Surgery for Otitis Media with Effusion: A Survey of Otolaryngologists Who Treat Children in Brazil
Introduction Myringotomy and ear tube placement (MTP) is the surgical treatment for otitis media with effusion (OME), and it is the most common surgery performed in children. Several guidelines have been developed to assist in the care of patients who become candidates for MTP. Objectives...
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| Format: | Article |
| Language: | English |
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Thieme Revinter Publicações Ltda.
2023-04-01
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| Series: | International Archives of Otorhinolaryngology |
| Subjects: | |
| Online Access: | http://www.thieme-connect.de/DOI/DOI?10.1055/s-0042-1742324 |
| _version_ | 1827936973433602048 |
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| author | Manoel de Nobrega Daniela Carvalho José Faibes Lubianca Neto |
| author_facet | Manoel de Nobrega Daniela Carvalho José Faibes Lubianca Neto |
| author_sort | Manoel de Nobrega |
| collection | DOAJ |
| description | Introduction Myringotomy and ear tube placement (MTP) is the surgical treatment for otitis media with effusion (OME), and it is the most common surgery performed in children. Several guidelines have been developed to assist in the care of patients who become candidates for MTP.
Objectives To evaluate the practice of Brazilian otorhinolarynogologists when performing MTP according to the years of clinical experience. Secondarily, we also want to assess if their practice regarding MTP varied according to the percentage of children treated and the location of their practice.
Methods A 30-question survey was sent to otolaryngologists affiliated with the Brazilian Academy of Pediatric Otorhinolaryngology (Academia Brasileira de Otorrinolaringologia Pediátrica, ABOPe, in Portuguese) and/or the Scientific Department of Otorhinolaryngology of the Brazilian Society of Pediatrics (Sociedade Brasileira de Pediatria, SBP, in Portuguese). The questions included were carefully chosen to provide a profile about the practices adopted in the pre-, peri- and postoperative periods of MTP.
Results The questionnaire was sent to 208 otolaryngologists, and there were 124 (59.6%) respondents. Of those, 59.7% use antiseptics before surgery. Only 54 otolaryngologists, less than half of the subjects in this study (43.5%), always place a tube during the procedure. More physicians who practice in small cities recommend water precautions after MTP when compared to other physicians (p < 0.001).
Conclusion The present study reveals that many respondents do not follow some of the recommendations of the current guidelines of the American Academy of Otolaryngology-Head and Neck Surgery (AAO-HNS) on OME, either perioperatively and postoperatively, or regarding the option of placing a ventilation tube. This part of the care also varied depending on the respondents' work location and experience in the medical practice. |
| first_indexed | 2024-03-13T08:18:49Z |
| format | Article |
| id | doaj.art-928da2fae9f042eface0e15e13e44ca3 |
| institution | Directory Open Access Journal |
| issn | 1809-9777 1809-4864 |
| language | English |
| last_indexed | 2024-03-13T08:18:49Z |
| publishDate | 2023-04-01 |
| publisher | Thieme Revinter Publicações Ltda. |
| record_format | Article |
| series | International Archives of Otorhinolaryngology |
| spelling | doaj.art-928da2fae9f042eface0e15e13e44ca32023-05-31T12:18:48ZengThieme Revinter Publicações Ltda.International Archives of Otorhinolaryngology1809-97771809-48642023-04-012702e256e26510.1055/s-0042-1742324Surgery for Otitis Media with Effusion: A Survey of Otolaryngologists Who Treat Children in BrazilManoel de Nobrega0Daniela Carvalho1José Faibes Lubianca Neto2Departament of Otorhinolaryngology, Escola Paulista de Medicina (EPM) Universidade Federal de São Paulo (UNIFESP), São Paulo, SP, BrazilDepartment of Otolaryngology Head and Neck Surgery, University of California San Diego, CA, United StatesOtorhinolaryngology Service, Santa Casa de Porto Alegre, Porto Alegre, RS, BrazilIntroduction Myringotomy and ear tube placement (MTP) is the surgical treatment for otitis media with effusion (OME), and it is the most common surgery performed in children. Several guidelines have been developed to assist in the care of patients who become candidates for MTP. Objectives To evaluate the practice of Brazilian otorhinolarynogologists when performing MTP according to the years of clinical experience. Secondarily, we also want to assess if their practice regarding MTP varied according to the percentage of children treated and the location of their practice. Methods A 30-question survey was sent to otolaryngologists affiliated with the Brazilian Academy of Pediatric Otorhinolaryngology (Academia Brasileira de Otorrinolaringologia Pediátrica, ABOPe, in Portuguese) and/or the Scientific Department of Otorhinolaryngology of the Brazilian Society of Pediatrics (Sociedade Brasileira de Pediatria, SBP, in Portuguese). The questions included were carefully chosen to provide a profile about the practices adopted in the pre-, peri- and postoperative periods of MTP. Results The questionnaire was sent to 208 otolaryngologists, and there were 124 (59.6%) respondents. Of those, 59.7% use antiseptics before surgery. Only 54 otolaryngologists, less than half of the subjects in this study (43.5%), always place a tube during the procedure. More physicians who practice in small cities recommend water precautions after MTP when compared to other physicians (p < 0.001). Conclusion The present study reveals that many respondents do not follow some of the recommendations of the current guidelines of the American Academy of Otolaryngology-Head and Neck Surgery (AAO-HNS) on OME, either perioperatively and postoperatively, or regarding the option of placing a ventilation tube. This part of the care also varied depending on the respondents' work location and experience in the medical practice.http://www.thieme-connect.de/DOI/DOI?10.1055/s-0042-1742324otitis media with effusiontympanostomy tube insertionchildrensurvey |
| spellingShingle | Manoel de Nobrega Daniela Carvalho José Faibes Lubianca Neto Surgery for Otitis Media with Effusion: A Survey of Otolaryngologists Who Treat Children in Brazil International Archives of Otorhinolaryngology otitis media with effusion tympanostomy tube insertion children survey |
| title | Surgery for Otitis Media with Effusion: A Survey of Otolaryngologists Who Treat Children in Brazil |
| title_full | Surgery for Otitis Media with Effusion: A Survey of Otolaryngologists Who Treat Children in Brazil |
| title_fullStr | Surgery for Otitis Media with Effusion: A Survey of Otolaryngologists Who Treat Children in Brazil |
| title_full_unstemmed | Surgery for Otitis Media with Effusion: A Survey of Otolaryngologists Who Treat Children in Brazil |
| title_short | Surgery for Otitis Media with Effusion: A Survey of Otolaryngologists Who Treat Children in Brazil |
| title_sort | surgery for otitis media with effusion a survey of otolaryngologists who treat children in brazil |
| topic | otitis media with effusion tympanostomy tube insertion children survey |
| url | http://www.thieme-connect.de/DOI/DOI?10.1055/s-0042-1742324 |
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