Otitis media surgery: Difference between revisions

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==Overview==


==Surgery==
==Surgery==
===Acute Otitis Media===
===[[Myringotomy]]===
Prior to the invention of [[antibiotics]], severe acute otits media was mainly remedied surgically by [[Myringotomy]].  An outpatient procedure, it consists of making a small incision in the [[tympanic membrane]] to relieve pressure build-up.
*[[Myringotomy]] involves creating an incision inside the [[tympanic membrane]] to relieve pressure by draining effusive fluiod or [[suppuration]].<ref name="urlEar tube insertion: MedlinePlus Medical Encyclopedia">{{cite web |url=https://www.nlm.nih.gov/medlineplus/ency/article/003015.htm |title=Ear tube insertion: MedlinePlus Medical Encyclopedia |format= |work= |accessdate=}}</ref>
===Chronic Otitis Media with Effusion===
*It is indicated for recurrent cases of acute otitis media and chronic [[suppurative]] otitis media for the following presentations:<ref name="pmid6540871">{{cite journal |vauthors=Bluestone CD |title=Surgical management of otitis media |journal=Pediatr Infect Dis |volume=3 |issue=4 |pages=392–6 |year=1984 |pmid=6540871 |doi= |url=}}</ref>
In chronic cases or with effusions present for months, surgery is sometimes performed by an otolaryngologist (ear, nose, and throat specialist) or by an otologist (ear specialist), to insert a [[grommet]] (called a "[[tympanostomy tube]]") into the [[eardrum]] to allow air to pass through into the [[middle ear]], and thus release any pressure buildup and help clear excess fluid within.
**Persistent symptoms while undergoing [[microbial]] therapy.
**[[Suppurative]] complications.
**Severe [[ear pain]] requiring immediate relief.
**Indication for diagnostic [[tympanocentesis]]
*[[Myringotomy]] accompanied by the additional insertion of a [[tympanostomy]] tube is indicated by the following :
**[[Eustachian tube]] dysfunction.
**[[Suppurative]] complication requiring additional drainage via the [[tympanostomy]] tube.
**Necessity to repair the [[tympanic membrane]] from [[eustachian tube]] dysfunction.


==References==
==References==
{{reflist|2}}
{{reflist|2}}
[[Category:Needs content]]
[[Category:Needs overview]]
[[Category:Primary care]]
[[Category:Primary care]]
[[Category:Disease]]
[[Category:Disease]]

Revision as of 19:23, 13 April 2016

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Luke Rusowicz-Orazem, B.S.

Overview

Surgery

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References

  1. "Ear tube insertion: MedlinePlus Medical Encyclopedia".
  2. Bluestone CD (1984). "Surgical management of otitis media". Pediatr Infect Dis. 3 (4): 392–6. PMID 6540871.

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