Is Aspiration Necessary Before Tympanostomy Tube Insertion?

Aspiration of middle ear fluid after myringotomy is performed routinely, although investigators imply a cause‐and‐effect relationship between suction noise and acoustic trauma. This prospective randomized study investigated if aspiration was necessary. Fifty‐one myringotomies and 50 tympanostomy tub...

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Bibliographic Details
Published in:The Laryngoscope 1998-03, Vol.108 (3), p.443-444
Main Authors: Egeli, Erol, Kiriş, Muzaffer
Format: Article
Language:English
Subjects:
Adolescent
Biological and medical sciences
Child
Child, Preschool
Female
Head and neck surgery. Maxillofacial surgery. Dental surgery. Orthodontics
Humans
Intraoperative Period
Male
Medical sciences
Middle Ear Ventilation - methods
Otitis Media with Effusion - surgery
Prospective Studies
Suction
Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases
Surgery of the ear, the auditive nerve and the facial nerve
Treatment Outcome
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Description
Summary:Aspiration of middle ear fluid after myringotomy is performed routinely, although investigators imply a cause‐and‐effect relationship between suction noise and acoustic trauma. This prospective randomized study investigated if aspiration was necessary. Fifty‐one myringotomies and 50 tympanostomy tube insertions were performed on 27 patients. A suction instrument was utilized in 24 ears and was not used in 27 ears. In a follow‐up period, no difference was observed between the two groups. The authors did not establish that aspiration is indeed harmful, but tympanostomy tube insertion can be performed without suctioning middle ear effusion.
ISSN:0023-852X
1531-4995
DOI:10.1097/00005537-199803000-00024