{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T14:06:12Z","timestamp":1787061972778,"version":"build-2736575974"},"reference-count":15,"publisher":"SAGE Publications","issue":"1","license":[{"start":{"date-parts":[[2021,4,23]],"date-time":"2021-04-23T00:00:00Z","timestamp":1619136000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"name":"AventaMed","award":["Unrestricted Grant"],"award-info":[{"award-number":["Unrestricted Grant"]}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Ann Otol Rhinol Laryngol"],"published-print":{"date-parts":[[2022,1]]},"abstract":"<jats:sec>\n                    <jats:title>Objectives:<\/jats:title>\n                    <jats:p>Our objectives were to assess attitudes regarding office-based insertion of tympanostomy tubes without general anesthesia, to identify barriers that would discourage in-office procedures, and to highlight opportunities that would potentially facilitate this approach in the future.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>Cross-sectional survey administered to members of the American Society of Pediatric Otolaryngology (ASPO) from March to April 2020 using the Research Electronic Data Capture (Redcap), internet-based data capture platform. The brief, 10-item survey required 3\u2009minutes to complete and used a 5-point Likert scale for primary questions.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Respondents included 172 fellowship trained, pediatric otolaryngologists with 14 median years of clinical practice and 25 median tympanostomy tube insertions per month (75% &gt;40 per month). Although tubes, in any setting, were most often inserted in children under age 2\u2009years (95% \u201coften\u201d or \u201cvery often\u201d) and in those aged 3 to 5\u2009years (93%), the likelihoods of doing this in-office for these age groups were only 8% and 6% respectively. For children aged 6 to 12\u2009years, likelihood of in-office insertion was only 15%. Frequent barriers noted were safety concerns, emotional trauma, physical pain, and inability to suction. Opportunities to facilitate this approach include improved topical anesthesia, availability of conscious sedation, conclusive research on adverse effects of general anesthesia, and availability of an automated tube insertion device.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Office-based insertion of tympanostomy tubes in children without general anesthesia is performed by a small minority of respondents, but there are discernible barriers and opportunities to promote future uptake. Our results should facilitate ongoing discussion and innovation to better accommodate the preferences of families whose children are candidates for tympanostomy tubes.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/00034894211008063","type":"journal-article","created":{"date-parts":[[2021,4,23]],"date-time":"2021-04-23T07:02:18Z","timestamp":1619161338000},"page":"101-107","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":7,"title":["Otolaryngologists\u2019 Attitudes toward In-Office Pediatric Tympanostomy Tube Placement without General Anesthesia"],"prefix":"10.1177","volume":"131","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9899-4650","authenticated-orcid":false,"given":"Sam D.","family":"Schild","sequence":"first","affiliation":[{"name":"Department of Otolaryngology, State University of New York Downstate Health Sciences University, Brooklyn, NY, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Richard M.","family":"Rosenfeld","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology, State University of New York Downstate Health Sciences University, Brooklyn, NY, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2021,4,23]]},"reference":[{"key":"bibr1-00034894211008063","doi-asserted-by":"publisher","DOI":"10.1177\/0194599813490141"},{"key":"bibr2-00034894211008063","unstructured":"AAO-HNS Foundation. Position statement: In-office placement of tubes in awake pediatric patients while awake. 2019. Accessed August 21, 2020. https:\/\/www.entnet.org\/content\/placement-tubes-pediatric-patients-while-awake."},{"key":"bibr3-00034894211008063","doi-asserted-by":"publisher","DOI":"10.1177\/0194599817707178"},{"key":"bibr4-00034894211008063","unstructured":"Preceptis Medical. Humingbird TTS tympanostomy tube system. 2021. Accessed July 17, 2020. https:\/\/www.hummingbirdeartubes.com\/."},{"key":"bibr5-00034894211008063","unstructured":"AventaMed. Solo TTD: a new standard of care in tympanostomy tube surgery. 2021. Accessed July 17, 2020. https:\/\/aventamed.com\/"},{"key":"bibr6-00034894211008063","unstructured":"US Food and Drug Administration. Tula system. 2019. Accessed July 17, 2020. https:\/\/www.fda.gov\/medical-devices\/recently-approved-devices\/tularsystem-p190016"},{"key":"bibr7-00034894211008063","doi-asserted-by":"publisher","DOI":"10.1177\/0145561320924910"},{"key":"bibr8-00034894211008063","doi-asserted-by":"publisher","DOI":"10.1177\/0194599816636102"},{"key":"bibr9-00034894211008063","doi-asserted-by":"publisher","DOI":"10.1177\/0194599815608366"},{"key":"bibr10-00034894211008063","doi-asserted-by":"publisher","DOI":"10.1177\/0145561320919656"},{"key":"bibr11-00034894211008063","doi-asserted-by":"publisher","DOI":"10.1017\/S0022215106002118"},{"key":"bibr12-00034894211008063","doi-asserted-by":"publisher","DOI":"10.1016\/j.jfma.2012.04.006"},{"key":"bibr13-00034894211008063","doi-asserted-by":"publisher","DOI":"10.1007\/BF03022879"},{"key":"bibr14-00034894211008063","doi-asserted-by":"publisher","DOI":"10.1002\/lary.28612"},{"key":"bibr15-00034894211008063","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijporl.2015.09.041"}],"container-title":["Annals of Otology, Rhinology &amp; Laryngology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/00034894211008063","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/00034894211008063","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/00034894211008063","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T11:34:32Z","timestamp":1777376072000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/00034894211008063"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,4,23]]},"references-count":15,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2022,1]]}},"alternative-id":["10.1177\/00034894211008063"],"URL":"https:\/\/doi.org\/10.1177\/00034894211008063","relation":{},"ISSN":["0003-4894","1943-572X"],"issn-type":[{"value":"0003-4894","type":"print"},{"value":"1943-572X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,4,23]]}}}