Derkay C S, Shroyer M N, Ashby J
Department of Otolaryngology-Head and Neck Surgery and Pediatrics, Eastern Virginia Medical School, Norfolk 23507-1912.
Am J Otolaryngol. 1992 Sep-Oct;13(5):301-5. doi: 10.1016/0196-0709(92)90052-u.
The necessity and effectiveness of taking precautions around water with children who have tympanostomy tubes is a source of some controversy among otolaryngologists. This study was undertaken to survey the practice standards of otolaryngologists treating these children.
A total of 1,266 board-certified otolaryngologists practicing (mean 14.8 years in practice) in the southern and eastern United States were surveyed to determine current recommendations.
Among those surveyed, 13.1% forbid children with tympanostomy tubes from swimming, whereas 3.1% feel that no water precautions are needed. Limitations are placed in the depth of swimming by 68% and the type of swimming water by 18%. The most commonly recommended form of protection is the use of ear plugs, which is favored by 53.4%. Liberalization of recommendations concerning the need for water precautions was noted by 79% of respondents who cited personal experience as the single most influential factor. An overwhelming percentage of respondents indicated they would be willing to alter their current practice based on new information generated from a clinical trial.
This survey demonstrates that diversity of opinion does exist among otolaryngologists relative to their recommendations for water precautions after placement of tympanostomy tubes. This survey demonstrates the need for a prospective randomized clinical trial designed to address this issue.
对于给有鼓膜造孔管的儿童在接触水时采取预防措施的必要性和有效性，在耳鼻喉科医生中存在一些争议。本研究旨在调查治疗这些儿童的耳鼻喉科医生的实践标准。
对美国南部和东部共1266名获得委员会认证的耳鼻喉科医生（平均从业14.8年）进行调查，以确定当前的建议。
在接受调查的医生中，13.1%禁止有鼓膜造孔管的儿童游泳，而3.1%认为无需采取防水预防措施。68%对游泳深度有限制，18%对游泳用水类型有限制。最常推荐的保护形式是使用耳塞，占比53.4%。79%的受访者指出，关于防水预防措施需求的建议有所放宽，他们将个人经验列为最具影响力的单一因素。绝大多数受访者表示，他们愿意根据临床试验产生的新信息改变目前的做法。
这项调查表明，耳鼻喉科医生对于鼓膜造孔管置入后防水预防措施的建议确实存在意见分歧。这项调查表明需要进行一项前瞻性随机临床试验来解决这个问题。
