Study of Different Kinds of Ear Tubes
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Purpose
There are different kinds of ear tubes that may be inserted into the tympanic membrane to relieve recurrent acute otitis and hearing impairment due to otitis media with effusion. The tubes differ in size, shape and material.
No-one knows if there are differences between the different kinds of tubes regarding complications.
The investigators' hypothesis is that there is differences between the different kinds of tubes regarding complications.
To test the investigators' hypothesis, the investigators are about to conduct a randomized controlled study of four kinds of tubes having two different material and two different shapes.
| Condition | Intervention |
|---|---|
|
Recurrent Acute Otitis Media Otitis Media With Effusion With Hearing Impairment |
Device: Insertion of a specific type of ventilation tube through the tympanic membrane |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Intervention Model: Parallel Assignment Masking: Single Blind (Subject) Primary Purpose: Treatment |
| Official Title: | Randomized Controlled Study of Transmyringeal Tubes |
- Time to complete expulsion of the ventilation tube from the tympanic membrane [ Time Frame: 45 months ] [ Designated as safety issue: No ]
- Persistent tympanic membrane perforation [ Time Frame: 45 months ] [ Designated as safety issue: No ]
- Need for tube extraction (pain or infection) [ Time Frame: 45 months ] [ Designated as safety issue: No ]
- Pain leading to health care contact [ Time Frame: 45 months ] [ Designated as safety issue: No ]
- Tube related ear infection [ Time Frame: 45 months ] [ Designated as safety issue: No ]
- Obstruction of the tube [ Time Frame: 45 months ] [ Designated as safety issue: No ]
- Presence of myringosclerosis [ Time Frame: 45 months ] [ Designated as safety issue: No ]
| Estimated Enrollment: | 400 |
| Study Start Date: | May 2008 |
| Estimated Study Completion Date: | September 2015 |
| Estimated Primary Completion Date: | September 2014 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
| Experimental: 1 |
Device: Insertion of a specific type of ventilation tube through the tympanic membrane
The ventilation tubes are tested using one type in one ear and another type as an active comparator in the other ear. The investigators will test in total 4 different kinds of tubes. Four different combinations of tubes will be tested. The first combination will test: "Shepard tube" (double flanged, Fluoroplastic) vs "Donaldson tube" (double flanged, silicone) The second combination will test: "Straight tube" (single flanged, Fluoroplastic) vs "Armstrong" (single flanged, silicone) The third combination will test: "Armstrong" (single flanged, silicone) vs "Donaldson tube" (double flanged, silicone) The fourth combination will test: "Straight tube" (single flanged, Fluoroplastic) vs "Shepard tube" (double flanged, Fluoroplastic) |
Eligibility| Ages Eligible for Study: | 1 Year to 10 Years |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- Children aged 1-10 planned for bilateral ventilation tubes
Exclusion Criteria:
- Ongoing ear infection
- Previous insertion of ventilation tube
Contacts and Locations| Sweden | |
| Danderyds Hospital | |
| Stockholm, Sweden, 18288 | |
| Principal Investigator: | Magnus von Unge, MD, PhD | ENT-dept Karolinska Hospital |
| Study Director: | Johan Knutsson, MD | Centre for clinical research Vastmanland |
More Information
No publications provided
| Responsible Party: | Magnus von Unge, Principal investigator, Danderyd Hospital |
| ClinicalTrials.gov Identifier: | NCT00809601 History of Changes |
| Other Study ID Numbers: | 2008/69-31/3 |
| Study First Received: | May 2, 2008 |
| Last Updated: | March 21, 2013 |
| Health Authority: | Sweden: Swedish National Council on Medical Ethics |
Additional relevant MeSH terms:
|
Deafness Hearing Loss Otitis Otitis Media Otitis Media with Effusion Hearing Disorders |
Ear Diseases Otorhinolaryngologic Diseases Sensation Disorders Neurologic Manifestations Nervous System Diseases Signs and Symptoms |
ClinicalTrials.gov processed this record on May 16, 2013