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A Systematic Review and Meta‐Analysis: Timing of Elective Removal of Tympanostomy Tubes

Tympanostomy tube (TT) placement is the most common surgical procedure in children. Less than 10% of TT do not self‐extrude. This study is a systematic review (SR) on elective TT removal in the pediatric population: timing, perforation rates, and role of simultaneous repair. A PICOTS (population, intervention, comparison, outcome, timing, setting) question was formulated: In pediatric patients who have retained TT, what is the preferred time to elective removal of such tubes, and what are the outcomes in terms of perforation rates? Does an intervention at the time of TT removal improve perforation rates?