GROMMET EXTRUSION IN CHILDREN-TIMING AND OUTCOME OF EXTRUSION

Abstract

Objective: The aim of this study was to observe the time of extrusion of grommet and the effect which was observed after grommet extrusion.

Material and Methods: Retrospective review of 75 children who underwent grommet insertion for persistent OME was done in the Department of ENT & Head Neck surgery, Institute of Medicine, Tribhuvan University Teaching Hospital, Kathmandu, Nepal from April 2015 to December 2016. Children who underwent grommet insertion for persistent OME were evaluated and time of extrusion of grommet was noted. The outcome after grommet extrusion like complete healing of tympanic membrane, myringosclerosis, retracted tympanic membrane were noted

Results: In 40% of cases grommet extruded after 6- 9 months of insertion. Twelve patients had early extrusion. In 59 cases there was healed tympanic membrane after the extrusion of grommet. Eight cases had persistent perforation. Myringosclerosis was seen in seven cases, whereas grossly retracted pars tensa was seen in eight cases.

Conclusion: The consequences which may occur after the extrusion of grommet like persistent perforation of tympanic membrane, recurrence of OME retracted tympanic membrane purulent otorrhea, myrtrgoscletasis should be monitored regularly so that early management can be implemented

Keywords: Extrusion, Grommet, Otitis Media with Effusion