Comparative Study between Subannular T- Tube and Repetitive Transtympanic T-Tube Technique | ||
| International Journal of Medical Arts | ||
| Article 5, Volume 2, Issue 2, April 2020, Pages 351-357 PDF (293.34 K) | ||
| Document Type: Original Article | ||
| DOI: 10.21608/ijma.2020.20873.1085 | ||
| Authors | ||
| Mohamed Eldabaa1; Ahmed Ibrahim Zaghloul2; Ahmed Fayez Ahmed* 3 | ||
| 1Department of Otorhinolaryngology, Faculty of Medicine, Al-Azhar University, Egypt | ||
| 2Depatment of Otorhinolaryngology, Damietta Faculty of Medicine, Al-Azhar University, Egypt | ||
| 3Al-Azhar University Faculty of Medicine Damietta - Dumyat Al Jadidah | ||
| Abstract | ||
| Background: Otitis media [OM] is the second most common disease of childhood after upper respiratory tract infection. There was no consensus on the ideal treatment modality yet. Aim of the work: To compare the use of trans-tympanic T tube [TTTT] and subannular T tube [SATT] in recurrent otitis media, recurrent otitis media with effusion or tympanic membrane retraction. Patients and Methods: This is a prospective controlled study, which was conducted at Al-Azhar university hospital [Damietta]. It included 40 patients that were randomly divided into two groups A and B: Group A: include 20 patients who were submitted to trans-tympanic T-tube. Group B included 20 patients who were submitted to sub annular T-tube. Patient data and outcome were documented and compared. Results: The duration that TTTTs and SATTs remained in place ranged from 4 to 19 months with a mean of 10.62 and there was a significant decrease of duration in TTTT in comparison to SATT groups [7.28 vs 14.80 respectively]. Besides, in 14 cases in the SATT group, the tube is still in place. Extrusion was reported in 10 cases [8 in the TTTT group and 2 in the SATT group] and finally removal was reported in 6 patients [2 in TTTT group and 4 in the SATT group. Conclusion: The use of SATTs for long term middle ear ventilation is safe and more efficient than V-T Grommet TTTTs for maintaining middle ear ventilation and prevention of recurrent interventions in children with less otorrhea and plugged tubes. | ||
| Keywords | ||
| Subannular; Repetitive transtympanic; T-tube; Otitis media; Eustachian tube dysfunction | ||
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