
Tympanostomy Tubes
GARY C. LULENSKI, MD
St Joseph, Mich
Arch Otolaryngol. 1981;107(5):325.
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To the Editor.—A recent article in the October ARCHIVES (1980;106:645-647) discussed infectious complications after tympanostomy tube insertion. There was no comment in this article as to whether the draining tympanostomy tube was noted to be obstructed before the onset of the infectious complication. Since tympanostomy tubes do tend to become obstructed, this may be a significant contributing problem in these infectious events in the 30 patients described. A method of determining the relationship between the obstructed tube and the onset of bacterial otitis media can reasonably be ascertained by seeing the patient soon after tympanostomy tube insertion and noting at this visit and each subsequent visit whether the tube appears to be obstructed or not. This is especially easy to do with tubes such as the clear polyethylene tympanostomy tubes. A study has been initiated that should lend some clarification to the cause of such infections after tympanostomy tube
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