98%
921
2 minutes
20
Objective: To compare the effect of eutetic mixture of local anesthetics (EMLA) with Ametop in providing local anesthesia for grommet insertion.
Study Design: Double-blind randomized clinical trial.
Setting: University teaching hospital.
Patients: Forty-one adult patients diagnosed with otitis media with effusion were recruited into the trial and underwent grommet insertion under local anesthesia; 21 were randomly allocated to the EMLA group and 20 to the Ametop group.
Main Outcome Measures: The primary outcome measure of the study was the level of pain experienced by the patient. The secondary outcome measure was the overall satisfaction with the procedure. Both measures were assessed using visual analogue scales.
Results: Both the topical anesthetic agents provided good pain relief during grommet insertion. There was no statistically significant difference in the pain or satisfaction scores.
Conclusion: Both EMLA and Ametop can provide good local anesthetic effect during grommet insertion.
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http://dx.doi.org/10.1097/MAO.0b013e3181776749 | DOI Listing |
Plast Reconstr Surg
August 2025
Department of Otolaryngology, Taipei Medical University Hospital, Taipei 11031, Taiwan.
Background: Previous studies have primarily evaluated postoperative middle-ear outcomes following palatoplasty and ventilation tube insertion (VTI), with a focus on patient age and cleft severity. However, few have investigated the influence of cleft sidedness and variations in Furlow-based palatoplasty techniques. This study aimed to assess the presence of otitis media with effusion (OME) before and after palatoplasty, with or without VTI, and to identify factors associated with OME, including baseline patient characteristics, cleft sidedness, and surgical approach.
View Article and Find Full Text PDFBMJ Open
August 2025
Health Economics, Vrije Universiteit, Amsterdam, the Netherlands.
Objective: Ventilation tube insertion for paediatric otitis media (POM), including acute otitis media (AOM) and otitis media with effusion (OME), has been signalled in the past for potential unwarranted treatment variation. Quality improvement initiatives, like Audit & Feedback (A&F), often ignore the care pathway when identifying such variation, possibly overestimating variation at a specific care step. To gain more insight into the effect of prior care steps, this study examined (1) the degree of regional variation in each step of the care pathway (general practitioner (GP) contacts, referrals and surgeries) and (2) investigated the effect of adjusting for prior care steps.
View Article and Find Full Text PDFOtol Neurotol
September 2025
Department of Otolaryngology and Head and Neck Surgery, Diakonessenhuis Utrecht, Utrecht, the Netherlands.
Objective: To present the outcomes of mastoid obliteration using S53P4 bioactive glass (BAG) for refractory chronic suppurative otitis media (CSOM) and compare these to mastoidectomy alone.
Study Design: Retrospective comparative cohort study.
Setting: Single-center study.
Auris Nasus Larynx
August 2025
Department of Otolaryngology - Head and Neck Surgery, Nihon University School of Medicine, 30-1 Oyaguchi-Kamicho, Itabashi-ku, Tokyo 173-8610, Japan. Electronic address:
Objective: To investigate the clinical characteristics of pediatric patulous Eustachian tube (PET), with a particular focus on the presence or absence of habitual sniffing, and to assess the role of this behavior in disease severity and management.
Methods: A retrospective review was conducted of 52 patients under 18 years of age who were diagnosed with PET (definite or possible) based on the Japan Otological Society Diagnostic Criteria for PET between December 2014 and November 2024. Clinical data, including symptoms, otoscopic findings, tympanometry, and Eustachian tube function tests (TTAG and sonotubometry), were analyzed.
Int J Pediatr Otorhinolaryngol
September 2025
Case Western Reserve University School of Medicine, Cleveland, OH, USA; Department of Otolaryngology - Head and Neck Surgery, University Hospitals Cleveland Medical Center, Cleveland, OH, USA.
Objectives: To assess socioeconomic differences in tympanostomy tube (TT) placement for pediatric patients with otitis media (OM). The primary objective is to determine if there is a lower rate of TT placement for children with OM and housing and economic insecurity (HEI). The secondary objective was to assess rates of concurrent speech delay at time of TT placement.
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