Myringotomy and Grommet Insertion Research This is an RSS file. You can use it to subscribe to this data in your favourite RSS reader or to display this data on your own website or blog.

Novel Design and Validation of a Micro Instrument in an Ear Grommet Insertion Device
An automated surgical device, the ventilator tube applicator (VTA), enables a grommet insertion surgery for patients with otitis media with effusion (OME) to be completed in a short time automatically and precisely, eliminating the use of general anesthesia (GA) typically required in such procedure. However, its current design limits the usefulness of the device as it is restricted by the properties of the tympanic membrane (TM), such as angle, thickness, and strength. Therefore, a novel design was conceptualized and the insertion control algorithm was improved to overcome the current challenges of the VTA. This innovative...
Source: Journal of Medical Devices, Transactions of the ASME - July 13, 2018 Category: Medical Devices Source Type: research

Automated Metrics in a Virtual-Reality Myringotomy Simulator: Development and Construct Validity
The objectives of this study were: 1) to develop and implement a set of automated performance metrics into the Western myringotomy simulator, and 2) to establish construct validity. Study Design: Prospective simulator-based assessment study. Setting: The Auditory Biophysics Laboratory at Western University, London, Ontario, Canada. Participants: Eleven participants were recruited from the Department of Otolaryngology–Head & Neck Surgery at Western University: four senior otolaryngology consultants and seven junior otolaryngology residents. Interventions: Educational simulation. Main Outcome Measure: Discri...
Source: Otology and Neurotology - July 11, 2018 Category: ENT & OMF Tags: Medical Neurotology Source Type: research

An evidence based protocol for managing neonatal middle ear effusions in babies who fail newborn hearing screening
ConclusionsAn effective initial management plan for children with suspected middle ear pathology and failed NBHS is diagnostic operative microscopy with placement of a ventilation tube in the presence of a MEE along with either intra-operative ABR or close follow-up ABR. This allows for the identification and treatment of babies with a conductive component due to OME, accurate diagnosing of an underlying SNHL component and for prompt aural rehabilitation. (Source: American Journal of Otolaryngology)
Source: American Journal of Otolaryngology - July 10, 2018 Category: Endocrinology Source Type: research

Including auditory tube function on models is relevant to assess water exposure after tympanostomy tubes – multiphase computerized fluid dynamics model
Myringotomy with tympanostomy tube is the most common otologic surgery and some patients are still advised to avoid water. However, there is no evidence supporting this, with published papers questioning the need for this advice. (Source: International Journal of Pediatric Otorhinolaryngology)
Source: International Journal of Pediatric Otorhinolaryngology - June 12, 2018 Category: ENT & OMF Authors: Joao Subtil, Nuno Martins, Teresa Nunes, Didia Covas, Paulo Vera-Cruz, Richard Voegels, Joao Paco Source Type: research

A versatile grommet trainer
The Clinical Teacher, EarlyView. (Source: The Clinical Teacher)
Source: The Clinical Teacher - June 12, 2018 Category: Universities & Medical Training Authors: Wei Jia , Basil Al ‐Omari Source Type: research

Post-myringotomy oto-liquorrhea in children - a case study and literature review
Myringotomy is a surgical incision of tympanic membrane used mainly as therapy for acute otitis media. It is a safe and simple procedure; however possible complications must be considered. In this article is described a case study of a 2-and-a-half-year-old girl with a massive oto-liquorrhea following myringotomy. (Source: International Journal of Pediatric Otorhinolaryngology)
Source: International Journal of Pediatric Otorhinolaryngology - June 11, 2018 Category: ENT & OMF Authors: Milan Ur ík, Ivo Šlapák, David Laštovička, Jana Jančíková, Denisa Pavlovská, Dagmar Hošnová, Eliška Žarošská, Michaela Ťoukálková Tags: Case Report Source Type: research

Bilateral Congenital Cholesteatoma
Conclusion: The diagnosis of bilateral CC required high index of suspicion from TBCT, and early bilateral exploration. (Source: Otology and Neurotology)
Source: Otology and Neurotology - June 1, 2018 Category: ENT & OMF Tags: Pediatric Otology Source Type: research

