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About The Surgery

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Myringotomy Surgery

A myringotomy is a surgery in which a small cut is made in the eardrum to assuage weight caused by the inordinate development of liquid, or to empty discharge out of the middle ear.

Why Myringotomy is Performed?

A myringotomy might be done:

  • To help treat an ear infection that isn't reacting to curative treatment.
  • To reestablish hearing loss caused by interminable liquid build-up and to avert delayed speech development caused by hearing the loss in children
  • To put tympanostomy tubes. These tubes help to balance weight. It might assist in avoiding recurrent ear infections and the amassing of liquid behind the eardrum.
  • To take sample liquid from the middle ear to look at in the lab for the microorganisms or different infections.

After the method, pain or pressure in the ear because of liquid ought to be mitigated. Hearing loss because of fluid accumulation ought to improve as well.

Who Needs Myringotomy?

The insertion of ear tubes might be prescribed by your child's doctor as well as an ear, nose, and throat doctor if at least one of the following symptoms are identified:

  • Fluid in the ears and over three months of hearing loss.
  • A deferral in speaking milestone.
  • Recurring ear conditions that don't improve with antibiotics.
  • Fluid accumulation in the ears for more than three or four months following an ear infection.
  • Changes in the natural structure of the eardrum because of ear infections.

What are the Benefits of Myringotomy?

There are multiple benefits of Myringotomy if a child is suffering behavioural issues because of ear infections.

  • Ear tubes help in decreasing the risk of future ear infections.
  • Hearing is reestablished in a few children who encounter hearing issues.
  • Speech development is facilitated.
  • Ear tubes enable eustachian tube to work all the more proficiently.
  • Child's conduct, rest, and communication might be enhanced if ear infections were causing issues.

How is Myringotomy Conducted?

Myringotomy includes making a little opening in the eardrum to deplete the liquid and soothe the weight from the middle ear using a small microscope. A small tube is set in the opening of the eardrum to ventilate the middle ear and to keep fluid from building up. The child's hearing ability is reestablished after the liquid is depleted. The tubes generally drop out without any surgical intervention within six months or a year.

Another minimally invasive surgery is performed called the LAM medical procedure or Laser-Assisted Myringotomy. In this technique, rather than making an incision, a laser is used to create an opening. This medical procedure is a substantially more advantageous technique as it can be done in an office setting or even on an outpatient premise using just topical anaesthesia. This procedure used a carbon dioxide laser to make an opening on the tympanic film, which is of the correct size that is required. This is then left open for half a month. Since as of now the middle ear is very much ventilated, it gives immediate relief from the pain in otitis media. In case the disease requires more time for healing, the tubes can be embedded into the bloodless openings.

What Complications May Arise Postoperatively?

No procedure is without some risks and complications. Myringotomy may give rise to some temporary or permanent complications. If any unusual symptoms are visible after the procedure, contact your doctor immediately.

  • Bleeding
  • Infections
  • Cough
  • Shortness of breath
  • Chest pain
  • Severe nausea or vomiting
  • Permanent scarring
  • Failure of the myringotomy cut in the eardrum
  • Hearing loss (temporary or permanent)
  • Damage to ear structures other than the eardrum
  • Requirement for repeat medical procedure.

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Hospitals

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Indraprastha Apollo

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