Otitis media surgery

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

Surgery

Myringotomy

• Myringotomy involves creating an incision inside the tympanic membrane to relieve pressure by draining effusive fluid or suppuration.
• It is indicated for recurrent cases of acute otitis media and chronic suppurative otitis media for the following presentations:
  • 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.
• Otorrhea is a possible complication of performing a myringotomy with a tympanostomy tube, affecting up to 17% of intubated ears.