Hostname: page-component-848d4c4894-mwx4w Total loading time: 0 Render date: 2024-06-26T15:29:21.055Z Has data issue: false hasContentIssue false
  • English
  • Français

The mini-grommet and tympanosclerosis

Published online by Cambridge University Press:  29 June 2007

S. Hampal ,
L. M. Flood  and
B. U. Kumar
S. Hampal
Affiliation:
Middlesbrough
L. M. Flood*
Affiliation:
Middlesbrough
B. U. Kumar
Affiliation:
Middlesbrough
*
Mr L. M. Flood, Research Foundation, North Riding Infirmary, Newport Road, Middlesbrough TS8 9AU.
Get access Rights & Permissions [Opens in a new window]

Abstract

One hundred and sixteen children with otitis media with effusion underwent myringotomy and insertion of a conventional pattern of Shah grommet in one ear and the much smaller Mini Shah grommet in the other. Close observation post-operatively determined the comparative rate of extrusion, recurrence of effusion, and of onset and degree of tympanosclerosis. At one year review, the Mini Shah shows a significantly earlier extrusion and a greater tendency to recurrence of otitis media with effusion. However, this is compensated by a decreased incidence of tympanosclerosis and reduced severity in those affected. This tends to support the view that shear forces produced by heavier patterns of ventilation tube promote tympanosclerosis.

Keywords

Middle ear ventilationTympanosclerosis
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 105 , Issue 3 , March 1991 , pp. 161 - 164
Copyright
Copyright © JLO (1984) Limited 1991

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.)

References

Black, N. (1984) Surgery for glue ear—a modernepidemic. Lancet, 8381: 835–837CrossRefGoogle Scholar
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: 351–356.CrossRefGoogle ScholarPubMed
Gibb, A. G. (1980) Long term assessment of ventilation tubes. Journal of Laryngology and Otology, 94: 39–51.CrossRefGoogle ScholarPubMed
Gibb, A. G., Mackenzie, I. J. (1985) The extrusion rate of grommets. Archives of Otolaryngology, 93: 695–699.Google ScholarPubMed
Gibb, A. G. (1986) Long term tympanic ventilation by Per-Lee tube. Journal of Laryngology and Otology, 100: 503–508.CrossRefGoogle ScholarPubMed
Hibbert, J., Stell, P. M. (1982) The role of enlarged adenoids in aetiology of secretory otitis media. Clinical Otolaryngology, 7: 253–6.CrossRefGoogle Scholar
Lesser, T. H. J., Williams, K. R., Skinner, D. W. (1988) Tympanosclerosis, grommets and shear stresses. Clinical Otolaryngology, 13: 375–380.CrossRefGoogle ScholarPubMed
McKee, G. J., Kerr, A. G. (1989) Tympanosclerosis—a scanning electron microscopic study. Clinical Otolaryngology, 14: 11–16.CrossRefGoogle Scholar
Maw, R. A., Herod, F. (1986) Otoscopic, Impedance and Audiometric Findings in glue ear treated by adenoidectomy and tonsillectomy. Lancet, 1: 1399–1402.CrossRefGoogle ScholarPubMed
Parker, A. J., Maw, A. R., Powell, J. E. (1990) Intratympanic membrane bleeding after grommet insertion and tympanosclerosis. Clinical Otolaryngology, 15: 203–207.CrossRefGoogle ScholarPubMed
Per-Lee, J. H. (1981) Long term middle ear ventilation. Laryngoscope, 91: 1063–1073.CrossRefGoogle ScholarPubMed
Ruckley, R. W., Blair, R. L. (1988) Thermal myringotomy. Journal of Laryngology and Otology, 102: 125–128.CrossRefGoogle ScholarPubMed
Skinner, D. W., Lesser, T. H., Richards, S. H. (1988) A 15 year follow-up of a controlled trial of the use of grommets in glue ear. Clinical Otolaryngology, 13: 341–346.CrossRefGoogle ScholarPubMed
Slack, R. W., Maw, R. A., Capper, J. W., Kelly, S. (1984) Prospective study of tympanosclerosis developing after grommet insertion. Journal of Laryngology and Otology, 98: 771–774.CrossRefGoogle ScholarPubMed
Soderberg, O., Hellstrom, S., Stenfors, L. E. (1986) Structural changes in the tympanic membrane after repeated tympanostomy tube insertion. Acta Otolaryngologica, 102: 382–390.CrossRefGoogle ScholarPubMed
Stell, P. M. (1981) Adenoidectomy. Clinical Otolaryngology, 6: 1–3.CrossRefGoogle Scholar
Tos, M., Holm-Jensen, S., Sorensen, C. H., Morgensen, C. (1982) Spontaneous course and frequency of secretory otitis in 4-year-old children. Archives of Otolaryngology, Head and Neck Surgery, 108: 4–10.CrossRefGoogle ScholarPubMed