotic treatment of acute otorrhea through tympanostomy tube: randomized double-blind placebo-controlled study with daily follow-up.2003
Tube associated otorrhea in children with recurrent acute otitis media; results of a prospective randomized study on bacteriology and topical treatment with or without systemic antibiotics.2008
Topical ciprofloxacin/dexamethasone is superior to ciprofloxacin alone in pediatric patients with acute otitis media and otorrhea through tympanostomy tubes.2003
Topical ciprofloxacin/dexamethasone otic suspension is superior to ofloxacin otic solution in the treatment of children with acute otitis media with otorrhea through tympanostomy tubes.
The effectiveness of topical treatment in discharging ears with in-dwelling ventilation tubes.2000
Impact of Otitis Media Severity on Children's Quality of Life.2014
Prevention of otitis media by adenoidectomy in children younger than 2 years.
Swimming and grommets.1994
Water penetration into middle ear through ventilation tubes in children while swimming.2009
Water precautions in children with tympanostomy tubes.1996
Bacteriological aspects of swimming with grommets.1986
Swimming and grommets.1984
Swimming unprotected with long-shafted middle ear ventilation tubes.1985
Role of grommet in otitis media with effusion: A necessity or nuisance? A comparative study.2006
Water precautions after insertion of a tympanostomy tube: necessary or obsolete?.1999
Efficacy of myringotomy with and without tympanostomy tubes for chronic otitis media with effusion.1992
Adenoidectomy plus tympanostomy tube insertion versus adenoidectomy plus myringotomy in children with obstructive sleep apnoea syndrome.2011
Comparison between myringotomy and tympanostomy tubes in combination with adenoidectomy in 3-7-year-old children with otitis media with effusion.2010
Prevention of otitis media by adenoidectomy in children younger than 2 years.2003
Water precautions and tympanostomy tubes: a randomized, controlled trial.2005
Randomized, controlled trial comparing long-term sulfonamide therapy to ventilation tubes for otitis media with effusion.1991
Effectiveness of adenoidectomy and tympanostomy tubes in the treatment of chronic otitis media with effusion.1987
Effect of early or delayed insertion of tympanostomy tubes for persistent otitis media on developmental outcomes at the age of three years.
Swimming and tympanostomy tubes: a prospective study.1987
Adenoidectomy for otitis media with effusion in 2-3-year-old children.2009
Adenoidectomy does not significantly reduce the incidence of otitis media in conjunction with the insertion of tympanostomy tubes in children who are younger than 4 years: a randomized trial.2005
Adenoidectomy: selection criteria for surgical cases of otitis media.
A conservative approach to the management of otitis media with effusion in cleft palate children.1992
Speech reception in noise: an indicator of benefit from otitis media with effusion surgery.2004
Consequences of unremitting middle-ear disease in early life. Otologic, audiologic, and developmental findings in children with cleft palate.1985
Adenoidectomy versus tympanostomy in chronic secretory otitis media.-- Not Found --
Middle ear effusion in children: a report of treatment in 500 cases.1982
Medical versus surgical management of otitis media with effusion in children.-- Not Found --
Myringotomy with and without tympanostomy tubes for chronic otitis media with effusion.
The surgical treatment of secretory otitis media in children.1977
Middle ear ventilation in children with primary ciliary dyskinesia.2012
Myringotomy with and without tympanostomy tubes for chronic otitis media with effusion.1989
Treatment of cleft palate with secretory otitis media.2003
Hearing thresholds and tympanic membrane sequelae in children managed medically or surgically for otitis media with effusion.2005
Adenoidectomy for middle ear effusion: a study of 50,000 children over 24 years.
Hearing loss in young adults who had ventilation tube insertion in childhood.2004
The effect of treatment with ventilating tubes on language development in preschool children with otitis media with effusion.1991
Long-term clinical course and renal function in children with posterior urethral valves.1997
Clinical outcomes of ventilation tube placement in children with cleft palate.2012
Treatment of serous otitis media with tympanic ventilation tubes.1979
Laser-assisted myringotomy versus conventional myringotomy with ventilation tube insertion in treatment of otitis media with effusion: Long-term follow-up.2013
Repaired cleft palate and ventilation tubes and their associations with cholesteatoma in children and adults.2009
The role of adjuvant adenoidectomy and tonsillectomy in the outcome of the insertion of tympanostomy tubes.
The effects of early bilateral otitis media with effusion on educational attainment: a prospective cohort study.1994
The effects of early bilateral otitis media with effusion on language ability: a prospective cohort study.1993
Hearing loss as a sequel of secretory and acute otitis media as reflected by audiometric screening of Swedish conscripts.2006
Treatment of chronic otitis media with effusion: results of tympanostomy tubes.1985
Developmental outcomes in early compared with delayed surgery for glue ear up to age 7 years: a randomised controlled trial.2009
The effect of short-term ventilation tubes versus watchful waiting on hearing in young children with persistent otitis media with effusion: a randomized trial.2001
Swimming and ventilating tubes. Results of a multicenter study.1992
Swimming with grommets.1986
The effect of ventilation tubes on language development in infants with otitis media with effusion: A randomized trial.2000
Treatment of recurrent acute otitis media chemoprophylaxis versus ventilation tubes1996
Effect of adenoidectomy upon children with chronic otitis media with effusion.1988
Chronic secretory otitis media: effects of surgical management.1989
[Acute recurrent pharyngotonsillitis and otitis media.] [Italian]2006
Treatment of Acute Otitis Media in Children with Tympanostomy Tubes: A Caregiver’s Perspective2004
The clinical curative effect of the low temperature plasma ablation adenoidectomy and tympanic membrane indwelling catheter in parallel or not used on childhood patients with secretory otitis media.2015
Palatoplasty decreases the re-insertion rate of middle ear ventilation tube in cleft palate children - A population-based birth cohort study.2016
Clinical comparative study on the treatment characteristics of secretory otitis media between cleft and non-cleft palate patients.
Clinical comparative study on the treatment characteristics of secretory otitis media between cleft and non-cleft palate patients.2015

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