Management of the Draining Pressure Equalization Tube

"Probably less than 5% of all patients with chronic draining PE tubes, have underlying localized mucosal or temporal bone disease, or upper respiratory immunologic, allergic, or bacterial disease that perpetuates tube drainage."

Gordon B. Hughes

"Dry or serous effusions are rarely associated with PTOs, whereas mucoid or mucopurulent effusions and/or middle ear mucosal disease is statistically correlated with PTO. An enormous literature has been dedicated to surgical PTO prophylaxis. Although contradictory, consensus appears to refute the efficacy of drop therapy or canal preparation."

C. Gary Jackson

"At tympanostomy tube placement, we like to obtain mesotympanic fluid for bacterio-logic assessment (Gram stain, and culture and sensitivity). Not only are the data a preemptive guide to the antimicrobial treatment of postoperative otorrhea, but also a measure of clinically significant respiratory bacteria in the community."

N. Wendell Todd

Management of the Draining Pressure Equalization Tube

Gordon B. Hughes

CHAPTER 34

Pressure equalization (PE) tube placement is one of the most commonly performed surgical procedures, and purulent drainage through the tube is the most common complication of tube insertion. Fortunately, drainage usually quickly resolves with initial treatment. Occasionally, drainage persists and requires more aggressive therapy, including tube removal or chronic ear surgery (tympanomastoidectomy). Because management of acute and chronic drainage is distinctly different, discussion is divided into these two categories. In this chapter, acute drainage refers to new drainage, rather than a specific duration. Chronic drainage refers to persistent drainage after initial treatment has failed.

0 0

Post a comment