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myringotomy

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myringotomy /my·rin·got·o·my/ (mi-ring-got´ah-me) tympanotomy; creation of a hole in the tympanic membrane, as for tympanocentesis.
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Myringotomy.

myr·in·got·o·my (mrng-gt-m)
n.
Surgical puncture of the tympanic membrane, as for the removal of fluid or the drainage of pus. Also called tympanostomy, tympanotomy.

Myringotomy
A surgical procedure performed to drain an infected middle ear. A newer type of myringotomy uses a laser instead of a scalpel.

myringotomy
[mir′ing·got′əmē]
Etymology: L, myringa + Gk, temnein, to cut
surgical incision of the eardrum, performed to relieve pressure and release pus or fluid from the middle ear. Antibiotics are given before surgery and continued afterward. The drum is incised, and cultures may be taken. Fluid is gently suctioned from the middle ear. Eardrops may be instilled, or tubes may be inserted to improve drainage. The nurse cautions against putting cotton in the canal because the ear must drain freely. The outer ear is kept clean and dry. If pain increases, the procedure may have to be repeated. Severe headache or disorientation must be reported. Earplugs are required for swimming and showers if tubes are used. Also called tympanostomy, tympanotomy. See also myringoplasty.

myringotomy [mir″ing-got´ah-me]
incision of the tympanic membrane, usually performed to relieve pressure and allow drainage of serous or purulent fluid from the middle ear. Sometimes, as in the case of serous otitis media, a ventilating tube called a grommet is inserted to permit continuous ventilation and avoid a chronic middle ear problem with fluid accumulation, pain, and loss of hearing. When a simple myringotomy is done for purposes of draining purulent material resulting from recurrent suppurative otitis media, care should be taken to avoid contamination by the fluid. Eardrops may be prescribed if there is fluid in the ear. The ear should be kept dry for two weeks after the procedure, with no fluid entering the ear until the myringotomy site in the eardrum is healed.
Myringotomy and insertion of a tympanoplasty tube as treatment for otitis media. From Frazier et al., 2000.

myringotomy
tympanotomy; incision of the tympanic membrane.
The procedure is usually performed to relieve pressure and allow for drainage or irrigation of the middle ear behind the tympanic membrane.

myringotomy
ENT A circumferential incision in the inferior quadrants of the pars tensa of tympanic membrane for draining middle ear effusions, a procedure used in treating chronic otitis media; myringotomy with tympanostomy offers more disease-free time and improved hearing, at a 'cost' of otorrhea and persistent tympanic membrane perforation


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Infections are normally treated by antibiotics although sometimes a myringotomy will be required.
This technique also has a benefit in terms of cost savings because there is no need for a myringotomy set and associated instrumentation.
There is some controversy about whether a myringotomy must be done on all unconscious (emergency) cases since the patient obviously cannot perform the equalization maneuver.
 
 
 
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