A retrospective review of Paparella Type 1 tympanostomy tubes

Int J Pediatr Otorhinolaryngol. 2020 Feb:129:109739. doi: 10.1016/j.ijporl.2019.109739. Epub 2019 Nov 2.

Abstract

Objective: This study aims to provide data on ear tube extrusion and complication rates for patients who have Paparella Type 1 tympanostomy tube (TT) placement.

Methods: Retrospective chart review of patients 6 months to 12 years old who underwent insertion of Paparella Type 1 TT by a single surgeon.

Results: Of 197 tubes evaluated, 3% were plugged between 1 and 3 months after surgery. Of the 144 tubes evaluated long-term, all tubes extruded within 4 years. There were no tympanic membrane perforations.

Conclusions: This chart review showed expected rate of initial ear tube plugging. The rate of tympanic membrane perforation was lower than expected.

Keywords: BMT; Bilateral myringotomy; Chronic otitis media; Ear tubes; Grommets; Mucoid otitis media; PET; Pe tubes; Pressure equalizing tubes; Recurrent acute otitis media; Serous otitis media; Tympanostomy tubes.

MeSH terms

  • Child
  • Child, Preschool
  • Female
  • Humans
  • Infant
  • Male
  • Middle Ear Ventilation / adverse effects
  • Middle Ear Ventilation / instrumentation*
  • Otitis Media with Effusion / surgery*
  • Postoperative Complications / epidemiology*
  • Prostheses and Implants / adverse effects*
  • Retrospective Studies
  • Tympanic Membrane Perforation / epidemiology*