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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 To evalu...
Autores principales: | , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Thieme Revinter Publicações Ltda.
2023
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Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10147470/ https://www.ncbi.nlm.nih.gov/pubmed/37125352 http://dx.doi.org/10.1055/s-0042-1742324 |
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author | Nobrega, Manoel de Carvalho, Daniela Lubianca Neto, José Faibes |
author_facet | Nobrega, Manoel de Carvalho, Daniela Lubianca Neto, José Faibes |
author_sort | Nobrega, Manoel de |
collection | PubMed |
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. |
format | Online Article Text |
id | pubmed-10147470 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Thieme Revinter Publicações Ltda. |
record_format | MEDLINE/PubMed |
spelling | pubmed-101474702023-04-29 Surgery for Otitis Media with Effusion: A Survey of Otolaryngologists Who Treat Children in Brazil Nobrega, Manoel de Carvalho, Daniela Lubianca Neto, José Faibes Int Arch Otorhinolaryngol 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. Thieme Revinter Publicações Ltda. 2023-03-07 /pmc/articles/PMC10147470/ /pubmed/37125352 http://dx.doi.org/10.1055/s-0042-1742324 Text en Fundação Otorrinolaringologia. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. ( https://creativecommons.org/licenses/by-nc-nd/4.0/ ) https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivatives License, which permits unrestricted reproduction and distribution, for non-commercial purposes only; and use and reproduction, but not distribution, of adapted material for non-commercial purposes only, provided the original work is properly cited. |
spellingShingle | Nobrega, Manoel de Carvalho, Daniela Lubianca Neto, José Faibes Surgery for Otitis Media with Effusion: A Survey of Otolaryngologists Who Treat Children in Brazil |
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 |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10147470/ https://www.ncbi.nlm.nih.gov/pubmed/37125352 http://dx.doi.org/10.1055/s-0042-1742324 |
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