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Post-Tympanostomy Tube Otorrhea and Other Complications

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Textbook of Otitis Media

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Abstract

Tympanostomy tube insertion is one of the most performed pediatric surgeries in the United States. The procedure is considered a safe and effective treatment for otitis media with effusion. There are many different types of ventilation tubes available for clinical use—these are commonly classified as “short-term” or “long-term” tubes. Short-term tubes have a smaller lumen and medial flanges than the long-term tubes and extrude within 6–18 months, while long-term tubes may remain for years. Although tympanostomy tube insertion associates with low incidence of surgical and postoperative complications, these should be discussed with the patients and caregivers prior to surgery. The most frequent postoperative complication is otorrhea, which may affect over 50% of the patients. Other less frequent complications include chronic tympanic membrane perforation and cholesteatoma. In this chapter, these complications and their treatment are discussed.

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Author information

Authors and Affiliations

  1. Hospital Universitário Cajuru, Curitiba, PR, Brazil

    Henrique Furlan Pauna, Letícia A. Oyama & Ana Paula Chornobay

  2. Hospital IPO, Curitiba, PR, Brazil

    Henrique Furlan Pauna

  3. Department of Otolaryngology, Head & Neck Surgery, University of Minnesota, Minnesota, MN, USA

    Rafael C. Monsanto & Michael M. Paparella

  4. Department of Otolaryngology, Banco de Olhos de Sorocaba Hospital, Sorocaba, SP, Brazil

    Karina Salvi & Livia Tamie T. Sassaki

Authors
  1. Henrique Furlan Pauna
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  2. Rafael C. Monsanto
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  3. Letícia A. Oyama
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  4. Ana Paula Chornobay
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  5. Karina Salvi
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  6. Livia Tamie T. Sassaki
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  7. Michael M. Paparella
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Corresponding author

Correspondence to Rafael C. Monsanto .

Editor information

Editors and Affiliations

  1. Department of Otolaryngology, Clínica Universidad de Los Andes, Santiago, Chile, USA

    Marcos V. Goycoolea

  2. Otolaryngology, Federal University of Rio Grande do Sul, Porto Alegre, Rio Grande do Sul, Brazil

    Sady Selaimen da Costa

  3. Department of Otolaryngology, Tata Memorial Hospital, Mumbai, Maharashtra, India

    Chris de Souza

  4. Paparella Ear Head & Neck Institute, University of Minnesota, Minneapolis, MN, USA

    Michael M. Paparella

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Pauna, H.F. et al. (2023). Post-Tympanostomy Tube Otorrhea and Other Complications. In: Goycoolea, M.V., Selaimen da Costa, S., de Souza, C., Paparella, M.M. (eds) Textbook of Otitis Media. Springer, Cham. https://doi.org/10.1007/978-3-031-40949-3_25

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  • DOI: https://doi.org/10.1007/978-3-031-40949-3_25

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  • Online ISBN: 978-3-031-40949-3

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