Prevention and Treatment of Plugged Tympanostomy Tubes

Armstrong BW . A new treatment for chronic secretory otitis media. AMA Arch Otolaryngol 1954;59(6):653–4.

Vital and Health Statistics. Ambulatory and Inpatient Procedures in the United States, 1996. Series 13: Data from the National Health Care Survey No. 139. Publication No. (PHS) 99–1710. Hyattsville, Md.: U.S. Department of Health and Human Services; November 1998.

Brenman AK , Milner RM , Weller CR . Use of hydrogen peroxide to clear blocked ventilation tubes. Am J Otol 1986;7(1):47–50.

Kay DJ , Nelson M , Rosenfeld RM . Meta-analysis of tympanostomy tube sequelae. Otolaryngol Head Neck Surg 2001;124(4):374–80.

MRC Multicentre Otitis Media Study Group. The role of ventilation tube status in the hearing levels in children managed for bilateral persistent otitis media with effusion. Clin Otolaryngol Allied Sci 2003;28(2):146–53.

Uppal S , Sharma R , Nadig SK , A blinded in-vitro study to compare the efficacy of five topical ear drops in clearing grommets blocked with thick middle ear effusion fluid. Clin Otolaryngol 2005;30(1):29–34.

Reid AP , Proops DW , Smallman LA . Why do tympanostomy tubes block? Clin Otolaryngol Allied Sci 1998;13(4):279–83.

Westine JG , Giannoni CM , Antonelli PJ . Defining tympanostomy tube plugs. Laryngoscope 2002;112(6):951–4.

Tsao BA , Stevens GR , Antonelli PJ . Opening plugged tympanostomy tubes: Effect of tube composition. Otolaryngol Head Neck Surg 2003;128(6):870–4.

Westine JG , Giannoni CM , Gajewski B , Antonelli PJ . Opening plugged tympanostomy tubes. Laryngoscope 2002;112(8 Pt 1):1342–5.

Berry JA , Biedlingmaier JF , Whelan PJ . In vitro resistance to bacterial biofilm formation on coated fluoroplastic tympanostomy tubes. Otolaryngol Head Neck Surg 2000;123(3):246–51.

Handler SD , Miller L , Potsic WP , A controlled study of a “new” ventilating tube. The gold standard? Int J Pediatr Otorhinolaryngol 1986;12(1):33–8.

Handler SD , Miller L , Potsic WP , A prospective study of titanium ventilation tubes. Int J Pediatr Otorhinolaryngol 1988;16(1):55–60.

Tami TA , Kennedy KS , Harley E. A clinical evaluation of gold-plated tubes for middle-ear ventilation. Arch Otolaryngol Head Neck Surg 1987;113(9):979–80.

Kinnari TJ , Salonen EM , Jero J. New method for coating tympanostomy tubes to prevent tube occlusions. Int J Pediatr Otorhinolaryngol 2001;58(2):107–11.

Laina V , Pothier DD . Should we aspirate middle-ear effusions prior to insertion of ventilation tubes? J Laryngol Otol 2006;120(10):818–21.

Friedberg J. Removable ventilating tube obturator—how to save a ventilating tube. Int J Pediatr Otorhinolaryngol 1987;13(2):227–9.

Cunningham MJ , Harley EH . Preventing perioperative obstruction of tympanostomy tubes: A postoperative trial of a simple method. Int J Pediatr Otorhinolaryngol 1991;21(1):15–20.

Jamal TS . Avoidance of postoperative blockage of ventilation tubes. Laryngoscope 1995;105(8 Pt 1):833–4.

Altman JS , Haupert MS , Hamaker RA , Belenky WM . Phenylephrine and the prevention of postoperative tympanostomy tube obstruction. Arch Otolaryngol Head Neck Surg 1998;124(11):1233–6.

Arya 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(6):598–601.

Elden LM , Marsh RR . Survey of pediatric otolaryngologists: Clinical practice trends used to prevent and treat blocked ventilation ear tubes in children. Int J Pediatr Otorhinolaryngol 2006;70(9):1533–8.

Spraggs PD , Robinson PJ , Ryan R , A prospective randomised trial of the use of sodium bicarbonate and hydrogen peroxide ear drops to clear a blocked tympanostomy tube. Int J Pediatr Otorhinolaryngol 1995;31(2–3):207–14.

Jassar P , Jose J , Homer JJ . Otic drops used to clear a blocked grommet: An in vitro prospective randomized controlled study with blinded assessment. Clin Otolaryngol Allied Sci 2004;29(6):602–5.