Impact of Tympanostomy Tubes on Child Quality of Life

Authors:
  • MBMahesh H. Bhaya
    Mahesh H. Bhaya
  • CBCharles M. Bower
    Charles M. Bower
  • PBPatrick E. Brookhouser
    Patrick E. Brookhouser
  • MCMargaretha L. Casselbrant
    Margaretha L. Casselbrant
  • KCKenneth H. Chan
    Kenneth H. Chan
  • MCMichael J. Cunningham
    Michael J. Cunningham
  • CDCraig S. Derkay
    Craig S. Derkay
  • SGSteven D. Gray
    Steven D. Gray
  • SMScott C. Manning
    Scott C. Manning
  • AMAnna H. Messner
    Anna H. Messner
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Abstract
MYRINGOTOMY WITH insertion of tube is the most common surgical procedure performed on children in the United States.1 In 1996 about 1 of every 110 children had tubes inserted, nearly double the rate of the next most frequent procedure, tonsillectomy. Although several randomized trials2-7 have defined the objective benefits of tubes, information regarding the subjective impact is largely anecdotal.8,9 Reduced incidence and prevalence rates of otitis media may delight physicians, but children want to feel and function better, parents want to worry less about their child's health, and third-party payers want evidence that surgical interventions actually improve quality of life (QOL). Not surprisingly, the absence of systematic data regarding the subjective impact of tympanostomy tubes has fueled skepticism regarding the appropriateness of surgery.10

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