Hostname: page-component-78c5997874-xbtfd Total loading time: 0 Render date: 2024-11-04T21:42:35.616Z Has data issue: false hasContentIssue false
  • English
  • Français

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

Published online by Cambridge University Press:  20 August 2013

A C Leong  and
D A Bowdler
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]
Get access Rights & Permissions [Opens in a new window]

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.

Keywords

Grommet InsertionVentilationMiddle EarTympanoplastyComplications
Type
Short Communications
Information
The Journal of Laryngology & Otology , Volume 127 , Issue 9 , September 2013 , pp. 922 - 923
Copyright
Copyright © JLO (1984) Limited 2013 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

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;29:598–601CrossRefGoogle 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