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Purpose <p>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.</p> Methods <p>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.</p> Results <p>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.</p> Conclusions <p>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.</p>

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Postoperative management of pediatric tympanostomy tubes: a Yo-IFOS consensus

  • 期刊论文

  • 发表日期：

    2025年6月27日

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  • Nicolien van der Poel,
  • Alberto Maria Saibene,
  • François Simon,
  • Jerome R. Lechien,
  • Randa Al-Barazi,
  • Ahmed Alkhateeb,
  • Joana Ximenes Araújo,
  • Maria R. Barillari,
  • Ricardo Bartel,
  • Maryana B. Cherkes,
  • Sharon Cushing,
  • Stéphane Gargula,
  • Giannicola Iannella,
  • Carolyn M. Jenks,
  • Tal Marom,
  • Quentin Mat,
  • Erika Mercier,
  • Eric Moreddu,
  • Federica Parisi,
  • Shazia Peer,
  • Jeyasakthy Saniasiaya,
  • Natacha Teissier,
  • Vincent Van Rompaey,
  • Antonino Maniaci

摘要

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.