Journal article
Cholesteatomas Associated With Ventilation Tube Insertion
Archives of otolaryngology--head & neck surgery, v 125(7), pp 754-757
01 Jul 1999
PMID: 10406312
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
OBJECTIVES To determine the incidence of cholesteatoma formation associated with ventilation tube (VT) placement and to identify and analyze the variables and risk factors that may predict or predispose to this complication. DESIGN We reviewed the medical records of 2829 children following VT insertion between the years 1978 and 1997 to obtain 1- to 20-year follow-up data. SETTING Departments of Otolaryngology–Head and Neck Surgery and outpatient clinics of 2 tertiary referral academic medical centers. PATIENTS A study population of 2829 children, ranging in age from 1.2 to 14 years (5575 ears), underwent a total of 6701 VT placements. MAIN OUTCOME MEASURE Cholesteatomas were considered a complication of VT placement whenever they developed at or near the site of the tube insertion. RESULTS Cholesteatomas directly attributed to VT placement occurred in 1.1% of the ears that were operated on. A higher incidence occurred (1) in children younger than 5 years, (2) when Goode T-tubes were used, (3) in cases with repeated insertions of tubes, (4) with intubation exceeding 12 months, and (5) in cases with frequent postoperative otorrhea. CONCLUSIONS Cholesteatoma formation associated with VT placement occurs in 1.1% of the ears that are operated on, and therefore it should be discussed with patients or parents prior to surgery. Periodic and long-term follow-up microscopic examinations of the eardrum should be performed in all patients following tubal extrusion or removal, especially in those at high risk for developing a secondary cholesteatoma, to detect this complication as early as possible.Arch Otolaryngol Head Neck Surg. 1999;125:754-757-->
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Details
- Title
- Cholesteatomas Associated With Ventilation Tube Insertion
- Creators
- Avishay Golz - Technion – Israel Institute of TechnologyDavid GoldenbergAviram Netzer - Rambam Health Care CampusLiane M Westerman - Rambam Health Care CampusS. Thomas Westerman - Rambam Health Care CampusMilo Fradis - Rambam Health Care CampusHenry Z Joachims - Rambam Health Care Campus
- Publication Details
- Archives of otolaryngology--head & neck surgery, v 125(7), pp 754-757
- Publisher
- American Medical Association
- Number of pages
- 4
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Otolaryngology (and Head and Neck Surgery)
- Web of Science ID
- WOS:000081416800006
- Scopus ID
- 2-s2.0-0032764534
- Other Identifier
- 991021960635004721
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- Collaboration types
- Domestic collaboration
- Web of Science research areas
- Otorhinolaryngology
- Surgery