{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,17]],"date-time":"2026-08-17T14:49:29Z","timestamp":1786978169478,"version":"build-2736575974"},"reference-count":18,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2024,7,27]],"date-time":"2024-07-27T00:00:00Z","timestamp":1722038400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Laryngoscope Investig Oto"],"published-print":{"date-parts":[[2024,8]]},"abstract":"Abstract<\/jats:title>\n \n Objective<\/jats:title>\n To assess differences in otorrhea, tympanic membrane perforation, and time to extrusion in children receiving one of four commonly used, short\u2010term ventilation tubes for the first time.<\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n Retrospective chart review of 2\u2009years of postoperative follow\u2010up to analyze patient outcomes after insertion of either a Paparella type\u2010I Activent, Armstrong Beveled, Modified Armstrong, or Armstrong Microgel ventilation tube. Incidence of complications was determined by reviewing provider notes. Adjusted multivariate logistic regression models were used to determine odds ratios of complications among the four tube types.<\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n A total of 387 patients were reviewed. The mean age was 2.4\u2009years and 35.9% were female. Armstrong beveled tubes had the highest odds of otorrhea. Paparella type\u2010I tube had the shortest time to extrusion of about 9\u2009months, while Armstrong Beveled had the longest, at almost 19\u2009months. When evaluating episodes of otorrhea each child experienced on average, per month, Armstrong beveled tubes had the highest monthly rate of otorrhea and Paparella type\u2010I the least. No significant differences were found regarding tympanic membrane perforation.<\/jats:p>\n <\/jats:sec>\n \n Conclusions<\/jats:title>\n This retrospective chart review showed that no tube was clinically superior across all complications. The findings from this study may give otolaryngologists an opportunity to consider choosing a specific type of tube according to the clinical situation. The large variations in extrusion times should be considered in terms of patient age, seasonality, and desired duration of tube placement.<\/jats:p>\n <\/jats:sec>\n \n Level of Evidence<\/jats:title>\n 4.<\/jats:p>\n <\/jats:sec>","DOI":"10.1002\/lio2.1306","type":"journal-article","created":{"date-parts":[[2024,7,27]],"date-time":"2024-07-27T15:39:19Z","timestamp":1722094759000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Comparison of four ventilation tubes commonly used in the pediatric population:\n A<\/scp>\n retrospective cohort study"],"prefix":"10.1002","volume":"9","author":[{"given":"Margareta","family":"Morrissette","sequence":"first","affiliation":[{"name":"Division of Pediatric Otolaryngology, Department of Otolaryngology Head and Neck Surgery New York University Grossman School of Medicine New York New York 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