Ventilation tubes after surgery for otitis media with effusion or XXXX and swimming. Systematic review and meta-analysis.

@entity1 @entity697
OBJECTIVE: To determine if the use of ear protection when swimming of @entity1 with ventilation tubes modifies the risk of @entity697 ( @entity697 ) compared to not swimming. METHODS: Systematic review. DATA SOURCES: Search conducted in MEDLINE, EMBASE and The Cochrane Library databases. STUDY SELECTION: Prospective cohort studies and controlled clinical trials of @entity1 with ventilation tubes, with a minimum follow-up of 2 months. DATA EXTRACTION: Two reviewers independently assessed trial quality and extracted data. RESULTS: 11 studies were selected. No difference was found in risk of @entity697 in @entity1 who swim without ear protection compared with those who do not swim: Odds ratio=0.78, 95% confidence interval 0.42-1.44; nor compared with those who use earplugs and swimming caps, odds ratio=0.75, 95% confidence interval 0.38-1.48; nor in those who use ear drops after swimming compared with those who used earplugs or swimming caps, odds ratio=0.76, 95% confidence interval 0.56 to 1.02. The use of ear drops after swimming increases the risk of @entity697 in @entity1 with ventilation tubes as compared with those who do not swim, odds ratio=3.14, 95% confidence interval 1.40 to 7.05. CONCLUSIONS: There is no evidence to suggest that protection when swimming with earplugs, swimming caps or ear drops in @entity1 with ventilation tubes reduces the risk of @entity697 . Ear drops may even increase this risk.
