A randomized double-blind controlled trial of phosphorylcholine-coated tympanostomy tube versus standard tympanostomy tube in children with recurrent acute and chronic otitis media

Laryngoscope. 2011 Jan;121(1):214-9. doi: 10.1002/lary.21156.

Abstract

Objective: To compare the postoperative complication rates of phosphorylcholine-coated fluoroplastic tympanostomy tubes versus uncoated fluoroplastic tympanostomy tubes.

Methods: A prospective randomized double-blind controlled trial in children with recurrent acute otitis media and chronic otitis media with effusion; 240 children were randomized to receive a phosphorylcholine-coated tube in one ear and an uncoated tube in the other. Postoperatively, patients were assessed at 2 weeks and 4, 8, 12, 18, and 24 months to ascertain the incidence of otorrhea, tube lumen blockage, and early extrusion.

Results: Out of 240 children, 5 withdrew and 16 were lost to early follow-up. The mean age was 43.8 months. There were no statistically significant differences in the incidence of postoperative otorrhea, tube blockage, and extrusion.

Conclusions: Phosphorylcholine-coated fluoroplastic ventilation tubes do not offer any advantages over uncoated standard fluoroplastic tympanostomy tubes.

Publication types

  • Comparative Study
  • Randomized Controlled Trial
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Acute Disease
  • Child
  • Child, Preschool
  • Chronic Disease
  • Coated Materials, Biocompatible*
  • Double-Blind Method
  • Female
  • Humans
  • Infant
  • Male
  • Middle Ear Ventilation / adverse effects
  • Middle Ear Ventilation / instrumentation*
  • Otitis Media / surgery*
  • Otitis Media with Effusion / surgery
  • Phosphorylcholine*
  • Recurrence

Substances

  • Coated Materials, Biocompatible
  • Phosphorylcholine