title: Tympanostomy tubes: the conservative approach.
abstract: The clear advantage accruing from the use of tympanostomy tubes in the treatment of otitis media with effusion is immediate improvement in hearing; there are also disadvantages entailed, such as scarring of the drum risk of continuing otorrhea and interference with the patient's normal physical activities. All possible forms of medical treatment should be exhausted (antihistamine decongestants, politzerization) before resorting to tympanostomy tubes. There is a small group of children with severe chronic nasal obstruction and otitis media with effusion for whom adenoidectomy is likely to be required.
mesh_terms: D000233:Adenoidectomy; D002648:Child; D002921:Cicatrix / Q000209:etiology; D006311:Hearing Disorders / Q000209:etiology; D006634:Histamine H1 Antagonists / Q000627:therapeutic use; D006801:Humans; D007440:Intubation / Q000009:adverse effects; D009609:Nitrous Oxide / Q000627:therapeutic use; D010033:Otitis Media / Q000628:therapy*; D010034:Otitis Media with Effusion / Q000150:complications / Q000601:surgery / Q000628:therapy*; D014432:Tympanic Membrane / Q000601:surgery
chemical_list: D006634:Histamine H1 Antagonists; D009609:Nitrous Oxide