Whelan Rachel L, Maguire Raymond C
Department of Otolaryngology, 12317University of Pittsburgh School of Medicine, Pittsburgh, PA, USA.
Ear Nose Throat J. 2020 Nov;99(1_suppl):48S-50S. doi: 10.1177/0145561320924910. Epub 2020 Jun 2.
With tympanostomy tube insertion remaining the most common procedure performed in children to date, growing interests in minimizing both procedural costs and anesthetic exposure in the pediatric population have inspired innovation with respect to tympanostomy tubes. As such, we aim to discuss the current state of tympanostomy tube innovation including insertion devices, tube material, and design.
Computerized literature review.
(1) Numerous single-use devices consisting of a myringotomy knife and preloaded tympanostomy tube offer potential advantages of decreasing or eliminating operating room time and may be performed under moderate instead of a general anesthetic. (2) Innovation with respect to tympanostomy tube material and design may offer enhanced ototopical drug delivery, decreased rates of tube occlusion, and/or the ability to dissolve "on-command" with application of a novel ototopical material. (3) These technologies currently remain in various phases of preclinical and clinical testing.
While clinical testing for a number of new technologies is preliminary and ongoing, tympanostomy tube-related innovations hold exciting promise to supplement or potentially replace the present-day armamentarium of tympanostomy tube design and insertion moving forward.
鼓膜置管至今仍是儿童中最常见的手术，人们越来越关注降低儿科手术的成本和减少麻醉暴露，这激发了鼓膜置管方面的创新。因此，我们旨在讨论鼓膜置管创新的现状，包括置入装置、导管材料和设计。
计算机文献综述。
（1）许多由鼓膜切开刀和预装鼓膜置管组成的一次性装置具有减少或消除手术室时间的潜在优势，并且可以在中度麻醉而非全身麻醉下进行。（2）鼓膜置管材料和设计方面的创新可能会增强耳局部给药、降低导管堵塞率，和/或通过应用新型耳局部材料实现“按需溶解”的能力。（3）这些技术目前仍处于临床前和临床试验的不同阶段。
虽然许多新技术的临床试验尚处于初步和进行中阶段，但鼓膜置管相关创新有望为未来补充或潜在替代目前的鼓膜置管设计和置入手段。
