{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,3]],"date-time":"2026-06-03T20:34:44Z","timestamp":1780518884490,"version":"3.54.1"},"reference-count":8,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2026,1,23]],"date-time":"2026-01-23T00:00:00Z","timestamp":1769126400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,1,23]],"date-time":"2026-01-23T00:00:00Z","timestamp":1769126400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["The Laryngoscope"],"published-print":{"date-parts":[[2026,6]]},"abstract":"ABSTRACT<\/jats:title>\n \n Objectives<\/jats:title>\n The purpose of this study is to compare the economics of in\u2010office tympanostomy tube placement using single use devices versus standard placement in the operating room (OR).<\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n A retrospective chart review was completed for all pediatric patients who underwent in\u2010office tympanostomy tube placement (CPT 69433) along with insurance and date matched patients with placement in the OR (CPT 69436) between 12\/1\/21\u20133\/1\/24. Financial data were compared among the public vs. private insurance cohorts using the Wilcoxon rank\u2010sum test with a two\u2010sided significance level of 5%.<\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n One hundred and thirty\u2010six in\u2010office patients were identified, 102 private versus 34 public, and compared with 136 insurance and date matched OR patients. The average total payment for both privately insured patients, $647.14 in\u2010office versus $6873.45 in the OR, and publicly insured patients, $312.74 in\u2010office versus $2656.34 in the OR, was statistically significant. The average insurance payment for both privately insured patients, $301.58 in\u2010office versus $5445.73 in the OR, and publicly insured patients, $310.63 in\u2010office versus $2258.65 in the OR, was statistically significant. For the patient payment, public insurance usually has 0 copay and is therefore excluded. The patient payment of the private insurance cohort, $308.30 in\u2010office versus $670.61 in the OR, was not found to be statistically significant.<\/jats:p>\n <\/jats:sec>\n \n Conclusion<\/jats:title>\n \n As expected, this study demonstrates significant reductions in overall cost with in\u2010office tympanostomy tube placement\n even with the added cost of single\u2010use devices<\/jats:italic>\n compared to the standard placement in the OR, particularly for insurance companies, suggesting the potential benefit of providing reimbursement for these devices.\n <\/jats:p>\n <\/jats:sec>\n \n Level of Evidence<\/jats:title>\n N\/A.<\/jats:p>\n <\/jats:sec>","DOI":"10.1002\/lary.70391","type":"journal-article","created":{"date-parts":[[2026,1,24]],"date-time":"2026-01-24T06:04:28Z","timestamp":1769234668000},"page":"2765-2768","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Economic Evaluation of Tympanostomy Tube Placement"],"prefix":"10.1002","volume":"136","author":[{"ORCID":"https:\/\/orcid.org\/0009-0005-8962-5756","authenticated-orcid":false,"given":"Keith D.","family":"Brendes","sequence":"first","affiliation":[{"name":"Creighton University School of Medicine Phoenix AZ USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chase","family":"Beckerman","sequence":"additional","affiliation":[{"name":"Phoenix Children's Hospital Phoenix AZ USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrew","family":"Ritchey","sequence":"additional","affiliation":[{"name":"Phoenix Children's Hospital Phoenix AZ USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nathan C.","family":"Page","sequence":"additional","affiliation":[{"name":"Phoenix Children's Hospital Phoenix AZ USA"},{"name":"University of Arizona School of Medicine\u2010Phoenix Phoenix AZ USA"},{"name":"Mayo Clinic School of Medicine Arizona Phoenix AZ USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9041-9064","authenticated-orcid":false,"given":"Mark E.","family":"Gerber","sequence":"additional","affiliation":[{"name":"Creighton University School of Medicine Phoenix AZ USA"},{"name":"Phoenix Children's Hospital Phoenix AZ USA"},{"name":"University of Arizona School of Medicine\u2010Phoenix Phoenix AZ USA"},{"name":"Mayo Clinic School of Medicine Arizona Phoenix AZ USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,1,23]]},"reference":[{"key":"e_1_2_10_2_1","volume-title":"StatPearls [Internet]","author":"Spaw M.","year":"2024"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.3390\/children9101591"},{"key":"e_1_2_10_4_1","unstructured":"\u201cHummingbird PE Ear Tube Information for Healthcare Professionals \u201dhummingbirdeartubes 2024 https:\/\/www.hummingbirdeartubes.com\/physicians\/hummingbird\u2010tts\u2010device\/."},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.1177\/01455613231212829"},{"issue":"4","key":"e_1_2_10_6_1","first-page":"S1","article-title":"In\u2010Office Tympanostomy Tube Placement in Children Using Iontophoresis and Automated Tube Delivery","volume":"130","author":"Lustig L. R.","year":"2020","journal-title":"Laryngoscope"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.1002\/lio2.533"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.1177\/01945998211065662"},{"key":"e_1_2_10_9_1","unstructured":"American Academy of Otolaryngology Head and Neck Surgery \u201cPosition Statement: In\u2010Office Placement of Tubes in Pediatric Patients While Awake \u201d 2019."}],"container-title":["The Laryngoscope"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/lary.70391","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/lary.70391","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/lary.70391","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,16]],"date-time":"2026-05-16T08:48:12Z","timestamp":1778921292000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/lary.70391"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,1,23]]},"references-count":8,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2026,6]]}},"alternative-id":["10.1002\/lary.70391"],"URL":"https:\/\/doi.org\/10.1002\/lary.70391","archive":["Portico"],"relation":{},"ISSN":["0023-852X","1531-4995"],"issn-type":[{"value":"0023-852X","type":"print"},{"value":"1531-4995","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,1,23]]},"assertion":[{"value":"2025-08-23","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-12-19","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-01-23","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}