How effective is a tympanostomy tube in the management of acute otitis media (AOM)?

Updated: Sep 25, 2019
  • Author: John D Donaldson, MD, FRCSC, FACS; Chief Editor: Arlen D Meyers, MD, MBA  more...
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Answer

Tympanostomy tube placement decreases episodes of AOM. Ventilation has been used more frequently when evidence of MDRSP exists. In the author’s practice, resistance is noted most frequently in infants and children aged 6-14 months who are in day care.

Tympanostomy tubes are also beneficial in children with recurrent AOM and coexistent reactive airway disease and should be considered when recurrent episodes of AOM destabilize control of other systemic conditions. Examples include alterations in seizure thresholds, otitic hydrocephalus, or control of diabetes. Similarly, early tympanostomy tube placement might be considered for children with sensorineural hearing loss, speech development abnormalities, or learning dysfunction to give the child a consistent hearing model.


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