Tympanostomy Tubes-A Visual Guide for the Young Otolaryngologist

Abstract

Objectives: To illustrate some of the common dilemmas in tympanostomy tube care and describe time-tested ways to address them.

Methods: Computerized literature review.

Results: Issues including the correct diagnosis of recurrent acute otitis media, tympanostomy tube types and techniques for tube placement, management of tube clogging and otorrhea, and methods for tube removal and patching are illustrated.

Conclusions: Tympanostomy tube placement is the most common surgery performed in children requiring general anesthesia. While some elements of tympanostomy tube care have been addressed in clinical studies, much of clinical practice is guided by shared experience.

Keywords: otorrhea; recurrent acute otitis media; surgical complication; tympanostomy tube.