To the Editor.—I would like to comment on the article entitled "Complications following ventilation of the middle ear using Goode T tubes" by Bulkley et al.1 In 14 years of practice, I have repaired perforations resulting from permanent tympanostomy tubes on many children, including several from Goode T tubes. However, at no time did this incidence approach the 7.5% reported by Bulkley et al.
More specifically, I prospectively studied 40 children between 1985 and 1989 who required long-term tympanostomy tubes. All had persistent otitis media with effusion inspite of adequate medical therapy and previous tympanostomy tubes. A Goode tympanostomy tube was randomly placed in one ear and a Reuter stainless steel bobbin in the other ear. These patients were followed up until the tubes extruded or were removed and any tympanostomy perforation spontaneously closed. About halfway through the study, I switched from Silastic to H/C-flex (Treace Medical, Bellevue,
PARELL GJ. Goode T Tubes. Arch Otolaryngol Head Neck Surg. 1993;119(5):577. doi:10.1001/archotol.1993.01880170103023
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