Bezdjian Aren, Maby Alexandra, Daniel Sam J
Department of Otolaryngology - Head and Neck Surgery, McGill University, Montreal Children's Hospital, Montreal, Quebec, Canada.
Department of Otolaryngology - Head and Neck Surgery, McGill University, Montreal Children's Hospital, Montreal, Quebec, Canada.
Int J Pediatr Otorhinolaryngol. 2015 Nov;79(11):1793-7. doi: 10.1016/j.ijporl.2015.08.008. Epub 2015 Aug 14.
Few cases of medial migration of tympanostomy tubes have been reported and its optimal management has not been well delineated especially in asymptomatic patients. The aim of this review is to present all cases of medialized tympanostomy tubes reported in the literature in order to provide the most beneficial management option.
Eligible articles were identified through a comprehensive search in Cochrane, Embase and Medline electronic databases. Two reviewers independently screened the data sources, using pre-defined inclusion criteria to generate a list of eligible articles. Data extracted included patient demographics, diagnosis, type of tube, timing of migration, presenting symptoms, examination outcomes, treatment and follow up.
10 articles were chosen for data extraction from which 29 patients presenting with medial migration of tympanostomy tube were identified.
The low complications associated with removing a medialized tube and the risk of leaving foreign objects in the middle ear cleft make myringotomy for removal of the tube a practical and safe management option for medialized tubes even in asymptomatic patients.
鼓膜置管向内侧移位的病例报道较少，其最佳处理方法尚未明确界定，尤其是对于无症状患者。本综述的目的是呈现文献中报道的所有鼓膜置管向内侧移位的病例，以便提供最有益的处理方案。
通过在Cochrane、Embase和Medline电子数据库中进行全面检索来识别符合条件的文章。两名评审员独立筛选数据源，使用预先定义的纳入标准生成符合条件的文章列表。提取的数据包括患者人口统计学资料、诊断、置管类型、移位时间、出现的症状、检查结果、治疗及随访情况。
选择了10篇文章进行数据提取，从中识别出29例鼓膜置管向内侧移位的患者。
取出向内侧移位的置管相关并发症较少，且存在异物留存于中耳腔的风险，这使得即使对于无症状患者，通过鼓膜切开术取出置管也是一种实用且安全的处理向内侧移位置管的方法。
