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Comparison of the Goode T-tube with the Armstrong tube in children with chronic otitis media with effusion

  • Eize W. J. Wielinga (a1) (a2) and Gordon D. L. Smyth (a1) (a2)


Treatment of otitis media with effusion is focused on reaeration of the middle ear cavity. In achieving longterm aeration, the insertion of ventilation tubes that have a long duration of stay can be beneficial. The results are presented of a trial in which the Goode T-tube was compared with the Armstrong tube. Fifteen children were treated between 1981 and 1986 with a T-tube in one ear and a conventional tube in the other. The results are different with regard to duration of stay in the tympanic membrane. Re-insertions were necessary in 47 per cent in the Armstrong group and in 20 per cent in the T-tube group. Otorrhoea occurred in 20 per cent of the Armstrong and 13 per cent of the T-tube intubated ears. A persistent perforation was present in 6 per cent of the ears in both groups. It is concluded that the Goode T-tube is indicated primarily in cases when long-term ventilation is needed.


Corresponding author

ENT Surgeon, ENT Department, Royal Victoria Hospital, Belfast, Northern Ireland


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Armstrong, B. W. (1954) New treatment for chronic secretory otitis. Archives of Otolaryngology, 59: 653654.
Birck, H. G., Mravec, J. J. (1976) Myringotomy for middle ear effusions. Annals of Otology, Rhinology and Laryngology, 85 (Supplement 25): 263267.
Black, N., Crowther, J., Freeland, A. (1986) The Effectiveness of adenoidectomy in the treatment of glue ear: a randomized controlled trial. Clinical Otolaryngology, 11: 149155.
Bluestone, C. D., Cantekin, E. I., Beery, Q. C. (1975) Certain effects of adenoidectomy an Eustachian tube ventilatory function. Laryngoscopy, 85: 113127.
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: 351356.
Curley, J. W. A. (1986) Grommet insertion: some basic questions answered. Clinical Otolaryngology, 11: 14.
Eliachar, I., Joachims, H. Z., Goldsher, M., Golz, A. (1983) Assessment of long-term middle ear ventilation. Acta Otolaryngologica, 96: 105112.
Fiellau-Nickolajsen, M., Falbe-Hansen, J., Knudstrup, P. (1980) Adenoidectomy for middle ear disorders: a randomized controlled trial. Clinical Otolaryngology, 5: 323327.
Gates, G. A., Avery, C. A., Cooper, J. C. Jr., Prihoda, T. J. (1989) Chronic secretory otitis media: effects of surgical management. Annals of Otology, Rhinology and Laryngology, 98 (Supplement 138): 1, part 2.
Gibb, A. G. (1986) Long-term tympanic ventilation by Per-Lee tube. Journal of Laryngology and Otology, 100: 503508.
Goode, R. L. (1973) T-tube for middle ear ventilation. Archives of Otolaryngology, 97: 402404.
Gundersen, T., Tonning, F. M. (1976) Ventilating tubes in the middle ear: long-term observations. Archives of Otolaryngology, 102: 198199.
Hawthorne, M. R., Parker, A. J. (1988) Perforations of the tympanic membrane following the use of Goode-type ‘long term’ tympanostomy tubes. Journal of Laryngology and Otology, 102: 997999.
Hughes, L. A., Warder, F. R. (1974) Complications of tympanostomy tubes. Archives of Otolaryngology, 100: 151154.
Lim, D. J., DeMaria, I. F. (1988) Pathogenesis and Pathology of Otitis Media. In: Otologic Medicine and Surgery. Alberti, P. W., Ruben, R. J. ed. Chapter 27, Churchill Livingstone.
Luxford, W. M., Sheehy, J. L. (1984) Ventilation tubes: indications and complications. American Journal of Otology, Vol. 5, 6: 468471.
Maw, A. R. (1979) Preliminary findings for interobserver variability in children with middle ear effusions and adenoids. Clinical Otolaryngology, 4: 149150.
Maw, A. R., Herod, F. (1986) Otoscopic, impedance and audiometric findings in glue ear treated by adenoidectomy and tonsillectomy. The Lancet, 1: 13991402.
Mawson, S. R., Fagan, P. (1987) Tympanic effusions in children. Journal of Laryngology and Otology, 101: 892896.
McLelland, C. (1980) Incidence of complications from the use of tympanostomy tubes. Archives of Otolaryngology, 106: 9799.
McKinnon, D. M. (1971) The sequel to myringotomy for exudative otitis media. Journal of Laryngology and Otology, 85: 773794.
Nielsen, L. H., Hessel-Andersen, G. (1985) T-tube for long-term middle ear ventilation. Presented at XIII the world congress in Otorhinolaryngology, Miami.
Palva, T., Lebtinen, T., Rhinne, J. (1983) Immune complexes in middle ear fluid in chronic secretory otitis media. Annals of Otology, Rhinology, Laryngology, 92: 4244.
Per-Lee, J. H. (1981) Long-term middle ear ventilation. Laryngoscope, 91: 10631072.
Rothera, M. P., Grant, H. R. (1985) Long-term ventilation of the middle ear using the Goode T-tube. Journal of Laryngology and Otology, 99: 335337.
Rynne, C., Dajöo, B., Ahlbom, A., Schiratzki, H. (1978) Effects of adenoidectomy. A controlled two-year follow-up. Annals of Otology, Rhinology and Laryngology, 87: 272278.
Sadé, J. (1979) Secretory otitis media and its sequelae. Monographs in Clinical Otolaryngology 1, Churchill Livingstone, New York.
Smyth, G. D. L. (1980) Chronic Ear Disease. Monographs in Clinical Otolaryngology, London, Churchill Livingstone.
Smyth, G. D. L. (1986) Tympanostomy: preliminary report on a randomized long-term trial. Proceedings of the International Conference on Acute and Secretory Otitis Media. Kugler Publ. part 1.
Smyth, G. D. L., Patterson, C. C., Hall, S. (1982). Tympanostomy tubes: do they significantly benefit the patient? Otolaryngology Head and Neck Surgery, 90: 783786.
Stell, P. M. (1981) Adenoidectomy. Clinical Otolaryngology, 6: 13.
Tos, M., Bak-Pedersen, K. (1975) Density of goblet cells in chronic secretory otitis media: findings in a biopsy material. Laryngoscope, 85: 377378.
Watson, C., Mangat, K. S. (1988) A comparison of audiometric performance and complications of T-tubes and Shepard grommets. Journal of Laryngology and Otology, 102: 677679.
Widemar, C., Svensson, C., Rynnel-Dagöo, B., Schiratzki, H. (1985) The effect of adenoidectomy on secretory otitis media: a two year controlled prospective study. Clinical Otolaryngology, 10: 345350.

Comparison of the Goode T-tube with the Armstrong tube in children with chronic otitis media with effusion

  • Eize W. J. Wielinga (a1) (a2) and Gordon D. L. Smyth (a1) (a2)


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