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SHR Neuro Krebs Kardio Lipid Stoffw Microb

van, der, Poel, N; Saibene, AM; Simon, F; Lechien, JR; Al-Barazi, R; Alkhateeb, A; Araújo, JX; Barillari, MR; Bartel, R; Cherkes, MB; Cushing, S; Gargula, S; Iannella, G; Jenks, CM; Marom, T; Mat, Q; Mercier, E; Moreddu, E; Parisi, F; Peer, S; Saniasiaya, J; Teissier, N; Van, Rompaey, V; Maniaci, A.
Postoperative management of pediatric tympanostomy tubes: a Yo-IFOS consensus.
Eur Arch Otorhinolaryngol. 2025; Doi: 10.1007/s00405-025-09485-8
Web of Science PubMed FullText FullText_MUG

Co-Autor*innen der Med Uni Graz: Cherkes Maryana
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Abstract:: PURPOSE: Ventilation tube (VT) insertion is the most common surgical procedure in children, but there is known significant variation in post-operative management regimens. This Clinical Consensus Statement (CCS) aimed to establish an evidence-based framework for the follow-up management of children with VT. METHODS: Consensus was sought using a modified Delphi protocol among 23 international otolaryngologists (16 otologists and 7 pediatric otolaryngology specialists) of the IFOS (World ENT Federation). Forty statements were assessed by a 9-point Likert scale through a systematic literature review and three rounds of survey. The consensus level was rated as strong (mean ≥ 8.00, no outliers), consensus (mean ≥ 7.00, ≤ 1 outlier), near consensus (mean ≥ 6.50, ≤ 2 outliers), or no consensus. RESULTS: Nineteen out of 23 panelists scored the two Delphi rounds. From the 34 original statements, 4 reached strong consensus, 19 reached consensus, 4 reached near consensus, and 7 failed to reach consensus. The highest level of agreement was achieved regarding chronic otorrhea management, patient education protocols, and surveillance of retraction pockets. Different follow-up approach for short, intermediate and long tubes was proposed by the panel. CONCLUSIONS: This CCS provides novel, evidence-based, comprehensive guidance for post-operative management of VT. The recommendations underscore individualized care with special emphasis on patient education and surveillance for complications.
Find related publications in this database (Keywords): Pediatric otolaryngology; Otitis media; Tympanostomy tubes; Postoperative management