Myringotomy is a surgical procedure in which an incision is made in the tympanic membrane (eardrum), providing drainage for fluid trapped in the middle ear. It can provide relief for children who experience frequent middle ear infections (otitis media). Often, ear tubes are placed through the eardrum in conjunction with the procedure. These allow the eardrum to remain open and provide better ventilation and a pathway for fluid drainage, aiding in the prevention of recurring ear infections.
Myringotomy Procedure
During a myringotomy procedure, the child is given general anesthesia. An incision is made in the eardrum and fluid in the middle ear space is suctioned out. Ear tubes are then inserted into the surgical hole. In some cases, the adenoids are removed, as well. This can reduce the odds of future ear infections occurring. Most children are free to return home within an hour or two. Other than a little grogginess or irritability, there is little risk of pain or other complications following the procedure. Ear tubes usually fall out on their own in a year or two. If they are still in place after three years, they may be removed surgically. If infections start up again, another set of tubes can be inserted.
Benefits and Risks of Myringotomy with Tubes
The majority of children who have undergone myringotomy with tubes report significantly fewer ear infections and recover more quickly from any that do occur. Hearing loss resulting from fluid in the middle ear is reversed, and there should be a corresponding improvement in speech, balance, behavior, and sleep problems caused by recurring ear infections. There is minimal risk involved with ear tubes. Some children might experience a perforated eardrum or persistent ear drainage following the procedure. These problems are rare, and usually don’t cause long-term problems. Care should be taken to keep the ears dry, as moisture might lead to infection.
