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Myringotomy and Tubes

Welcome to our patient information page about Myringotomy and Tubes surgery. You can learn more about what to expect when you or your child are scheduled for a myringotomy and tubes procedure. Find pre- and post-operative instructions here.

Have any questions about your upcoming myringotomy and tubes procedure with Dr. Karamy?

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Patient Information for Myringotomy and Tubes Procedure

What is Myringotomy and Tubes Surgery?

Myringotomy and tubes, also known as tympanostomy tubes or ear tubes, is a common surgical procedure performed to treat chronic ear infections and related conditions.

 

During the surgery, a small incision is made in the eardrum to drain fluid and relieve pressure from the middle ear. A tiny tube is then inserted into the opening to allow proper ventilation and drainage, helping to prevent future infections.

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Indications for Myringotomy and Tubes:

Myringotomy and tubes may be recommended for the following conditions:

  1. Recurrent Ear Infections: If you or your child experience frequent or persistent ear infections that do not respond to medical treatment, this procedure may be considered to improve drainage and reduce the risk of future infections.

  2. Chronic Fluid Buildup: Fluid accumulation in the middle ear (serous otitis media) can occur, leading to temporary hearing loss and increased risk of infections.

  3. Eustachian Tube Dysfunction: Dysfunction of the Eustachian tube, which normally equalizes pressure in the middle ear, can contribute to ear infections and fluid accumulation.

  4. Barotrauma: In cases where pressure changes during air travelcause discomfort or injury to the middle ear, tubes can help equalize pressure.

What Happens During the Myringotomy and Tubes Surgery?

The myringotomy and tubes procedure is typically performed under general anesthesia. Teenagers and adults can be done in office with local anesthesia. The surgeon will make a small incision in the eardrum and suction out any fluid or pus in the middle ear. A tiny tube, made of plastic or metal, is then inserted through the incision to allow for proper ventilation.

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The surgery itself usually takes about 5-10 minutes in total.

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Pre-Operative Instructions for Myringotomy & Tubes

Before a myringotomy and tubes procedure, you will receive specific instructions from your healthcare provider, including:

  • Fasting: Typically, you or your child will need to avoid eating or drinking for a specified period before the surgery to reduce the risk of aspiration during anesthesia. In general, no food after midnight the night before and can have clear fluids up to 3 hours prior to the surgery start. Clear fluid includes anything you can see through and that does not have texture like pulp. To be safe stick to water, apple juice, Gatorade, or ginger ale.

  • Medications: Stock up on acetaminophen (Tylenol) and ibuprofen (Advil)

  • Recent sickness: Unfortunately children who require this surgery tend to be of the age where they get sick frequently. Illness around the time of surgery is common. It will generally be up to the discretion of the anesthesia whether the surgery commences based on various factors. 

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Post-Operative Care & Instructions

After myringotomy and tubes, you or your child will need to follow specific post-operative care instructions:

  • Recovery Period: Plan for a few hours of observation after the surgery before being discharged. Most patients can resume normal activities the next day.

  • Ear Care: Often some discharge for a few days is normal. We generally will prescribe antibiotic ear drops to use for 5-7 days depending on infection at time of surgery. Its rare your child will get ear infections going forward with the tubes. However the odd time with colds they will have an ear that leaks. That is the sign of an ear infection and should just be treated with antibiotic drops.

  • Pain Management: Over-the-counter pain medications are usually sufficient to manage any mild discomfort after the procedure.

  • Water avoidance: Water behind the ear drum will hurt your child's ear and can sometimes lead to infection. Fortunately the tubes are quite small and water won't get through unless diving below 6 feet of water. Ear plugs should be used if your child goes deep in chlorinated water. However should also wear ear plugs in lake water and oceans because of the bacteria load. Should also avoid dunking under heavy soap in the bath, or wear ear plugs, as the soap can let the water cross the tube as well

  • Follow-Up: We will generally see your child 6-8 weeks after surgery with a hearing test.

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Potential Complications and When to Seek Medical Attention:

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The myringotomy and tubes procedure is generally safe, but complications can occur. Contact your healthcare provider if you or your child experience:

  • Persistent drainage from the ear

  • Severe pain or fever

  • Hearing loss that does not improve

  • Early tube displacement or expulsion

  • Persistent tympanic membrane perforation

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If you are experiencing concerning symptoms or have any questions after a procedure with Dr. Karamy, please contact us​. For emergencies, please go to urgent care.

Disclaimer

The information provided on this webpage is for educational purposes only and should not replace medical advice. Please consult with a healthcare professional for a proper diagnosis and individualized treatment recommendations.

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