title: Water precautions in children with tympanostomy tubes.
abstract: OBJECTIVE
  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.
  
  
  METHODS
  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.
  
  
  RESULTS
  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.
  
  
  CONCLUSIONS
  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.
authors.affiliation: Department of Otolaryngology-Head and Neck Surgery and Pediatrics, Eastern Virginia Medical School, Norfolk 23507-1912.
authors.forename: C S
authors.initials: CS
authors.lastname: Derkay
authors.forename: M N
authors.initials: MN
authors.lastname: Shroyer
authors.forename: J
authors.initials: J
authors.lastname: Ashby
mesh_terms: D002648:Child; D004242:Diving; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D008876:Middle Ear Ventilation; D010036:Otolaryngology; D013550:Swimming