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A comparison of performance of Shepard and Sheehy collar button ventilation tubes

Published online by Cambridge University Press:  29 June 2007

Judith M. Heaton ,
Brian J. G. Bingham  and
Jonathan Osborne
Judith M. Heaton*
Affiliation:
Registrar, Department of Otolaryngology, Ninewells Teaching Hospital, Dundee DD1 9SY.
Brian J. G. Bingham
Affiliation:
Senior Registrar, Department of Otolaryngology, Ninewells Teaching Hospital, Dundee DD1 9SY.
Jonathan Osborne
Affiliation:
Consultant, Department of Otolayrngology, Glan Clwyd Hospital, Bodelwyddan, North Wales.
*
Judith M. Heaton, M.A., F.R.C.S., Department of Otolaryngology, Wards 26/27, Ninewells Hospitals, Dundee DD1 9SY.
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Abstract

This study was designed to confirm the longer in situ life of the Sheehy collar button compared with the Shepard tube and to assess the complication rate associated with the two tubes. Cases of bilateral otitis media with effusion had a Shepard tube inserted in one ear and a Sheehy contralaterally. The insertion position was allocated randomly. The patients were then assessed at three-monthly intervals for two years. In 71 percent of those in whom at least on tube had extruded, the Sheehy remained in situ longer. The antero-inferior tube remained longer than the postero-inferior whichever type was used. There was no significant difference between complication rates, or recurrence rates of middle ear effusion after tube extrusion, for the two types. We conclude that use of a Sheehy rather than a Shepard tube carries no increased risk of complications and the patient may require further surgery less often in total.

Keywords

Middle ear ventilationOtitis media with effusion
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 105 , Issue 11 , November 1991 , pp. 896 - 898
Copyright
Copyright © JLO (1984) Limited 1991

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Footnotes

Paper presented at Scottish Otolaryngological Society meeting, Crieff, 15 June 1990.

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