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European Archives of Oto-Rhino-Laryngology

Open Access 06-09-2024 | Tympanostomy Tube | Otology

Perioperative and postoperative management of tympanostomy tube insertion: a survey of otorhinolaryngologists in Israel

Authors: Dean Dudkiewicz, Efrat Miryam Bismuth, Nir Tsur, Dror Gilony, Roy Hod

Published in: European Archives of Oto-Rhino-Laryngology

Abstract

Background

Tympanostomy tube insertion is a standard surgical procedure in children to address middle ear infections and effusion-related hearing and speech development issues. Perioperative treatments like ear drops containing antibiotics, steroids, and tube irrigation with saline aim to prevent complications, yet no universal gold standard treatment exists. Despite guidelines, practice preferences among ENT specialists vary, motivating this study to investigate perioperative management practices in Israel.

Method

A survey was distributed among ENT surgeons, collecting data on their main workplace, sub-specialty, preoperative hearing test requirements, tube irrigation practices, tube selection criteria, and timing of tube removal. Distribution and association with main workplaces were examined.

Results

The survey achieved a response rate of 27.33%. Most participants routinely required preoperative hearing tests, with a preference for conducting them within three months prior to surgery (62.2%). Tube irrigation during the procedure was less common among surgeons in the public system (p = 0.007). In response to the COVID-19 pandemic, the majority of respondents maintained their established practices (96.3%), while a small proportion (3.7%) adapted by replacing two in-person meetings with one virtual session. Variations in tube removal timing based on the main workplace were noted, with private practitioners opting for earlier removal (p = 0.002) and were less permissive in water deprivation practices (p = 0.053).

Conclusion

This study provides insights into the practices and preferences of ENT surgeons in tympanostomy tube insertion procedures in Israel. Adherence to standardized practices was observed, with variations influenced by the primary workplace. Despite the COVID-19 pandemic, minimal changes were made to established practices. Further research and consensus are necessary to optimize patient outcomes and develop tailored guidelines in this field.

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Title: Perioperative and postoperative management of tympanostomy tube insertion: a survey of otorhinolaryngologists in Israel
Authors: Dean Dudkiewicz
Efrat Miryam Bismuth
Nir Tsur
Dror Gilony
Roy Hod
Publication date: 06-09-2024
Publisher: Springer Berlin Heidelberg
Keywords: Tympanostomy Tube
COVID-19
Chronic Otitis Media
Published in: European Archives of Oto-Rhino-Laryngology
Print ISSN: 0937-4477
Electronic ISSN: 1434-4726
DOI: https://doi.org/10.1007/s00405-024-08964-8

Keynote webinar | Spotlight on modern management of frailty

Springer Medicine

Perioperative and postoperative management of tympanostomy tube insertion: a survey of otorhinolaryngologists in Israel

Abstract

Background

Method

Results

Conclusion

Keynote webinar | Spotlight on modern management of frailty

Springer Medicine

Abstract

Background

Method

Results

Conclusion

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