Comparative Study between Subannular T- Tube and Repetitive Transtympanic T-Tube Technique

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 med...

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Autores principales: Mohamed Eldabaa, Ahmed Zaghloul, Ahmed Ahmed
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Publicado: Al-Azhar University, Faculty of Medicine (Damietta) 2020
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Acceso en línea:https://doaj.org/article/49bd9671130c4b70abde40e134e4b37f
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spelling oai:doaj.org-article:49bd9671130c4b70abde40e134e4b37f2021-12-02T13:52:45ZComparative Study between Subannular T- Tube and Repetitive Transtympanic T-Tube Technique2636-41742682-378010.21608/ijma.2020.20873.1085https://doaj.org/article/49bd9671130c4b70abde40e134e4b37f2020-04-01T00:00:00Zhttps://ijma.journals.ekb.eg/article_77113_25c3a680ad9ef56cffb366b60c8e3641.pdfhttps://doaj.org/toc/2636-4174https://doaj.org/toc/2682-3780Background: 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.Mohamed EldabaaAhmed ZaghloulAhmed AhmedAl-Azhar University, Faculty of Medicine (Damietta)articlesubannularrepetitive transtympanict-tubeotitis mediaeustachian tube dysfunctionMedicine (General)R5-920ENInternational Journal of Medical Arts, Vol 2, Iss 2, Pp 351-357 (2020)
institution DOAJ
collection DOAJ
language EN
topic subannular
repetitive transtympanic
t-tube
otitis media
eustachian tube dysfunction
Medicine (General)
R5-920
spellingShingle subannular
repetitive transtympanic
t-tube
otitis media
eustachian tube dysfunction
Medicine (General)
R5-920
Mohamed Eldabaa
Ahmed Zaghloul
Ahmed Ahmed
Comparative Study between Subannular T- Tube and Repetitive Transtympanic T-Tube Technique
description 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.
format article
author Mohamed Eldabaa
Ahmed Zaghloul
Ahmed Ahmed
author_facet Mohamed Eldabaa
Ahmed Zaghloul
Ahmed Ahmed
author_sort Mohamed Eldabaa
title Comparative Study between Subannular T- Tube and Repetitive Transtympanic T-Tube Technique
title_short Comparative Study between Subannular T- Tube and Repetitive Transtympanic T-Tube Technique
title_full Comparative Study between Subannular T- Tube and Repetitive Transtympanic T-Tube Technique
title_fullStr Comparative Study between Subannular T- Tube and Repetitive Transtympanic T-Tube Technique
title_full_unstemmed Comparative Study between Subannular T- Tube and Repetitive Transtympanic T-Tube Technique
title_sort comparative study between subannular t- tube and repetitive transtympanic t-tube technique
publisher Al-Azhar University, Faculty of Medicine (Damietta)
publishDate 2020
url https://doaj.org/article/49bd9671130c4b70abde40e134e4b37f
work_keys_str_mv AT mohamedeldabaa comparativestudybetweensubannularttubeandrepetitivetranstympanicttubetechnique
AT ahmedzaghloul comparativestudybetweensubannularttubeandrepetitivetranstympanicttubetechnique
AT ahmedahmed comparativestudybetweensubannularttubeandrepetitivetranstympanicttubetechnique
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