title: Persistent otorrhoea after ventilation tube insertion: a treatment protocol.
abstract: Otorrhoea is the commonest complication of ventilation tube (grommet) insertion. In some cases it may be unresponsive to short courses of topical antibiotic/steroid drops and/or systemic antibiotics. This study investigated whether a five-day course of inpatient treatment with intravenous antibiotics, topical medication and daily microsuction was effective in treating persistent otorrhoea. Eleven subjects were included, of whom nine responded to the proposed treatment regimen. We recommend that patients with persistent otorrhoea after ventilation tube insertion should be managed according to these guidelines before considering an examination under anaesthetic or a ventilation tube removal.
authors.affiliation: Department of Otorhinolaryngology--Head and Neck Surgery, Leicester Royal Infirmary, Leicester.
authors.forename: M A
authors.initials: MA
authors.lastname: Siddiq
authors.forename: A A
authors.initials: AA
authors.lastname: Narula
mesh_terms: D000658:Amoxicillin / Q000008:administration & dosage; D000900:Anti-Bacterial Agents / Q000627:therapeutic use*; D002648:Child; D002675:Child, Preschool; D002908:Chronic Disease; D019818:Clavulanic Acid / Q000008:administration & dosage; D002985:Clinical Protocols; D004359:Drug Therapy, Combination / Q000627:therapeutic use*; D005260:Female; D005839:Gentamicins / Q000008:administration & dosage; D006801:Humans; D007223:Infant; D008297:Male; D008876:Middle Ear Ventilation / Q000009:adverse effects*; D010034:Otitis Media with Effusion / Q000188:drug therapy* / Q000209:etiology; D011183:Postoperative Complications / Q000517:prevention & control; D012189:Retrospective Studies
chemical_list: D000900:Anti-Bacterial Agents; D005839:Gentamicins; D019818:Clavulanic Acid; D000658:Amoxicillin