title: Extracts from the Cochrane Library: interventions for the prevention of postoperative ear discharge after insertion of ventilation tubes (grommets) in children.
abstract: The "Cochrane Corner" is a section in the journal that highlights systematic reviews relevant to otolaryngology-head and neck surgery, with invited commentary to aid clinical decision making. This installment features a Cochrane Review, "Interventions for the Prevention of Postoperative Ear Discharge after Insertion of Ventilation Tubes (Grommets) in Children," that concludes if a surgeon has a high rate of postoperative otorrhea in children, then saline irrigation or antibiotic ear drops at the time of surgery would significantly reduce that rate. If topical drops are chosen, a single application at the time of surgery is suggested to reduce the cost and potential for ototoxic damage (if applicable).
authors.affiliation: Department of Otolaryngology, University College of London, United Kingdom.
authors.forename: Anne G M
authors.initials: AG
authors.lastname: Schilder
authors.forename: Martin J
authors.initials: MJ
authors.lastname: Burton
authors.forename: Jennifer J
authors.initials: JJ
authors.lastname: Shin
authors.forename: Richard M
authors.initials: RM
authors.lastname: Rosenfeld
mesh_terms: D000900:Anti-Bacterial Agents / Q000008:administration & dosage / Q000627:therapeutic use*; D002648:Child; D019317:Evidence-Based Medicine; D006801:Humans; D008876:Middle Ear Ventilation / Q000009:adverse effects / Q000295:instrumentation; D010034:Otitis Media with Effusion / Q000517:prevention & control*; D010035:Otitis Media, Suppurative / Q000601:surgery; D011183:Postoperative Complications / Q000517:prevention & control*; D011184:Postoperative Period; D012965:Sodium Chloride / Q000008:administration & dosage; D007507:Therapeutic Irrigation / Q000379:methods; D016896:Treatment Outcome
chemical_list: D000900:Anti-Bacterial Agents; D012965:Sodium Chloride
keywords: evidence-based medicine; otorrhea; systematic review; tympanostomy tubes