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This SBU report reviews the scientific evidence for tympanostomy tube insertion in the tympanic membrane (eardrum) of children with recurrent acute otitis media (inflammation of the middle ear) or long-term episodes of secretory otitis media (with fluid accumulation in the middle ear). Although these condi- tions eventually heal, approximately 10 000 Swedish children a year have such severe problems due to episodes of pain, reduced quality of life or hearing loss that tympanostomy tube insertion is considered to be warranted. Annual socioeconomic costs asso- ciated with the conditions total approximately sek 600 million.
The systematic literature review, along with a survey of clinical practice, generated the following conclusions.
How to cite this report: SBU. Tympanostomy tube insertion for otitis media in children. Stockholm: Swedish Council on Health Technology Assessment in Health Care (SBU); 2008. SBU report no 189 (in Swedish).
presents a comprehensive, systematic assessment of available scientific evidence. The certainty of the evidence for each finding is systematically reviewed and graded. Full assessments include economic, social, and ethical impact analyses.
SBU assessments are performed by a team of leading professional practitioners and academics, patient/user representatives and SBU staff. Prior to approval and publication, assessments are reviewed by independent experts, SBU’s Scientific Advisory Committees and Board of Directors.