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June 1988

A Prospective Randomized Study of Four Commonly Used Tympanostomy Tubes

Author Affiliations

Winston-Salem, NC

Arch Otolaryngol Head Neck Surg. 1988;114(6):612-613. doi:10.1001/archotol.1988.01860180026014

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At the Southern Section meeting of the Triological Society in Birmingham, Ala, Mark T. Weigel, MD, and colleagues from the University of North Carolina, Chapel Hill, presented the historical development of tympanostomy tube design, reviewed the indications for tube placement, and reported their own experience with complications and duration of placement of four basic tympanostomy tube designs, exemplified by the Shepard Teflon grommet, the Armstrong beveled tube, the Reuter-Bobbin biflanged tube, and the Goode T tube. In this prospective randomized study, standardized for placement technique, the patient population consisted of 75 patients with a mean age of 3.8 years and a mean follow-up of 21 months.

In respective order of listing, the Shepard grommet, the Armstrong tube, the Reuter-Bobbin tube, and the Goode T tube had extrusion rates at 24 months of 94%, 80%, 66%, and 31%; obstruction rates of 11%, 25%, 74%, and 36%; associated otorrhea rates of 0%,

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