Proteção contra a água após colocação de tubos de ventilação (Shepard) não diminui a incidência de otorreia – estudo retrospectivo de coorte

Translated title of the contribution: Water protection after tympanostomy (Shepard) tubes does not decrease otorrhea incidence – retrospective cohort study

João Subtil, Ana Jardim, André Peralta Santos, João Araújo, José Saraiva, João Paço

Research output: Contribution to journalArticle

3 Citations (Scopus)

Abstract

Introduction: Myringotomy for tube insertion is the most common otologic surgery. Otorrhea is a frequent complication of this procedure and, to prevent it, most surgeons strongly recommend avoiding contact with water as this is thought to adversely impact on post-operative quality of life. Objective: To understand the benefit of this recommendation. Methods: Observational study – retrospective cohort study comparing the incidence of post-operative otorrhea and its impact on patients’ quality of life, in two groups of patients comprising children under 10 years of age who underwent bilateral myringotomy and tube placement for chronic otitis media with effusion between May 2011 and May 2012. One group received water protection care after surgery, the other did not. Data was collected through telephonic interview, after one year of follow up (one year after the procedure). Water exposure without protection was considered the exposure event. Incidence of otorrhea and perceived impact on quality of life were the outcome measures. Results were compared after logistic regression. Results: We included 143 children: 116 were not exposed to water without protection and 27 were exposed. In the not exposed group 36.2% had at least one episode of otorrhea, compared to 40.0% of the exposed group. Odds ratio for otorrhea on exposed was 1.21 (95% CI 0.51–2.85, p = 0.6). Negative impact on quality of life was reported by parents of 48.2% on the not exposed children, compared to 40.7% on the exposed group. This difference was not significant (p = 0.5). Conclusion: We found that recommending water protection did not have beneficial effect on the incidence of otorrhea after myringotomy with tubes on chronic otitis media with effusion. However, such measures did not appear to have a negative impact on quality of life. This is a populational observational study with few cases (143 cases); these final statements would be better stated by a very large populational study with another large control group.

Original languagePortuguese
Pages (from-to)500-505
Number of pages6
JournalBrazilian Journal of Otorhinolaryngology
Volume84
Issue number4
DOIs
Publication statusPublished - 1 Jul 2018

Fingerprint

Middle Ear Ventilation
Cohort Studies
Retrospective Studies
Quality of Life
Water
Incidence
Otitis Media with Effusion
Observational Studies
Parents
Logistic Models
Odds Ratio
Outcome Assessment (Health Care)
Interviews
Control Groups

Keywords

  • Glue ear
  • Otite média com efusão
  • Otite média serosa
  • Otitis media with effusion
  • Serous otitis media
  • Timpanostomia
  • Tubos de ventilação
  • Tympanostomy

Cite this

@article{aa3c3b99e5d94502b9327e9565d4acf5,
title = "Prote{\cc}{\~a}o contra a {\'a}gua ap{\'o}s coloca{\cc}{\~a}o de tubos de ventila{\cc}{\~a}o (Shepard) n{\~a}o diminui a incid{\^e}ncia de otorreia – estudo retrospectivo de coorte",
abstract = "Introduction: Myringotomy for tube insertion is the most common otologic surgery. Otorrhea is a frequent complication of this procedure and, to prevent it, most surgeons strongly recommend avoiding contact with water as this is thought to adversely impact on post-operative quality of life. Objective: To understand the benefit of this recommendation. Methods: Observational study – retrospective cohort study comparing the incidence of post-operative otorrhea and its impact on patients’ quality of life, in two groups of patients comprising children under 10 years of age who underwent bilateral myringotomy and tube placement for chronic otitis media with effusion between May 2011 and May 2012. One group received water protection care after surgery, the other did not. Data was collected through telephonic interview, after one year of follow up (one year after the procedure). Water exposure without protection was considered the exposure event. Incidence of otorrhea and perceived impact on quality of life were the outcome measures. Results were compared after logistic regression. Results: We included 143 children: 116 were not exposed to water without protection and 27 were exposed. In the not exposed group 36.2{\%} had at least one episode of otorrhea, compared to 40.0{\%} of the exposed group. Odds ratio for otorrhea on exposed was 1.21 (95{\%} CI 0.51–2.85, p = 0.6). Negative impact on quality of life was reported by parents of 48.2{\%} on the not exposed children, compared to 40.7{\%} on the exposed group. This difference was not significant (p = 0.5). Conclusion: We found that recommending water protection did not have beneficial effect on the incidence of otorrhea after myringotomy with tubes on chronic otitis media with effusion. However, such measures did not appear to have a negative impact on quality of life. This is a populational observational study with few cases (143 cases); these final statements would be better stated by a very large populational study with another large control group.",
keywords = "Glue ear, Otite m{\'e}dia com efus{\~a}o, Otite m{\'e}dia serosa, Otitis media with effusion, Serous otitis media, Timpanostomia, Tubos de ventila{\cc}{\~a}o, Tympanostomy",
author = "Jo{\~a}o Subtil and Ana Jardim and {Peralta Santos}, Andr{\'e} and Jo{\~a}o Ara{\'u}jo and Jos{\'e} Saraiva and Jo{\~a}o Pa{\cc}o",
year = "2018",
month = "7",
day = "1",
doi = "10.1016/j.bjorl.2017.06.009",
language = "Portuguese",
volume = "84",
pages = "500--505",
journal = "Brazilian Journal of Otorhinolaryngology",
issn = "1808-8694",
publisher = "Associa{\cc}{\~a}o Brasileira de Otorrinolaringologia e Cirurgia Cervicofacial",
number = "4",

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Proteção contra a água após colocação de tubos de ventilação (Shepard) não diminui a incidência de otorreia – estudo retrospectivo de coorte. / Subtil, João; Jardim, Ana; Peralta Santos, André; Araújo, João; Saraiva, José; Paço, João.

