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Middle Ear Pressure Disregulation After Tympanostomy Tube Insertion
This study is currently recruiting participants.
Verified by Children's Hospital of Pittsburgh, June 2008
Sponsors and Collaborators: Children's Hospital of Pittsburgh
National Institute on Deafness and Other Communication Disorders (NIDCD)
Information provided by: Children's Hospital of Pittsburgh
ClinicalTrials.gov Identifier: NCT00393900
  Purpose

This study will determine if we can use certain tests (eustachian tube function tests and gas exchange tests) to predict whether or not a child who had tubes surgically placed in their eardrum because of middle-ear disease will redevelop the disease again after the tubes quit working.


Condition
Otitis Media With Effusion

MedlinePlus related topics: Ear Infections
U.S. FDA Resources
Study Type: Observational
Study Design: Cohort, Prospective
Official Title: Middle Ear Pressure Disregulation After Tympanostomy Tube Insertion

Further study details as provided by Children's Hospital of Pittsburgh:

Biospecimen Retention:   Samples With DNA

Biospecimen Description:

Buccal cells obtained for DNA


Estimated Enrollment: 140
Study Start Date: August 2006
Groups/Cohorts
1
Children with tympanostomy tubes for chronic OME

Detailed Description:

This study will enroll children 3-6 years of age with tympanostomy tubes inserted for otitis media with effusion (OME)and measure middle ear gas demand, middle ear volume and eustachian tube function longitudinally between the time of tube insertion and extrusion/nonfunctioning. The data will be used to test the hypotheses that: gas transfer across the middle ear mucosa decreases in phase with resolution of middle ear inflammation and effusion; gas transfer across the middle ear mucosa is increased by an episode of otorrhea; eustachian tube function is unaffected by tympanostomy tube insertion, and measurement of eustachian tube function and trans-middle ear mucosa gas transfer predicts disease recurrence and presentation after tube extrusion/nonfunctioning. The results of these studies will be used to support or refute tested components of existing models of middle ear pressure-regulation and to develop test protocols for risk assignments with respect to disease recurrence in individual ears after tympanostomy tube extrusion/nonfunctioning.

  Eligibility

Ages Eligible for Study:   3 Years to 6 Years
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No
Sampling Method:   Probability Sample
Study Population

Children 3-6 years old who underwent tympanostomy tube insertion for chronic otitis media with effusion within the 3 weeks prior to study enrollment

Criteria

Inclusion Criteria:

  • 3-6 years old
  • History of chronic otitis media with effusion(OME)
  • Scheduled or within 6 weeks of tube insertion
  • OME at entry or surgery
  • Generally good health

Exclusion Criteria:

  • Cleft palate or other syndromes predisposing to OM
  • History of recurrent acute otitis media only
  • History of complications of OM or its treatment
  • Unable to cooperate for testing
  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT00393900

Contacts
Contact: Ellen M Mandel, MD 412-692-5463
Contact: Kathy Tekely, RN 412-692-5463

Locations
United States, Pennsylvania
ENT Department, Children's Hospital of Pittsburgh Recruiting
Pittsburgh, Pennsylvania, United States, 15213
Contact: Kathy Tekely, RN     412-692-5463        
Sub-Investigator: Ellen M Mandel, MD            
Sponsors and Collaborators
Children's Hospital of Pittsburgh
Investigators
Principal Investigator: William J Doyle, PhD Department of Otolaryngology, Children's Hospital of Pittsburgh
Study Director: Ellen Mandel, MD Children's Hospital of Pittsburgh
  More Information

Responsible Party: University of Pittsburgh School of Medicine ( William J. Doyle, PhD )
Study ID Numbers: #0605013, NIH 1P50DC007667
Study First Received: October 30, 2006
Last Updated: June 4, 2008
ClinicalTrials.gov Identifier: NCT00393900  
Health Authority: United States: Institutional Review Board

Keywords provided by Children's Hospital of Pittsburgh:
otitis media
tympanostomy tube
eustachian tube function
gas exchange
tympanostomy tubes

Study placed in the following topic categories:
Otorhinolaryngologic Diseases
Otitis Media with Effusion
Otitis
Otitis Media
Ear Diseases

ClinicalTrials.gov processed this record on January 14, 2009