what is the surgical procedure for the placement of a tube to drain fluid from the middle ear

A myringotomy is a procedure to create a hole in the ear drum to permit fluid that is trapped in the heart ear to drain out. The fluid may be blood, pus and/or h2o. In many cases, a small tube is inserted into the pigsty in the ear drum to help maintain drainage.

Reasons to Accept a Myringotomy

A myringotomy may be done:

• To restore hearing loss caused by chronic fluid build-upwards and to forestall delayed speech evolution caused by hearing loss in children
• To place tympanostomy tubes — these tubes assistance to equalize force per unit area. Information technology may also aid forestall recurring ear infections and the accumulation of fluid behind the ear drum.
• To assist treat an ear infection that is not responding to medical treatment
• To accept sample fluid from the heart ear to examine in the lab for the presence of bacteria or other infections

After the procedure, pain and/or pressure in the ear due to fluid build-up should exist alleviated. Hearing loss due to fluid build-up should improve equally well.

Myringotomy Risks

Problems from the procedure are rare, but all procedures have some gamble. Your doctor will review potential problems, like:

• Bleeding
• Infection
• Chronic scarring
• Failure of the myringotomy incision in the ear pulsate to heal as expected, which may upshot in frequent drainage
• Hearing loss
• Injury to ear structures other than the ear drum
• Need for repeat surgery

About the Myringotomy Procedure

Your doctor will likely do the following:

• Blood tests
• Hearing exam
• Tympanogram — a test that measures how well the ear drum responds to changes in pressure level
• Examine the external ear and the ear pulsate with an instrument called an otoscope

Prepare for Your Myringotomy

• Arrange for a ride to and from the process.
• Do not eat or drink annihilation for at least eight hours earlier the process.

Talk to your physician nearly your medications. You may exist asked to stop taking some medications up to one calendar week before the procedure, like:

• Nonsteroidal anti-inflammatory medications (NSAIDs)
• Blood thinners
• Antiplatelets

About the Procedure

A minor microscope is placed in position to give the doctor a better view. A tiny incision will be made in the eardrum. Fluid from the middle ear will then be tuckered. In virtually cases, a small tube volition be inserted and left in identify. This will allow the drainage to continue.

No stitches will be used to shut the incision. The incision will heal itself. The procedure is often done on both ears. Some doctors may utilise a laser beam to brand the opening in the ear drum.

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The surgery will last about 15–20 minutes.

Does a Myringotomy Injure?

Anesthesia prevents hurting during surgery. You may have minor hurting after surgery. Your doctor can give you pain medication or recommend a nonprescription pain reliever to manage this discomfort. Likewise, lidocaine ear drops may be given to decrease pain.

If ear tubes are inserted, yous may experience popping, pulsation, clicking, or minor pain when burping, chewing, or yawning until the ear heals around the tubes.

After the Procedure

After the procedure, exist sure to follow your doctor's instructions, which may include:

• If cotton was placed in the ear canal to blot postsurgical drainage, modify information technology regularly. (Drainage should stop or reduce to a minimal amount inside ii-3 days.)
• If you are given ear drops, use equally directed. You will normally put three drops in each ear, three times a twenty-four hour period for three days afterward surgery.
• If water gets in the ear afterward surgery, monitor for drainage. If drainage begins, utilise ear drops if directed by your medico, and if drainage continues for three days (or as directed), call your doc.
• Take any medications as prescribed by your doctor.
• Use ear plugs as prescribed by your doctor while swimming or bathing, and avert underwater swimming and diving unless instructed otherwise.
• Practise not clean your ear after surgery or place anything other than ear drops, cotton or ear plugs into the ear, unless instructed otherwise past your md.
• Enquire your physician about when it is rubber to shower, bathe or soak in h2o.

Consummate healing without complications should occur within four weeks. If ear tubes were inserted, they should autumn out within 6-12 months. In some cases, surgery to remove the ear tubes may be necessary. About ear drums heal usually subsequently tubes come out, merely visible scarring is not unusual.

When to Telephone call

After arriving home, contact your doctor if any of the following occurs:

• Signs of infection, including fever and chills
• Redness, swelling, increasing pain, excessive haemorrhage or belch from the ear
• Hurting that you cannot control with the medications yous take been given
• Drainage from ear continues for more than than four days after surgery
• Decreased hearing
• Coughing, shortness of breath, breast pain or severe nausea or vomiting
• Whatever other new concerns

If you call up you have an emergency, telephone call for medical assist right away.

Content was created using EBSCO'due south Health Library. Edits to original content made by Rector and Visitors of the University of Virginia. This information is not a substitute for professional medical advice.

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Source: https://uvahealth.com/services/hearing-balance/myringotomy-ear-tubes#:~:text=A%20myringotomy%20is%20a%20procedure,drum%20to%20help%20maintain%20drainage.

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