Early Vaccine-type Pneumococcal Acute Otitis Media Does not Predispose to Subsequent Otitis When Compared With Early Acute Otitis Media Due to Other Bacterial Etiology
Conclusions: Early vaccine-type AOM was not associated with a higher risk of subsequent AOM compared with AOM due to other confirmed bacterial etiology. These data do not support any specific role of vaccine-type pneumococcus in the hypothesis. (Source: The Pediatric Infectious Disease Journal)
Source: The Pediatric Infectious Disease Journal - May 17, 2018 Category: Infectious Diseases Tags: Vaccine Reports Source Type: research

The Swedish grommet register – Hearing results and adherence to guidelines
The insertion of grommets is one of the most commonly performed surgical procedures in children. The underlying reason might be otitis media with effusion (OME) with concomitant hearing loss, recurrent acute otitis media (rAOM) or a combination of the two. Sweden has a national quality register for children receiving grommets with the purpose of evaluating how treatment guidelines are followed, and if surgery confers good quality health care. The purpose of this study was to investigate the circumstances during which Swedish children receive grommets and to examine how doctors follow the guidelines for grommet surgery. (So...
Source: International Journal of Pediatric Otorhinolaryngology - May 10, 2018 Category: ENT & OMF Authors: Marie Gisselsson-Solen, the Reference group for the National Quality Register for Tympanic Membrane Ventilation Tubes Source Type: research

Grommets (ventilation tubes) for recurrent acute otitis media in children.
CONCLUSIONS: Current evidence on the effectiveness of grommets in children with rAOM is limited to five RCTs with unclear or high risk of bias, which were conducted prior to the introduction of pneumococcal vaccination. Low to very low-quality evidence suggests that children receiving grommets are less likely to have AOM recurrences compared to those managed by active monitoring and placebo medication, but the magnitude of the effect is modest with around one fewer episode at six months and a less noticeable effect by 12 months. The low to very low quality of the evidence means that these numbers need to be interpreted wit...
Source: Cochrane Database of Systematic Reviews - May 9, 2018 Category: General Medicine Authors: Venekamp RP, Mick P, Schilder AG, Nunez DA Tags: Cochrane Database Syst Rev Source Type: research

An evidence based protocol for managing neonatal middle ear effusions in babies who fail newborn hearing screening
Conclusions An effective initial management plan for children with suspected middle ear pathology and failed NBHS is diagnostic operative microscopy with placement of a ventilation tube in the presence of a MEE along with either intra-operative ABR or close follow-up ABR. This allows for the identification and treatment of babies with a conductive component due to OME, accurate diagnosing of an underlying SNHL component and for prompt aural rehabilitation. (Source: American Journal of Otolaryngology)
Source: American Journal of Otolaryngology - April 12, 2018 Category: Endocrinology Source Type: research

WITHDRAWN: Grommets (ventilation tubes) for recurrent acute otitis media in children.
CONCLUSIONS: Grommets significantly increase the number of acute otitis media-free children in the first six months after insertion compared to children who receive no treatment. Grommet insertion maybe of equivalent efficacy to once a day antibiotic prophylaxis. Further research is required to confirm the advantage of grommets over no treatment, investigate the effect beyond six months, compare grommet effectiveness against alternative active treatments and confirm the low risk of adverse effects compared to no treatment and all active treatments in recurrent acute otitis media. In the interim clinicians should consider t...
Source: Cochrane Database of Systematic Reviews - April 6, 2018 Category: General Medicine Authors: Lau L, Mick P, Nunez DA Tags: Cochrane Database Syst Rev Source Type: research

Laparoscopic pyloromyotomy in infantile hypertrophic pyloric stenosis using a myringotomy knife
Conclusion LP using the myringotomy knife (SM69) is safe and technically feasible with good outcome and excellent cosmesis. (Source: Annals of Pediatric Surgery)
Source: Annals of Pediatric Surgery - April 1, 2018 Category: Surgery Tags: Original Articles Source Type: research

Grommet and adenoid pain evaluation (GRAPE) study
In the GRAPE study an analysis is made of postoperative pain sensation in children between 6 months and 6 years after adenotomy and placement of ear grommets. Intraoperative treatment with paracetamol versus placebo shows no statistically significant difference in pain between both groups indicating that this type of surgery causes little discomfort and does not require specific intraoperative analgesic treatment. (Source: International Journal of Pediatric Otorhinolaryngology)
Source: International Journal of Pediatric Otorhinolaryngology - February 15, 2018 Category: ENT & OMF Authors: Lammens F, Boons J, Michiels E, Beckers K, Laureyns G, Indesteege J, Indesteege F, Lemmens W, Lemkens N, Jans F, Jorissen M, Lemkens P Source Type: research