Contemporary indications for ventilation tube placement.
OBJECTIVE
To discuss the current indications for ventilation tube placement


RESULTS
In the past year, several studies have challenged the current guidelines for ventilation tube placement and antibiotic use for otitis media in children. Critics argue that some of these studies have poor scientific validity, yet these studies are being referenced, and sometimes misinterpreted, by the media. Fueled by these media reports, many concerned parents are now questioning otolaryngologists as to the efficacy and safety of ventilation tube placement. Whereas the indications for tube placement in children may be in a state of flux, the indications for tube placement in adults has (and is) fairly static. I will discuss the current published guidelines and the potential for changing trends in tube placement rates. I will also review the literature for the past year regarding postoperative management and adjuvant therapies.


CONCLUSIONS
Although there have been no radical changes in the indications for ventilation tube placement, recent studies have challenged the current clinical indicators and the ramifications of these studies may be more evident in the years to come.
Schraff
Scott A
SA
Arizona Otolaryngology Consultants, Phoenix, Arizona 85004, USA. schraffs@hotmail.com
D017677:Age Distribution; D001299:Audiometry / Q000379:methods; D002648:Child; D002675:Child, Preschool; D002908:Chronic Disease; D005260:Female; D006801:Humans; D015994:Incidence; D008297:Male; D008876:Middle Ear Ventilation / Q000592:standards* / Q000706:statistics & numerical data*; D010034:Otitis Media with Effusion / Q000175:diagnosis / Q000453:epidemiology / Q000601:surgery*; D010036:Otolaryngology / Q000592:standards / Q000639:trends; D018579:Patient Selection; D017410:Practice Guidelines as Topic; D011379:Prognosis; D018570:Risk Assessment; D012720:Severity of Illness Index; D017678:Sex Distribution; D016896:Treatment Outcome; D014481:United States