Myringotomy is a surgical procedure in which a small incision is made in the eardrum (tympanic membrane) to relieve pressure and remove fluid or debris that has accumulated in the middle ear. This procedure is commonly performed to treat middle ear infections (otitis media), as well as other conditions that cause fluid build-up in the middle ear such as chronic ear infections and eustachian tube dysfunction.
During myringotomy, the surgeon will make a small incision in the eardrum. The fluid or debris in the middle ear is then suctioned out. In some cases, a small tube called a tympanostomy tube (Grommet) may be inserted into the incision. The grommet allows air to enter the middle ear and helps to equalize the pressure between the middle ear and the outer ear. It also allows fluid that has accumulated in the middle ear to drain out. This improves hearing and prevents recurrent infection.
The procedure is typically performed on an outpatient basis, under local or general anesthesia depending on the patient's age and medical history. Myringotomy maybe combined with adenotonsillectomy in children when they present with Otitis media with effusion (OME) along with chronic adenotonsillitis. Recovery from a myringotomy is generally quick, with most people able to return to their normal activities within a few days. Pain and discomfort can be managed with over-the-counter pain medication, and most people experience a significant improvement in their symptoms after the procedure.
It is advised to avoid diving and swimming for three to six weeks following the procedure.
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