In: Brazilian Journal of Otorhinolaryngology, Vol. 84, No. 4, 01.07.2018, p. 500-505.

Research output: Contribution to journalArticle

TY - JOUR

T1 - Proteção contra a água após colocação de tubos de ventilação (Shepard) não diminui a incidência de otorreia – estudo retrospectivo de coorte

AU - Subtil, João

AU - Jardim, Ana

AU - Peralta Santos, André

AU - Araújo, João

AU - Saraiva, José

AU - Paço, João

PY - 2018/7/1

Y1 - 2018/7/1

N2 - Introduction: Myringotomy for tube insertion is the most common otologic surgery. Otorrhea is a frequent complication of this procedure and, to prevent it, most surgeons strongly recommend avoiding contact with water as this is thought to adversely impact on post-operative quality of life. Objective: To understand the benefit of this recommendation. Methods: Observational study – retrospective cohort study comparing the incidence of post-operative otorrhea and its impact on patients’ quality of life, in two groups of patients comprising children under 10 years of age who underwent bilateral myringotomy and tube placement for chronic otitis media with effusion between May 2011 and May 2012. One group received water protection care after surgery, the other did not. Data was collected through telephonic interview, after one year of follow up (one year after the procedure). Water exposure without protection was considered the exposure event. Incidence of otorrhea and perceived impact on quality of life were the outcome measures. Results were compared after logistic regression. Results: We included 143 children: 116 were not exposed to water without protection and 27 were exposed. In the not exposed group 36.2% had at least one episode of otorrhea, compared to 40.0% of the exposed group. Odds ratio for otorrhea on exposed was 1.21 (95% CI 0.51–2.85, p = 0.6). Negative impact on quality of life was reported by parents of 48.2% on the not exposed children, compared to 40.7% on the exposed group. This difference was not significant (p = 0.5). Conclusion: We found that recommending water protection did not have beneficial effect on the incidence of otorrhea after myringotomy with tubes on chronic otitis media with effusion. However, such measures did not appear to have a negative impact on quality of life. This is a populational observational study with few cases (143 cases); these final statements would be better stated by a very large populational study with another large control group.

AB - Introduction: Myringotomy for tube insertion is the most common otologic surgery. Otorrhea is a frequent complication of this procedure and, to prevent it, most surgeons strongly recommend avoiding contact with water as this is thought to adversely impact on post-operative quality of life. Objective: To understand the benefit of this recommendation. Methods: Observational study – retrospective cohort study comparing the incidence of post-operative otorrhea and its impact on patients’ quality of life, in two groups of patients comprising children under 10 years of age who underwent bilateral myringotomy and tube placement for chronic otitis media with effusion between May 2011 and May 2012. One group received water protection care after surgery, the other did not. Data was collected through telephonic interview, after one year of follow up (one year after the procedure). Water exposure without protection was considered the exposure event. Incidence of otorrhea and perceived impact on quality of life were the outcome measures. Results were compared after logistic regression. Results: We included 143 children: 116 were not exposed to water without protection and 27 were exposed. In the not exposed group 36.2% had at least one episode of otorrhea, compared to 40.0% of the exposed group. Odds ratio for otorrhea on exposed was 1.21 (95% CI 0.51–2.85, p = 0.6). Negative impact on quality of life was reported by parents of 48.2% on the not exposed children, compared to 40.7% on the exposed group. This difference was not significant (p = 0.5). Conclusion: We found that recommending water protection did not have beneficial effect on the incidence of otorrhea after myringotomy with tubes on chronic otitis media with effusion. However, such measures did not appear to have a negative impact on quality of life. This is a populational observational study with few cases (143 cases); these final statements would be better stated by a very large populational study with another large control group.

KW - Glue ear

KW - Otite média com efusão

KW - Otite média serosa

KW - Otitis media with effusion

KW - Serous otitis media

KW - Timpanostomia

KW - Tubos de ventilação

KW - Tympanostomy

UR - http://www.scopus.com/inward/record.url?scp=85026310866&partnerID=8YFLogxK

U2 - 10.1016/j.bjorl.2017.06.009

DO - 10.1016/j.bjorl.2017.06.009

M3 - Article

VL - 84

SP - 500

EP - 505

JO - Brazilian Journal of Otorhinolaryngology

JF - Brazilian Journal of Otorhinolaryngology

SN - 1808-8694

IS - 4

ER -