What is the procedure and how is it performed?
Myringotomy is a procedure in which a small cut (incision) is made in the eardrum. Usually it is done in both ears although sometimes it is only needed in one ear. If there is fluid inside the middle ear space it may be removed (suctioned out) at this time through the incision. Tympanostomy tubes can be placed into the incisions. The tubes are open at both ends and allow air to pass through. This keeps fluid from forming in the middle ear space. The tubes are left in place until they fall out or are removed by the surgeon at a later time. The procedure is usually done under general anesthesia (you are unconscious and pain-free) although in older children and adults local anesthesia can be used.

Why is the procedure performed?
Inflammation of the middle ear may be caused by infection, allergy or obstruction of the ear's natural drainage into the back of the nose. When this inflammation remains despite adequate medical attention the fluid that is trapped behind the eardrum can become thickened. In addition to the danger of chronic infection and the formation of scar tissue, the presence of the fluid does not allow the transmission of normal sound (this affects normal hearing). The benefits of the procedure are that hearing returns to normal and the chronic inflammation of the middle ear space is given time to heal safely. Medical management should be tried for 3 months before considering surgery.

What should I expect during the post-operative period?
The procedure is usually done under general anesthesia although in older children and adults local anesthesia can be used. The patient will be able to go home once recovery from anesthesia is complete. It is unusual to have pain or discharge from the ear in the immediate post operative period and if this occurs you should call your doctor. There are no restrictions on diet. You can return to work or school the day after surgery. The main concern after surgery is to keep water out of the ear. You will need to wear water protective earplugs in the bath or shower. You will be able to swim but you should avoid diving and swimming under water. Air travel should not be a problem. There are commercial and custom-made earplugs available. Ask your doctor what he/she recommends.

свернуть