Patients with chronic otitis media that did not respond to conventional treatment were studied for the types and incidence of complications from the use of large-bore tubes inserted into their ears. The most common complication was otorrhea (41%, 50 of 123 ears). Permanent perforation occurred in 25% (17/68 ears). Use of large-bore tubes proved effective and continues to be indicated in certain conditions of chronic otitis media that are refractory to other forms of treatment.
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References
1.
HomeE: On the structure and uses of the membrana tympani of the ear. Philos Trans R Soc Lond, 1800, pp 1–21.
2.
CooperA: Observations on the effects which take place from the destruction of the membrana tympani of the ear. Philos Trans R Soc Lond, 1800, pp 151–158.
3.
CooperA: Farther observations on the effects which take place from the destruction of the membrana tympani of the ear: With an account of an operation for the removal of a particular species of deafness. Philos Trans R Soc Lond, 1801, pp 435–450.
4.
ToynbeeJ: The Diseases of the Ear: Their Nature, Diagnosis, and Treatment. London, HK Lewis & Co, 1868, pp 216–221.
5.
BallinMJ: Politzer's Text-Book of the Diseases of the Ear for Students and Practitioners, ed 6. Philadelphia, Lea & Febiger, 1926, pp 318–322.
6.
ArmstrongBW: A new treatment for chronic secretory otitis media. Arch Otolaryngol59: 653–654, 1954.
7.
LindemanRCSilversteinH: The ‘arrow tube.’Arch Otolaryngol80: 473, 1964.
8.
SilversteinH: Malleus clip tube for long-term equalization of middle ear pressure. Trans Am Acad Ophthalmol Otolaryngol70: 640–642, 1966.
9.
TurnerJL: Myringostomy by use of a fixed prosthesis. Laryngoscope77: 524–533, 1967.
10.
Per-LeeJH: Experiences with a 'permanent' wide flange middle ear ventilation tube. Laryngoscope79: 581–591, 1969.