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Tympanostomy tube insertion is the most common ambulatory surgery performed on children.1 Discharge from the ear canal (otorrhoea) is the most common sequela of tubes, with a mean incidence of 26% in observational studies and up to 83% with prospective surveillance.2 ,3 Acute tympanostomy tube otorrhoea (TTO) is usually a manifestation of acute otitis media and may occur during a viral upper respiratory infection or when water penetrates the tube and enters the middle ear space.
This open-label, pragmatic trial included 230 Dutch children aged 1–10 years with acute TTO (lasting up to 7 days) who were assigned randomly to three groups: (1) topical antibiotic …
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