{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T02:01:32Z","timestamp":1787018492806,"version":"build-2736575974"},"reference-count":20,"publisher":"SAGE Publications","issue":"7","license":[{"start":{"date-parts":[[2018,5,28]],"date-time":"2018-05-28T00:00:00Z","timestamp":1527465600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Ann Otol Rhinol Laryngol"],"published-print":{"date-parts":[[2018,7]]},"abstract":"<jats:sec>\n                    <jats:title>Objectives:<\/jats:title>\n                    <jats:p>To determine the incidence of early postoperative tympanostomy tube insertion otorrhea and obstruction in pediatric patients receiving antibiotic ear drops with or without steroid perioperatively.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>A retrospective chart review was performed on patients who underwent outpatient myringotomy and tube placement. Patients from June 2013 to February 2014 received ciprofloxacin\/dexamethasone perioperatively while patients from May 2014 to April 2015 received ofloxacin. Statistical analysis was performed to compare outcomes between the cohorts.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>One hundred thirty-four patients received topical ciprofloxacin\/dexamethasone, and 116 patients received topical ofloxacin. The rate of postoperative otorrhea was 5.2% for the ciprofloxacin\/dexamethasone group and 8.2% for the ofloxacin group. Tube obstruction was seen in 6.0% of the ciprofloxacin\/dexamethasone group and 5.2% in the ofloxacin group. Neither outcome had a statistically significant difference ( P = .21 and .85, respectively). There was no difference in the rate of effusion at the time of tube placement between the 2 cohorts ( P = .16), and this included subgroup analysis based on effusion type (mucoid, purulent, serous). Patients with a mucoid effusion at the time of surgery were more likely to experience otorrhea\/obstruction than patients with dry ears (odds ratio = 2.23, P = .02).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>No significant difference in the incidence of immediate postoperative tympanostomy tube otorrhea or obstruction was seen between the antibiotic-steroid and antibiotic alone cohorts, regardless of effusion type. Overall, patients with mucoid effusions are more likely to develop tube otorrhea or obstruction at follow-up. Cost-effective drops should be used when prescribing topical therapy to prevent complications after ear tubes.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/0003489418776669","type":"journal-article","created":{"date-parts":[[2018,5,29]],"date-time":"2018-05-29T01:50:34Z","timestamp":1527558634000},"page":"445-449","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":10,"title":["Steroid Versus Antibiotic Drops in the Prevention of Postoperative Myringotomy Tube Complications"],"prefix":"10.1177","volume":"127","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9313-3376","authenticated-orcid":false,"given":"Sameer A.","family":"Alvi","sequence":"first","affiliation":[{"name":"Department of Otolaryngology-Head and Neck Surgery, University of Kansas Medical Center, Kansas City, Kansas, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joel W.","family":"Jones","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology-Head and Neck Surgery, University of Kansas Medical Center, Kansas City, Kansas, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Paul","family":"Porter","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology-Head and Neck Surgery, University of Kansas Medical Center, Kansas City, Kansas, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mollie","family":"Perryman","sequence":"additional","affiliation":[{"name":"Univerity of Kansas School of Medicine, Kansas City, Kansas, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Karen","family":"Nelson","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology-Head and Neck Surgery, University of Kansas Medical Center, Kansas City, Kansas, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carrie L.","family":"Francis","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology-Head and Neck Surgery, University of Kansas Medical Center, Kansas City, Kansas, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christopher G.","family":"Larsen","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology-Head and Neck Surgery, University of Kansas Medical Center, Kansas City, Kansas, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2018,5,28]]},"reference":[{"key":"bibr1-0003489418776669","doi-asserted-by":"publisher","DOI":"10.1177\/0194599813490141"},{"key":"bibr2-0003489418776669","doi-asserted-by":"publisher","DOI":"10.1067\/mhn.2001.113941"},{"key":"bibr3-0003489418776669","doi-asserted-by":"publisher","DOI":"10.1002\/lary.21015"},{"key":"bibr4-0003489418776669","doi-asserted-by":"publisher","DOI":"10.1001\/jamaoto.2014.1176"},{"key":"bibr5-0003489418776669","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijporl.2009.11.035"},{"key":"bibr6-0003489418776669","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa1301630"},{"key":"bibr7-0003489418776669","doi-asserted-by":"publisher","DOI":"10.1542\/peds.113.1.e40"},{"key":"bibr8-0003489418776669","doi-asserted-by":"publisher","DOI":"10.1177\/019459989210600125"},{"key":"bibr9-0003489418776669","doi-asserted-by":"publisher","DOI":"10.1097\/00005537-200002010-00011"},{"key":"bibr10-0003489418776669","doi-asserted-by":"publisher","DOI":"10.1097\/01.mlg.0000154746.55937.4d"},{"key":"bibr11-0003489418776669","doi-asserted-by":"publisher","DOI":"10.1001\/archotol.1995.01890040069011"},{"key":"bibr12-0003489418776669","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijporl.2007.01.012"},{"key":"bibr13-0003489418776669","doi-asserted-by":"publisher","DOI":"10.1016\/j.otohns.2004.02.037"},{"key":"bibr14-0003489418776669","doi-asserted-by":"publisher","DOI":"10.1001\/archotol.132.12.1294"},{"issue":"6","key":"bibr15-0003489418776669","volume":"139","author":"Steele DW","year":"2017","journal-title":"Pediatrics"},{"key":"bibr16-0003489418776669","first-page":"CD011684","volume":"11","author":"Venekamp RP","year":"2016","journal-title":"Cochrane Database Syst Rev"},{"key":"bibr17-0003489418776669","doi-asserted-by":"publisher","DOI":"10.1016\/S0165-5876(01)00552-3"},{"key":"bibr18-0003489418776669","doi-asserted-by":"publisher","DOI":"10.1001\/jamaoto.2016.0001"},{"key":"bibr19-0003489418776669","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2014-3141"},{"key":"bibr20-0003489418776669","doi-asserted-by":"publisher","DOI":"10.1002\/lary.26479"}],"container-title":["Annals of Otology, Rhinology &amp; Laryngology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/0003489418776669","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/0003489418776669","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/0003489418776669","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T11:32:00Z","timestamp":1777375920000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/0003489418776669"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,5,28]]},"references-count":20,"journal-issue":{"issue":"7","published-print":{"date-parts":[[2018,7]]}},"alternative-id":["10.1177\/0003489418776669"],"URL":"https:\/\/doi.org\/10.1177\/0003489418776669","relation":{},"ISSN":["0003-4894","1943-572X"],"issn-type":[{"value":"0003-4894","type":"print"},{"value":"1943-572X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2018,5,28]]}}}