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Grommets, swimming and otorrhoea — a review

Published online by Cambridge University Press:  29 June 2007

M. B. Pringle
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Abstract

Ever since Armstrong reintroduced the concept co grommeet insertion parents have been asking ‘may my child swim?’, yet there is still no consensus as to the correct answer. This paper reviews the work that has been done on this subject in the last 25 years. A review of teh reates of otorrhoea following grommet insertion, irrespective of swimming, shows a variation from 12 to 64 per cent. Evidence suggests that pressures of 12–23 cm H2O are needed to push water through a grommeet and that it is unlikely that water will enter the middle ear during surface swimming. Only bath water seems to cause significant inflammtory changes to middle ear mucosa. Not a single paper comparing swimming without ear protection can be safely permitted for children with grommets.

Keywords

Otitis media with effusionVentilation tubes
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 107 , Issue 3 , March 1993 , pp. 190 - 194
Copyright
Copyright © JLO (1984) Limited 1993

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References

Abdullah, V., Vietch, D. Water and the ear, an ENT consultant survey. (Personal communication).Google Scholar
Anon, (1978) What is the present day management after inserting grommets in children. British Medical Journal 2: 420.Google Scholar
Armstrong, B. W. (1954) A new treatment for chronic secretory otitis media. Archives of Otolaryngology 59: 653–654.CrossRefGoogle ScholarPubMed
Arcand, P., Gauthier, P., Bilodeau, G., Chapados, G., Abela, A., Desjardins, R., Gagnon, P., Guerguerian, S. et al. (1984) Post myringotomy care: a prospective study. Journal of Otolaryngology 13(5)Google ScholarPubMed
Aycliffe, G. A. J., Brightwell, K. M., Collins, B. J., Lowbury, G. J. L. (1969) Varieties of aseptic practice in hospital wards. Lancet 1117–1119.CrossRefGoogle Scholar
Cooper, Astley A. (1801) Further observations on the effects which take place from the destruction of the membrana tympani of the ear with an account of an operation for the removal of a particular species of deafness. Philosophical Transactions of the Royal society of London, 435–450.Google Scholar
Balkany, T. J., Arenber, I. K., Steenerson, R. L. (1986) Ventilation tube surgery and middle ear ventilation. Laryngoscope, 96: 529–532.CrossRefGoogle Scholar
Barford, C, Rosberg, J. (1980) Secretory otitis media. Archives of Otolaryngology 106: 553–556.CrossRefGoogle Scholar
Becker, G. D., Eckberg, T. J., Goldware, R. R. (1987) Swimming and tympanostomy tubes. Laryngoscope 97: 740–741.CrossRefGoogle ScholarPubMed
Birk, H. G., Mravec, J. J. (1979) Myringotomy for middle ear effusions. Annals of Otology, Rhinologv and Laryngology 85 (Suppl. 25): 263–267.CrossRefGoogle Scholar
Chapman, D. F. (1980) Swimming and grommets. Clinical Otolaryngology 5: 420.Google Scholar
Debruyne, E., Jorisen, M., Poelmans, J. (1988) Otorrhoea during transtympanal ventilation. American Journal of Otology 9(4): 316–317.Google ScholarPubMed
Department of Health, HES statistics for 1988/1989.Google Scholar
El-Silimy, O., Bradley, P. J. (1986) Bacteriological aspects of swimming with grommets. Clinical Otolaryngology 11(5): 323–327.CrossRefGoogle ScholarPubMed
Fairbanks, D. N. F. (1980) Otic topical agents. Otolaryngology, Head and Neck Surgery 88: 327–331.CrossRefGoogle ScholarPubMed
François, M., Benzekri, P., Margo, J., Jaquemin, P., Bordure, P. (1992) Swimming and grommets—a letter. British Medical Journal 304: 778–779.CrossRefGoogle Scholar
Gates, G. A., Avery, C., Prihoda, T. J., Holt, R. (1988) Delayed onset post tympanostomy otorrhoea. Otolaryngology, Head and Neck Surgery 98(2): 111–115.CrossRefGoogle Scholar
