Distinguished Professor of Otolaryngology SUNY Downstate Health Sciences University Brooklyn, NY, United States
Disclosure(s):
Richard M. Rosenfeld, MD, MPH, MBA: No relevant relationships to disclose.
PROGRAM DESCRIPTION: Tympanostomy (ventilating) tubes are the most common ambulatory surgery performed on children in the United States. This presentation provides strategies and management paradigms for optimizing outcomes for children with tympanostomy tubes, based on current best evidence and the author’s experience as an international authority in managing otitis media. Topics will include tube selection, perioperative management, office-based insertion, water precautions, tube obstruction, tube granulomas, chronic otorrhea, medialized tubes, and adjuvant adenoidectomy. Emphasis is placed on a patient-centered approach that builds upon current practice guidelines and evidence-based strategies.
OUTCOME OBJECTIVE 1: Implement proactive strategies in tube selection and perioperative care to optimize outcomes
OUTCOME OBJECTIVE 2: Know how to manage common tube problems, including obstructed lumen, granulomas, medialized tube, and otorrhea (recurrent & chronic)
OUTCOME OBJECTIVE 3: Identify practical techniques for educating families and engaging them in shared decisions, including in-office tube insertion without general anesthesia
BACKGROUND STATEMENT: This presentation builds upon existing AAO-HNS clinical practice guidelines on otitis media with effusion and tympanostomy tubes (recently updated) through an expanded breadth of clinical topics and the author’s 30-year clinical experience in this area.
