Hostname: page-component-cd9895bd7-gvvz8 Total loading time: 0 Render date: 2024-12-27T06:53:43.315Z Has data issue: false hasContentIssue false
  • English
  • Français

A long-term review of the Shah Permavent tube

Published online by Cambridge University Press:  29 June 2007

J. D. Hern ,
A. Hasnie  and
N. S. Shah
J. D. Hern
Affiliation:
The Royal National Throat, Nose and Ear Hospital, Gray's Inn Road, London WC1X 8DA
A. Hasnie
Affiliation:
The Royal National Throat, Nose and Ear Hospital, Gray's Inn Road, London WC1X 8DA
N. S. Shah*
Affiliation:
The Royal National Throat, Nose and Ear Hospital, Gray's Inn Road, London WC1X 8DA
*
Address for correspondence: Mr. N. Shah, The Royal National Throat, Nose and Ear Hospital, Gray's Inn Road, London WC1 8DA.
Get access Rights & Permissions [Opens in a new window]

Abstract

A retrospective study of 74 Shah Permavent tube insertions is presented. These were inserted into 74 ears of 55 patients during the period between 1985 and 1988. At the time of review, 35 tubes had extruded spontaneously, 11 tubes had been removed for recurrent infections, 10 tubes had been removed electively and 10 tubes were still in situ. On examination of the ears approximately 12 months after the tubes had extruded, the overall rate of tympanic membrane perforation was 18.2 per cent. In ears in which the Permavent tube extruded spontaneously the perforation rate was 22.2 per cent. In ears in which the tube was removed because of infection the perforation rate was 20.0 per cent. However in ears in which the tube was removed electively the perforation rate was zero. This finding has implications in the use and management of long-term ventilation tubes.

Keywords

Otitis media with effusionMiddle ear ventilation
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 109 , Issue 4 , April 1995 , pp. 277 - 280
Copyright
Copyright © JLO (1984) Limited 1995

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Abdullah, V. A., Pringle, M. B., Shah, N. S. (1994) Use of the ‘trimmed’ Shah Permavent tube in the management of glue ear. Journal of Laryngology and Otology 108: 305–308.CrossRefGoogle ScholarPubMed
Brockbank, M. J., Jonathan, D. A., Grant, H. R., Wright, A. (1987) Goode T-tubes: do the benefits of their use outweigh their complications? Clinical Otolaryngology 13: 351–356.CrossRefGoogle Scholar
Hampal, S., Flood, L. M., Kumar, B. U. (1991) The minigrommet and tympanosclerosis. Journal of Laryngology and Otology 105(3): 161–164.CrossRefGoogle ScholarPubMed
Hussain, S. S. (1992) Extrusion rate of Shah and Shepard ventilation tubes in children. Ear, Nose and Throat Journal 71(6): 273–275.CrossRefGoogle ScholarPubMed
Klingensmith, M. R., Strauss, M., Conner, G. H. (1985) A comparison of retention and complication rates of largebore (Paparella) and small-bore middle-ear ventilating tubes. Otolaryngology-Head and Neck Surgery 93: 322–330.CrossRefGoogle ScholarPubMed
Mangat, K. S., Morrison, G. A. J., Ganniwalla, T. M. (1993) T-tubes: a retrospective review of 1274 insertions over a 4-year period. International Journal of Pediatric Otorhinolaryngology 25: 119–125.CrossRefGoogle ScholarPubMed
Per-Lee, J. H. (1981) Long-term middle ear ventilation. Laryngoscope 91: 1063–1072.CrossRefGoogle ScholarPubMed
Prichard, A. J. N., Marshall, J., Skinner, D. W., Narula, A. A. (1992) Long-term results of Goode's tympanostomy in children. International Journal of Pediatric Otorhinolaryngology 24: 227–233.CrossRefGoogle ScholarPubMed
Shah, N. S. (1991) Otitis media and its sequelae. Journal of the Royal Society of Medicine 84: 305–308.CrossRefGoogle ScholarPubMed
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