Evidence map›Paper›PMID 40579482›Full record

ArticleEuropean archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery2025

Postoperative management of pediatric tympanostomy tubes: a Yo-IFOS consensus.

Nicolien van der Poel, Alberto Maria Saibene, François Simon, Jerome R Lechien, Randa Al-Barazi, Ahmed Alkhateeb, Joana Ximenes Araújo, Maria R Barillari, Ricardo Bartel, Maryana B Cherkes and 14 more

Erratum issuedAbstract readConsensus Statement
PubMed Publisher
In one paragraph

Article in European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Occupational human papillomavirus exposure risks for laryngeal surgeons and phoniatricians: A joint European Laryngological Society (ELS) and Union of European Phoniatricians (UEP) Delphi clinical consensus statement.European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery · 2026
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

24 authors.

Nicolien van der Poel *Department of Otorhinolaryngology and Head & Neck Surgery, Antwerp University Hospital, Edegem, Belgium. Nicolien.vanderpoel@uza.be.
Alberto Maria Saibene *Otolaryngology Unit, Department of Health Sciences, Santi Paolo e Carlo Hospital, Università degli Studi di Milano, Milan, 20121, Italy.
François SimonUniversité Paris Cité, UFR de Médecine, Paris, France.
Jerome R LechienDepartment of Surgery, UMONS Research Institute for Health Sciences and Technology, University of Mons (UMons), Mons, Belgium.
Randa Al-BaraziPediatric Otolaryngology Head and neck surgery, American University of Beirut Medical Center, Beirut, Lebanon.
Ahmed AlkhateebDepartment of Otolaryngology, College of Medicine, King Fahad hospital of University, Imam Abdulrahman Bin Faisal University, Dammam, Kingdom of Saudi Arabia.
Joana Ximenes AraújoHospital de Cascais, Lisboa, Portugal.
Maria R BarillariAudiology and Phoniatrics Unit, Luigi Vanvitelli University, Naples, Italy.
Ricardo BartelOtolaryngology Department, Althaia Manresa University Hospital, Central University of Catalonia (UManresa - UVic), Barcelona, Spain.
Maryana B CherkesDepartment of Otorhinolaryngology & Head and Neck Surgery, Medical University of Graz., Graz, Austria.
Sharon CushingDepartment of Otolaryngology: Head & Neck Surgery, Hospital for Sick Children, Toronto, ON, Canada.
Stéphane GargulaDepartment of Otolaryngology, Hôpital Fondation Adolphe de Rothschild, Paris, France.
Giannicola IannellaUniversity of Rome, Sapienza, Italy.
Carolyn M JenksDepartment of Otorhinolaryngology and Head & Neck Surgery, Johns Hopkins University, Baltimore, MD, USA.
Tal MaromDepartment of Otolaryngology-Head and Neck Surgery, Samson Assuta Ashdod University Hospital, Ben Gurion University of the Negev, Tal Marom, Ashdod, Israel.
Quentin MatDepartment of Otorhinolaryngology, C.H.U. Charleroi, Charleroi, Belgium.
Erika MercierDepartment of Otolaryngology and Communication Enhancement, Boston Children's Hospital, Harvard Medical School, Boston, USA.
Eric MoredduDepartment of Pediatric Otorhinolaryngology- Head & Neck Surgery, La Timone Children's Hospital, APHM, Aix- Marseille Univ, Marseille, France.
Federica ParisiUniversity of Catania, Catania, Italy.
Shazia PeerDivision of Otorhinolaryngology, Head and Neck Surgery, University of Cape Town, Cape Town, South Africa.
Jeyasakthy SaniasiayaDepartment of Otorhinolaryngology, Faculty of Medicine, Universiti Malaya, Kuala Lumpur, 50603, Malaysia.
Natacha TeissierPediatric Otolaryngology Department, Robert Debré Hospital, Paris-Cité University, Paris, France.
Vincent Van RompaeyDepartment of Otorhinolaryngology and Head & Neck Surgery, Antwerp University Hospital, Edegem, Belgium.
Antonino ManiaciDepartment of Otolaryngology, Kore University, Enna, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeVentilation tube (VT) insertion is the most common surgical procedure in children, but there is known significant variation in post-operative management regimens. This Clinical Consensus Statement (CCS) aimed to establish an evidence-based framework for the follow-up management of children with VT.

methodsConsensus was sought using a modified Delphi protocol among 23 international otolaryngologists (16 otologists and 7 pediatric otolaryngology specialists) of the IFOS (World ENT Federation). Forty statements were assessed by a 9-point Likert scale through a systematic literature review and three rounds of survey. The consensus level was rated as strong (mean ≥ 8.00, no outliers), consensus (mean ≥ 7.00, ≤ 1 outlier), near consensus (mean ≥ 6.50, ≤ 2 outliers), or no consensus.

resultsNineteen out of 23 panelists scored the two Delphi rounds. From the 34 original statements, 4 reached strong consensus, 19 reached consensus, 4 reached near consensus, and 7 failed to reach consensus. The highest level of agreement was achieved regarding chronic otorrhea management, patient education protocols, and surveillance of retraction pockets. Different follow-up approach for short, intermediate and long tubes was proposed by the panel.

conclusionsThis CCS provides novel, evidence-based, comprehensive guidance for post-operative management of VT. The recommendations underscore individualized care with special emphasis on patient education and surveillance for complications.

Indexed as

Middle Ear VentilationOtitis Media with EffusionPostoperative CarePostoperative ComplicationsChildConsensusDelphi TechniqueHumansOtitis mediaPediatric otolaryngologyPostoperative managementTympanostomy tubes

Identifiers

PMID40579482

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.