Gibb, A. (1979) Secretory otitis media. In Scott-Brown's Diseases of the ear, nose and throat, 4th Edition, Vol. 2, p. 213.Google Scholar
Grace, A., Ryan, R., Durham, L., Johnson, A. (1987) The effect of swimming in chlorinated water on middle ear pressure. Journal of Otolaryngology 164: 228–230.Google Scholar
Groves, J. (1983) Grommets and swimming. Editorial. Journal of the Royal Society Medicine 76: 6.CrossRefGoogle Scholar
Herzon, F. S. (1980) Tympanostomy tubes infectious complications. Archives of Otolaryngology 106d: 645–647.CrossRefGoogle Scholar
Holt, J. J., Harmer, S. G. (1980) Effects of large bore middle ear ventilation tubes. Otolaryngology, Head and Neck Surgery 88; 581–585.CrossRefGoogle ScholarPubMed
Hughes, L. A., Warder, F. R., Hudson, W. R. (1974) Complications of tympanostomy tubes. Archives of Otolaryngology 100: 151–154CrossRefGoogle ScholarPubMed
Jaffe, B. F. (1981) Are water and tympanostomy tubes compatible. Laryngoscope 91: 563–564.CrossRefGoogle Scholar
Lildholdt, T. (1979) Unilateral grommet insertion in bilateral secretory otitis media: preliminary report on the results of 91 children. Clinical Otolaryngology 4: 87–93.CrossRefGoogle ScholarPubMed
Lounsbury, B. F. (1985) Swimming unprotected with long shafted middle ear ventilation tubes. Laryngoscope 95: 340–343.CrossRefGoogle ScholarPubMed
Ludman, H. (1981) Deafness in childhood. In ABC of ENT. BMA.CrossRefGoogle Scholar
Ludman, H. (1988) Deafness in childhood. In ABC of ENT. BMA p. 22.Google Scholar
Luxford, W. M., Sheehy, J. L. (1982) Myringotomy and ventilation tubes, a report of 1,568 ears. Laryngoscope 92: 1293–1297.CrossRefGoogle Scholar
Marks, N. J., Mills, R. P. (1983) Swimming and grommets. Journal of the Royal Society of Medicine 76: 23–26.CrossRefGoogle ScholarPubMed
Marks, N. J. (1985) Secretory otitis media, grommets and swimming. Editorial. Clinical Otolaryngology 10: 1–2.CrossRefGoogle Scholar
McLelland, C. A. (1980) Incidence of complications from use of tympanostomy tubes. Archives of Otolaryngology 106: 97–99.CrossRefGoogle ScholarPubMed
Morgan, N. J. (1987) Penetration of water down the external auditory meatus to the tympanic membrane. Journal of Laryngology and Otology 101: 536–537.CrossRefGoogle Scholar
Myerhoff, W. L., Morizono, T., Wright, C. G. (1983) Tympanostomy tubes and otic drops. Laryngoscope 93: 1022–1027.CrossRefGoogle Scholar
Pashley, N. R., Scholl, P. D. (1984) Tympanostomy tubes and liquids—an in-vitro study. Journal of Otolaryngology 13: 296–298.Google ScholarPubMed
Politzer, A. (1902) Diseases of the ear. 4th Edition. London, Balliere Tindall and Cox, p. 304.Google Scholar
Robson, W. L., Leung, A. K. (1990) Swimming and ear infection. Journal of the Royal Society of Health 110(6): 199–200.CrossRefGoogle ScholarPubMed
Roland, P. E. (1978) Grommets and swimming. British Medical Journal 2: 1301.CrossRefGoogle ScholarPubMed
Sarnaik, A. P., Vohra, M. P., Sturman, S. W., Belenky, W. M. (1986) Medical problems of the swimmer. Clinical Sports Medicine 5(1): 47–64.CrossRefGoogle ScholarPubMed
Sharma, P. D. (1986) Swimming with grommets. Scandinavian Audiological Supplement 26: 89–91.Google ScholarPubMed
Smelt, G. J. C, Monkhouse, W. S. (1985) The effect of bath water, sea water and swimming on the guinea pig middle ear. Journal of Laryngology and Otology 99: 1209–1216.CrossRefGoogle ScholarPubMed
Smelt, G. J. C, Yeoh, L. H. (1984) Swimming and grommets. Journal of Laryngology and Otology 98: 243–245.CrossRefGoogle ScholarPubMed
Toynbee, J. (1896) The diseases of the ear: their nature, diagnosis and treatment. H. K. Lewis & Co., London, p 216–221.Google Scholar
Wight, R. G., Jones, A. S., Connell, J. A. (1987) Three-year follow-up (1983–86) of children undergoing bilateral grommet insertion in Sheffield. Clinical Otolaryngology 12(5): 371–375CrossRefGoogle Scholar