Extracts from the Cochrane Library: interventions for the prevention of postoperative ear discharge after insertion of ventilation tubes (grommets) in children

Otolaryngol Head Neck Surg. 2013 Dec;149(6):813-6. doi: 10.1177/0194599813512081.

Abstract

The "Cochrane Corner" is a section in the journal that highlights systematic reviews relevant to otolaryngology-head and neck surgery, with invited commentary to aid clinical decision making. This installment features a Cochrane Review, "Interventions for the Prevention of Postoperative Ear Discharge after Insertion of Ventilation Tubes (Grommets) in Children," that concludes if a surgeon has a high rate of postoperative otorrhea in children, then saline irrigation or antibiotic ear drops at the time of surgery would significantly reduce that rate. If topical drops are chosen, a single application at the time of surgery is suggested to reduce the cost and potential for ototoxic damage (if applicable).

Keywords: evidence-based medicine; otorrhea; systematic review; tympanostomy tubes.

Publication types

  • Review
  • Systematic Review

MeSH terms

  • Anti-Bacterial Agents / administration & dosage
  • Anti-Bacterial Agents / therapeutic use*
  • Child
  • Evidence-Based Medicine
  • Humans
  • Middle Ear Ventilation* / adverse effects
  • Middle Ear Ventilation* / instrumentation
  • Otitis Media with Effusion / prevention & control*
  • Otitis Media, Suppurative / surgery
  • Postoperative Complications / prevention & control*
  • Postoperative Period*
  • Sodium Chloride / administration & dosage
  • Therapeutic Irrigation / methods
  • Treatment Outcome

Substances

  • Anti-Bacterial Agents
  • Sodium Chloride