Self-Retaining Harpoon Tympanostomy Tube with Applicator
DOI:
https://doi.org/10.32412/pjohns.v22i1-2.797Keywords:
middle ear ventilation, tympanostomy tube insertion, grommet insertion, instrumentationAbstract
Objective: To describe a novel harpoon design for a low cost, self retaining tympanostomy tube with applicator used in a 38-year-old female for otitis media with effusion.
Methods:
- Study design: Instrumental Innovation/Case Report
- Setting: Tertiary Hospital in Metro Manila
Results: The tympanostomy tube was inserted under endoscopic guidance within 10 seconds, remained in place for two months with relief of symptoms, and spontaneously extruded by the seventh month of follow-up.
Conclusion: The harpoon-designed tube with applicator provided ease of insertion and good anchorage in the tympanic membrane. Maximizing the use of a stylet-needle as both perforator and applicator simplified the tympanostomy and ventilating tube insertion procedures into a single maneuver.
Key words: middle ear ventilation, tympanostomy tube insertion, grommet insertion, instrumentation
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