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Comparison of the Goode T-tube with the Armstrong tube in children with chronic otitis media with effusion

Published online by Cambridge University Press:  29 June 2007

Eize W. J. Wielinga  and
Gordon D. L. Smyth
Eize W. J. Wielinga
Affiliation:
From the Department of Otolaryngology, Royal Victoria Hospital, Belfast, Northern Ireland. Department of ENT, St Radboud Hospital Nijmegen, The Netherlands.
Gordon D. L. Smyth*
Affiliation:
From the Department of Otolaryngology, Royal Victoria Hospital, Belfast, Northern Ireland. Department of ENT, St Radboud Hospital Nijmegen, The Netherlands.
*
ENT Surgeon, ENT Department, Royal Victoria Hospital, Belfast, Northern Ireland
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Abstract

Treatment of otitis media with effusion is focused on reaeration of the middle ear cavity. In achieving longterm aeration, the insertion of ventilation tubes that have a long duration of stay can be beneficial. The results are presented of a trial in which the Goode T-tube was compared with the Armstrong tube. Fifteen children were treated between 1981 and 1986 with a T-tube in one ear and a conventional tube in the other. The results are different with regard to duration of stay in the tympanic membrane. Re-insertions were necessary in 47 per cent in the Armstrong group and in 20 per cent in the T-tube group. Otorrhoea occurred in 20 per cent of the Armstrong and 13 per cent of the T-tube intubated ears. A persistent perforation was present in 6 per cent of the ears in both groups. It is concluded that the Goode T-tube is indicated primarily in cases when long-term ventilation is needed.

Type
Research Article
Information
The Journal of Laryngology & Otology , Volume 104 , Issue 8 , August 1990 , pp. 608 - 610
Copyright
Copyright © JLO (1984) Limited 1990

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