Hostname: page-component-6766d58669-nf276 Total loading time: 0 Render date: 2026-05-21T07:14:47.362Z Has data issue: false hasContentIssue false
  • English
  • Français

Tympanosclerosis and mini grommets: the relevance of grommet design

Published online by Cambridge University Press:  29 June 2007

Ann F. Dingle ,
Liam M. Flood ,
B. Udhi Kumar ,
Robert C. Newcombe  and
C. Stat
Ann F. Dingle*
Affiliation:
Department of Otolaryngology, Middlesbrough, Cleveland, UK.
Liam M. Flood
Affiliation:
Department of Otolaryngology, Middlesbrough, Cleveland, UK.
B. Udhi Kumar
Affiliation:
Department of Otolaryngology, Middlesbrough, Cleveland, UK.
Robert C. Newcombe
Affiliation:
Department of Otolaryngology, Middlesbrough, Cleveland, UK.
C. Stat
Affiliation:
Department of Statistics, University Hospital of Wales, Cardiff.
*
Ann F. Dingle FRCS, Department of Otolaryngology, Singleton Hospital, Swansea, SA2 8QA.
Get access Rights & Permissions [Opens in a new window]

Abstract

Fifty children with otitis media with effusion undergoing grommet insertion had into one ear a Minititanium grommet inserted and into the other ear a Mini-teflon grommet. Post-operative follow-up until after extrusion of the grommets demonstrated only a small difference between the extrusion times of the two grommets (a significant difference of 41 days) and no difference in the degree of tympanosclerosis seen with each grommet. We propose that the mass of a grommet appears to play less of a role than has previously been suggested in the pathogenesis of tympanosclerosis following grommet insertion and that duration of intubation may be the most significant factor.

Keywords

Otitis media with effusionMiddle ear ventilationTympanosclerosis

Information

Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 109 , Issue 10 , October 1995 , pp. 922 - 925
Copyright
Copyright © JLO (1984) Limited 1995

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

Article purchase

Temporarily unavailable

References

Abdullah, V. A., Pringle, M. B., Shah, N. S. (1994) Use of the trimmed Shah permavent tube in the management of glue ear. Journal of Laryngology and Otology 108: 108–303.CrossRefGoogle ScholarPubMed
Brockbank, M. J., Jonathan, D. A., Grant, H. R., Wright, A. (1988) Goode T-tubes: do the benefits of their use outweigh their complications? Clinical Otolaryngology 13: 13–351.CrossRefGoogle ScholarPubMed
Dawes, P. J., Bingham, B. J., Rhys, R., Griffiths, M. V. (1991) Aspirating middle ear effusions when inserting ventilating tubes: does it influence post operative otorrhoea, tube obstruction or the development of tympanosclerosis? Clinical Otolaryngology 16: 16–457.CrossRefGoogle ScholarPubMed
Dingle, A. F., Flood, L. M., Kumar, B. U., Hampal, S. (1993) The Mini Grommet and tympanosclerosis: results at two years. Journal of Laryngology and Otology 107: 107–108.CrossRefGoogle ScholarPubMed
Elner, A., Ingelsledt, S., Ivarsson, A. (1971) The elastic properties of the tympanic membrane system. Ada Otolaryngologica 72: 72–397.Google Scholar
Hampal, S., Flood, L. M., Kumar, B. U. (1991) The Mini Grommet and tympanosclerosis. Journal of Laryngology and Otology 105: 105–161.CrossRefGoogle ScholarPubMed
Klingensmith, M. R., Strauss, M., Conner, G. H. (1985) A comparison of retention and complication rates of large bore and small bore middle ear ventilating tubes. Otolaryngology, Head and Neck Surgery 193: 193–332.Google Scholar
Lesśer, T. J., Williams, K. R., Skinner, D. W. (1988) Tympanosclerosis, grommets and shear stresses. Clinical Otolaryngology 13: 13–375.CrossRefGoogle ScholarPubMed
McKee, G. J., Kerr, A. G. (1989) Tympanosclerosis: a scanning electron microscope study. Clinical Otolaryngology 14: 14–11.CrossRefGoogle Scholar
Moore, J. (1990) Ventilation tube versus design. Annals of Otorhinolaryngology 99: 99–722.Google ScholarPubMed
Newcombe, R. G. (1992) Unconditional confidence internal methods for the difference between binomial proporters based on paired data. 16th International Biometric Conference, Hamilton, New Zealand.Google Scholar
Parker, A. J., Maw, A. R., Powell, J. E. (1990) Intra tympanic membrane bleeding after grommet insertion and tympanosclerosis. Clinical Otolaryngology 15: 15–203.CrossRefGoogle ScholarPubMed
Per-Lee, J. H. (1981) Long term middle ear ventilation. Laryngoscope 91: 91–1063.CrossRefGoogle ScholarPubMed
Robson, A. K., Zacharia, M. W., Shinkwin, C. S. (1992) Abstract. Does a single perioperative does of antibioticsol; steroid eardrops affect early infection rates following ventilation tube insertion? Clinical Otolaryngology 17: 91.Google Scholar
Shone, G. R., Griffith, I. P. (1990) Titanium grommets: a trial to assess function and extrusion rates. Journal of Laryngology and Otology 104: 104–197.CrossRefGoogle ScholarPubMed
Skinner, D. W., Lesser, T. H. J., Richards, S. H. (1988) A 15-year follow-up of a controlled trial of the use of grommets in glue ear. Clinical Otolaryngology 13: 13–341.CrossRefGoogle ScholarPubMed
Slack, R. W., Maw, A. R., Capper, J. W., Kelly, S. (1984) Prospective study of tympanosclerosis developing after grommet insertion. Journal of Laryngology and Otology 98: 98–771.CrossRefGoogle ScholarPubMed
Tami, T. A., Kennedy, K. S., Harley, E. (1987) A clinical evaluation of Gold plated tubes for middle ear ventilation. Archives of Otolaryngology, Head and Neck Surgery 113: 113–979.CrossRefGoogle ScholarPubMed
Tos, M., Bonding, P., Poulson, G. (1983) Tympanosclerosis of the drum in secretory otitis after insertion of grommets. Journal of Laryngology and Otology 97: 97–489.CrossRefGoogle ScholarPubMed
Tos, M., Stangerup, S. E. (1989) Hearing loss in tympanosclerosis caused by grommets. Archives of Otolaryngology, Head and Neck Surgery 115: 115–931.CrossRefGoogle ScholarPubMed