Title:
Subannular T-tubes for the treatment of adhesive otitis: how we do it
Authors:
F. Ciodaro, G. Cammaroto, B. Galletti and F. Galletti
Institutions:
Department of Otorhinolaryngology, University of Messina, Messina, Italy
Keywords:
Adhesive otitis media; tympanic drainage; tympanotomy
Pages:
131 - 135
Abstract:
Subannular T-tubes for the treatment of adhesive otitis: how we do it. Objectives: Adhesive otitis is a chronic otitis media (OM) that consists of the adhesion of the tympanic membra▯ne (TM) to the promontory. The aim of our study is to evaluate a new way of positioning subannular T-tubes (SATs) in patients affected by adhesive otitis. Methodology: This study enrolled 22 patients (average age: 36.7 yo, 2.5 SD; M/F ratio: 14/8) affected by unilateral chronic adhesive otitis. All of the patients underwent the positioning of a SAT and a Silastic® sheet in the tympanic cavity. The clinical course was evaluated, considering otoscopic and aud▯iological variations. Results: In our series, only one case of extrusion of tubes with residual perforation of TM was recorded. Auditory outcomes were satisfying in 18/22 patients (81.8%). Conclusions: The proposed addition of a Silastic disk seems to avoid a new adhesion of the tympanic membrane to the promontory and, therefore, prevents treatment failures. A longer follow-up and a larger case series are needed to prove the efficacy of this surgical variation. Finally, the positioning of SATs can be considered as a valid and safe procedure for the treatment of adhesive otitis.
Issue:
Vol. 12, 2016, 2nd trimester


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Subannular T-tubes for the treatment of adhesive otitis: how we do it