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A comparison of performance of Shepard and Sheehy collar button ventilation tubes

Published online by Cambridge University Press:  29 June 2007

Judith M. Heaton ,
Brian J. G. Bingham  and
Jonathan Osborne
Judith M. Heaton*
Affiliation:
Registrar, Department of Otolaryngology, Ninewells Teaching Hospital, Dundee DD1 9SY.
Brian J. G. Bingham
Affiliation:
Senior Registrar, Department of Otolaryngology, Ninewells Teaching Hospital, Dundee DD1 9SY.
Jonathan Osborne
Affiliation:
Consultant, Department of Otolayrngology, Glan Clwyd Hospital, Bodelwyddan, North Wales.
*
Judith M. Heaton, M.A., F.R.C.S., Department of Otolaryngology, Wards 26/27, Ninewells Hospitals, Dundee DD1 9SY.
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Abstract

This study was designed to confirm the longer in situ life of the Sheehy collar button compared with the Shepard tube and to assess the complication rate associated with the two tubes. Cases of bilateral otitis media with effusion had a Shepard tube inserted in one ear and a Sheehy contralaterally. The insertion position was allocated randomly. The patients were then assessed at three-monthly intervals for two years. In 71 percent of those in whom at least on tube had extruded, the Sheehy remained in situ longer. The antero-inferior tube remained longer than the postero-inferior whichever type was used. There was no significant difference between complication rates, or recurrence rates of middle ear effusion after tube extrusion, for the two types. We conclude that use of a Sheehy rather than a Shepard tube carries no increased risk of complications and the patient may require further surgery less often in total.

Keywords

Middle ear ventilationOtitis media with effusion
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 105 , Issue 11 , November 1991 , pp. 896 - 898
Copyright
Copyright © JLO (1984) Limited 1991

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Footnotes

Paper presented at Scottish Otolaryngological Society meeting, Crieff, 15 June 1990.

References

Armstrong, B. W. (1954) A new treatment for chronic secretory otitis media. Archives of Otolaryngology, 59: 653–654.CrossRefGoogle ScholarPubMed
Bingham, B. J. G., Gurr, P. A., Owen, G. (1989) Tympanic membrane perforation following the removal of ventilation tubes in the presnece of persistent aural discharge. Clinical Otolaryngology, 14: 525–528.CrossRefGoogle Scholar
Bingham, B. J. G., Milroy, C. M. (1989) The histological appearance of the tympanic edge in contact with an indwelling ventilation tube (grommet). Clinical Otolaryngology, 14: 297–303.CrossRefGoogle ScholarPubMed
Curley, J. W. A. (1986) Grommet insertion: some basic questions answered. Clinical Otolaryngology, 11: 1–4.CrossRefGoogle ScholarPubMed
Gibb, A. G., Mackenzie, I. J. (1985) The extrusion rate of grommets. Otolaryngolgoy—Head and Neck Surgery, 93: 695–699.CrossRefGoogle ScholarPubMed
Hughes, L. A., Warder, F. R., Hudson, W. R. (1974) Complications of tympanostomy tubes. Archives of Otolaryngology, 100: 151–154.CrossRefGoogle ScholarPubMed
Moore, P. J. (1990) Ventilation tube duration versus design. Annals of Otology, Rhinology and Larynoglogy, 99: 722–723.CrossRefGoogle ScholarPubMed
Padgham, N., Mills, R., Christmas, H. (1989) Has the increasing use of grommets influenced the frequency of surgery for cholesteatoma? Journal of Laryngology and Otology, 103: 1034–1035.Google Scholar
Per Lee, J. H. (1981) Long-term middle ear ventilation. Laryngoscope, 91: 1063–1072.CrossRefGoogle ScholarPubMed
Slack, R. W. T., Gardner, J. M., Chatfield, C. (1987) Otorrhoea in children with middle ear ventilation tubes: a comparison of different types of tube. Clinical Otolaryngology, 12: 357–360.CrossRefGoogle Scholar
Smyth, G. D. L., Hall, S. (1983) Aetiology and treatment of persistent middle ear effusion. Journal of Laryngology and Otology, 97: 1085–1089.CrossRefGoogle ScholarPubMed
Smyth, G. D. L., Patterson, C. C., Hall, S. (1982) Tympanostomy tubes: do they significantly benefit the patient? Otolaryngology—Head and Neck Surgery, 90: 783–786.Google Scholar
Von Schoenberg, M., Wengraf, C. L., Gleeson, M. (1989) Results of middle ear ventilation with Goode's tubes. Clinical Otolaryngology, 14: 503–508.CrossRefGoogle ScholarPubMed