{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T15:30:21Z","timestamp":1777563021653,"version":"3.51.4"},"reference-count":15,"publisher":"SAGE Publications","issue":"1_suppl","license":[{"start":{"date-parts":[[2020,3,19]],"date-time":"2020-03-19T00:00:00Z","timestamp":1584576000000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Ear Nose Throat J"],"published-print":{"date-parts":[[2020,11]]},"abstract":"<jats:sec>\n                    <jats:title>Objectives:<\/jats:title>\n                    <jats:p>To discuss the indication for performing a mastoidectomy with catheter placement in patients with chronic tympanostomy tube otorrhea.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>The Medical Literature Analysis and Retrieval System Online was searched via PubMed for relevant articles using serous mastoiditis, mastoidectomy, chronic otorrhea, tube otorrhea, tympanostomy tubes, and biofilm as keywords.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Further understanding of the pathophysiology of otorrhea and the development of ototopical fluoroquinolones have made a draining tympanostomy tube more manageable. Nevertheless, chronic otorrhea refractory to an otolaryngologist\u2019s traditional treatment algorithm still occurs and may benefit from a mastoidectomy with antibiotic irrigation using a catheter in certain cases. We theorize that resolution of otorrhea results from this technique by decreasing the burden of diseased mucosa and providing a larger concentration or dose of antibiotic to the middle ear cleft through the antrum. High-resolution images of the technique and catheter placement are included in this review.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>Despite being an uncommon management strategy, the literature suggests an indication for performing a mastoidectomy in a small percentage of patients with a chronically draining tympanostomy tube.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/0145561320913350","type":"journal-article","created":{"date-parts":[[2020,3,19]],"date-time":"2020-03-19T05:37:47Z","timestamp":1584596267000},"page":"35S-38S","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["The Role of Mastoidectomy in Draining Ventilation Tubes"],"prefix":"10.1177","volume":"99","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2913-5692","authenticated-orcid":false,"given":"Joel W.","family":"Jones","sequence":"first","affiliation":[{"name":"Pittsburgh Ear Associates, Allegheny General Hospital, Pittsburgh, PA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Robert","family":"Archbold","sequence":"additional","affiliation":[{"name":"Pittsburgh Ear Associates, Allegheny General Hospital, Pittsburgh, PA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Todd A.","family":"Hillman","sequence":"additional","affiliation":[{"name":"Pittsburgh Ear Associates, Allegheny General Hospital, Pittsburgh, PA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Douglas A.","family":"Chen","sequence":"additional","affiliation":[{"name":"Pittsburgh Ear Associates, Allegheny General Hospital, Pittsburgh, PA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2020,3,19]]},"reference":[{"issue":"8","key":"bibr1-0145561320913350","first-page":"3","volume":"81","author":"Coates H","year":"2002","journal-title":"ENT J"},{"key":"bibr2-0145561320913350","doi-asserted-by":"publisher","DOI":"10.1067\/mhn.2001.113941"},{"issue":"6","key":"bibr3-0145561320913350","first-page":"4","volume":"80","author":"Myer CM","year":"2001","journal-title":"ENT J"},{"key":"bibr4-0145561320913350","doi-asserted-by":"publisher","DOI":"10.1097\/00006454-200010000-00014"},{"key":"bibr5-0145561320913350","doi-asserted-by":"publisher","DOI":"10.1177\/0194599815624407"},{"key":"bibr6-0145561320913350","doi-asserted-by":"publisher","DOI":"10.1097\/MOO.0000000000000493"},{"issue":"11","key":"bibr7-0145561320913350","first-page":"1","volume":"28","author":"Cullen KA","year":"2009","journal-title":"Natl Health Stat Report"},{"key":"bibr8-0145561320913350","doi-asserted-by":"publisher","DOI":"10.4103\/2229-5151.164940"},{"key":"bibr9-0145561320913350","doi-asserted-by":"publisher","DOI":"10.1177\/0194599818762382"},{"key":"bibr10-0145561320913350","doi-asserted-by":"publisher","DOI":"10.1288\/00005537-196907000-00001"},{"issue":"2","key":"bibr11-0145561320913350","first-page":"711","volume":"61","author":"Goodhill V","year":"1957","journal-title":"Am Acad of Opthal Otolaryngol"},{"issue":"1","key":"bibr12-0145561320913350","first-page":"119","volume":"39","author":"Brockman SJ","year":"1958","journal-title":"Trans Pacific Coast Oto-Opthal Soc"},{"key":"bibr13-0145561320913350","doi-asserted-by":"publisher","DOI":"10.1093\/femsre\/fux010"},{"key":"bibr14-0145561320913350","doi-asserted-by":"publisher","DOI":"10.1097\/INF.0b013e3181b20e7a"},{"issue":"10","key":"bibr15-0145561320913350","first-page":"523","volume":"63","author":"Newberg LB","year":"1984","journal-title":"ENT J"}],"container-title":["Ear, Nose &amp; 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