Timeline for Why are antibiotics and ear tubes the primary treatment for chronic ear infections rather than improving normal drainage through the Eustachian tube? [closed]
Current License: CC BY-SA 3.0
24 events
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| Sep 19, 2015 at 3:15 | history | closed |
rumtscho kenorb Akshay Vasu michaelpri |
Needs more focus | |
| Sep 11, 2015 at 15:34 | history | edited | JohnP | CC BY-SA 3.0 |
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| Sep 11, 2015 at 11:45 | review | Close votes | |||
| Sep 19, 2015 at 3:15 | |||||
| Sep 11, 2015 at 11:25 | comment | added | rumtscho | After you clarified the exact nature of your question, I think it has to be closed. For details why I think so, please see meta.health.stackexchange.com/questions/422/…. | |
| Sep 11, 2015 at 8:38 | comment | added | Susan |
It’s not one specific form of the complaint; it’s people who have had their nasopharynx removed, usually as salvage therapy for cancer. The anatomy in the region of the Eustachian tube is....different. Not saying it isn’t interesting, but it does not support your contention that a Google search yielded quick data about this alternative for chronic ear infections that anongoognurse has inappropriately neglected.
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| Sep 11, 2015 at 8:21 | history | edited | Dr. Duncan | CC BY-SA 3.0 |
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| Sep 11, 2015 at 8:19 | comment | added | Dr. Duncan | First the study has to be done on humans then I find one done on humans with no effort, now because it only applies to one specific form of the complaint it's not relevant to a discussion of that complaint. It is one form of treatment that worked in one case, why couldn't it possibly be adapted to other forms? We don't know because the research is weak in this area. This is my point. | |
| Sep 11, 2015 at 8:13 | comment | added | Susan |
If most of life took place after nasopharyngectomy, that paper would be relevant.
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| Sep 11, 2015 at 7:38 | comment | added | Dr. Duncan | It's the first item that comes up for the google search, "stents for otitis media with effusion" | |
| Sep 11, 2015 at 7:29 | comment | added | Dr. Duncan | You mean like this one: ncbi.nlm.nih.gov/pubmed/23878003 | |
| Sep 11, 2015 at 7:05 | comment | added | anongoodnurse | You read with a very biased eye. My answer reflects what's out there. Your suggestions are not compatible with good physiology or medicine. If the risks didn't far, far outweigh the benefits, it would be easier to find papers where this was actually done on humans. | |
| Sep 11, 2015 at 6:58 | comment | added | Dr. Duncan | @anongoodnurse Actually I was surprised. In all of my reading your answer is the first to suggest that stenting be used to fully hold open the ET as your answer implies. Most just suggested holding open a single end (the isthmus or the nasopharyngeal side). I’m curious if using them to force a less horizontal position could be done, but not being an ENT surgeon I don't know if that is plausible. As you have found there seems to be research both supporting and finding risk. This is why I asked for further insight, your answer seemed biased by only citing the risks rather than an objective view. | |
| Sep 11, 2015 at 5:14 | comment | added | anongoodnurse | "...the thousands of sites that I read and didn't hold the answer for me, but are related to ear tubes and Eustachian tubes." Then surely my answer comes as no surprise. | |
| Sep 11, 2015 at 0:00 | answer | added | anongoodnurse | timeline score: 7 | |
| Sep 10, 2015 at 20:05 | history | edited | Dr. Duncan | CC BY-SA 3.0 |
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| Sep 10, 2015 at 20:04 | comment | added | Dr. Duncan | Sorry not enough room in a comment to list the thousands of sites that I read and didn't hold the answer for me, but are related to ear tubes and Eustachian tubes. It might be easier to list the searches that I didn't find the answer under. lmgtfy.com/?q=Ear+Tube+alternative+treatment+Eustachian+tubes. Sorry, I have not written a paper of my negative findings. | |
| Sep 10, 2015 at 19:54 | history | edited | JohnP | CC BY-SA 3.0 |
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| Sep 10, 2015 at 9:13 | history | edited | Susan | CC BY-SA 3.0 |
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| Sep 9, 2015 at 18:28 | comment | added | Dr. Duncan | Thanks for the links @Lucky. They are exactly what I followed to post my question. Let me show you. “Tell us what you found and why it didn’t meet your needs.” I found the primary treatment and it didn’t meet my needs because there was another way that seems to make more sense. I also listed the risks and some other treatment options that I had looked at. Providing citations in this case only proves that I researched. That I researched is obvious in the question. My citations do not assist in answering. The question was also on-topic, specific, and relevant to many people. | |
| Sep 9, 2015 at 17:34 | comment | added | Lucky | As for the terminology - it differs across countries, so I just wanted to clarify (that's what the comments are for, after all). It seemed by the way the question was constructed that you already had done some research before posting, so I simply asked you politely to share it with the rest of us :-). The request for prior research is not solely mine, it is a request agreed upon by the community. For more information please refer to the help centre and meta. | |
| Sep 9, 2015 at 17:14 | comment | added | Dr. Duncan | Honestly, does it matter who says it’s the primary treatment. Does it change an answer? Either the answer is, “they aren’t the primary treatment” or you answer the question as is. The only real reason to ask for a citation in this case would be to argue against the premise. If you want to argue the question as a false premise then you should have your own citation to back it up. If we want questioners to do that kind of research then what is the point of this site. You might as call this site “look it up yourself.” | |
| Sep 9, 2015 at 17:13 | comment | added | Dr. Duncan | Yes, I'm referring to tympanostomy, or as referenced by the Mayo Clinic, ear tubes, ventilation tubes, pressure equalization tubes or elsewhere as grommets, T-tube, PE tubes or myringotomy tubes. I can also call ear infections, Otitis Media With Effusion. However, since you understood the question I don't feel the need. To answer your question, the published practice guidelines say that ear tubes are the primary treatment for chronic ear infections. If you'd like to see here: emedicine.medscape.com/article/858990-treatment#d12 or ncbi.nlm.nih.gov/pubmed/15138413 | |
| Sep 9, 2015 at 12:01 | comment | added | Lucky | What sources say that ear tubes (I guess you are referring to tympanostomy?) are the primary treatment for chronic ear infections? Doesn't it depend on severity of the symptoms? I understand your reasoning, but for such a complex question a few resources to back up your arguments would be very useful to someone who would try to answer (IMO). Thanks! | |
| Sep 9, 2015 at 2:52 | history | asked | Dr. Duncan | CC BY-SA 3.0 |