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A simple method to prevent the obstruction of post-tympanoplasty ventilation tubes

Published online by Cambridge University Press:  20 August 2013

A C Leong
Affiliation:
Department of Otolaryngology, University Hospital Lewisham, London, UK
D A Bowdler*
Affiliation:
Department of Otolaryngology, University Hospital Lewisham, London, UK
*
Address for correspondence: Mr D A Bowdler, Department of Otolaryngology, University Hospital Lewisham, London SE13 6LH, United Kingdom Fax: +44 (0)208 333 3000 extension 3188 E-mail: [email protected]

Abstract

The simultaneous insertion of a ventilation tube or grommet during tympanoplasty is a well-recognised practice among otologists. It is used to reverse atelectasis and to repneumatise the middle ear. A troublesome problem which can occur is post-operative, intraluminal grommet obstruction by blood or viscous mucoid secretions. Routine post-operative use of eardrops may help prevent grommet obstruction but cannot be administered after tympanoplasty when the ear canal is packed with dressings for up to three weeks post-operatively. In this article, we describe a simple method to prevent post-tympanoplasty grommet obstruction.

Type
Short Communications
Copyright
Copyright © JLO (1984) Limited 2013 

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References

1Elluru, RG, Dhanda, R, Neely, JG, Goebel, JA. Anterior subannular T-tube for prolonged middle ear ventilation during tympanoplasty: evaluation of efficacy and complications. Otol Neurotol 2001;22:761–5CrossRefGoogle ScholarPubMed
2Duckert, LG, Makielski, KH, Helms, J. Prolonged middle ear ventilation with the cartilage shield T-tube tympanoplasty. Otol Neurotol 2003;24:153–7CrossRefGoogle ScholarPubMed
3Arya, AK, Rea, PA, Robinson, PJ. The use of perioperative Sofradex eardrops in preventing tympanostomy tube blockage: a prospective double-blinded randomized-controlled trial. Clin Otolaryngol Allied Sci 2004;29:598601CrossRefGoogle ScholarPubMed
4Gelfoam® absorbable gelatin, compressed sponge USP. In: http://www.pfizer.com/files/products/uspi_gelfoam_plus.pdf [26 June 2013]Google Scholar
5Javed, F, Devesa, PM, Bottrill, ID. An easy technique to prevent post-tympanoplasty ventilation tube blockage. Laryngoscope 2009;119:2376–7CrossRefGoogle ScholarPubMed