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Arch Otolaryngol Head Neck Surg. 2000;126:1509.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

Few topics in otolaryngology receive as much attention and heated debate as the recommendations for water precautions after insertion of TTs. Application of principles that guided ear care for patients with chronic otitis media, most prevalent in the preantibiotic era, were likely transferred to those with TTs, a procedure made popular by Armstrong¹ in 1954. The articles that first addressed this issue appeared in the 1990s, but consensus has yet to be attained.

Dr Giannoni thoroughly and succinctly outlines the multiple variables that must be considered to answer this question. Diving, water contamination, frequency of activity, and the use of prophylactic ototopical drops are all discussed. Her review of the literature, both pro and con, very persuasively sets forth guidelines that make sense for children who have TTs and want to swim. The increased rate of otorrhea experienced with the use of earplugs will hopefully result in a decrease in . . . [Full Text of this Article]

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