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Myringotomy tubes
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6/3/2014 at 2:57:51 PM GMT
Posts: 4
Myringotomy tubes

Right now, 50% of our patients required tubes.  We find this number to be high.  We are a monoplace facility doing outpatient care only.  We are at approximately 475 ft above sea level. 
We use a 20 minute compression and decompression profile and every patient gets 2 five minute air breaks.  Does anyone else have this high of a rate of patients requiring tubes?

6/4/2014 at 11:12:48 PM GMT
Posts: 5
It all depends on the pt population we're treating at the time. Head/neck radiation nec, ch ref osteo of the jaw or those with a history of chronic ear or sinus infections tend to have a greater incidence of PE tube placement. Without going thru my pt stats, I'd be willing to guess that at least 50% of our head/neck patients end up requiring PE tubes. From what I've seen, these patients don't respond well to most clearing techniques or pseudoephredine (if they can even take it). For all other indications the incident of PE tube placement is much less. Feel free to contact me if you have other questions.

10/8/2014 at 12:40:55 PM GMT
Posts: 2
I realize this is a late response, but I find that number to be high also. What pressure equalization techniques are you using, and are you doing the teaching and return demonstration at the time of orientation?

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