Myringotomy: Definition, Procedure & Recovery (2024)

What happens before a myringotomy?

Your healthcare provider will perform an examination of your ear using an instrument called an otoscope. They may also run hearing tests and blood tests, and they’ll likely perform a tympanogram — a test that measures how well your ear drum responds to pressure changes.

If your healthcare provider determines that a myringotomy is right for you, they’ll give you a list of preoperative instructions. Generally, you shouldn’t eat or drink anything after midnight the night before your myringotomy procedure. You’ll also need to arrange for a trusted friend or family member to drive you to and from your appointment.

What happens during a myringotomy procedure?

In most cases, myringotomy surgery is performed under general anesthesia to keep you comfortable. But it may also be done with a topical anesthetic in the office. During your myringotomy procedure, your surgeon uses a small microscope so they can see your eardrum clearly. Next, they’ll create a tiny hole in your eardrum and drain the fluid from your middle ear. In some cases, your surgeon will also perform a tympanostomy by placing an ear tube (myringotomy tube) into the incision. This ear tube allows drainage from your middle ear to continue.

No stitches are necessary because the incision will heal on its own. Once your myringotomy surgery is complete, your surgeon will pack your ear with gauze. From start to finish, a myringotomy takes about 15 to 20 minutes.

Is myringotomy painful?

Anesthesia prevents pain during myringotomy surgery. However, you may experience some mild pain or discomfort following your procedure. You can take over-the-counter pain relievers to ease discomfort. Your surgeon may also give you numbing ear drops. Be sure to take all medications as directed.

What happens after a myringotomy?

Your ear might feel clogged after myringotomy surgery. This is a normal side effect, and it could take a few days for your hearing to improve.

Your surgeon will give you a detailed list of postoperative instructions. You’ll need to follow these guidelines closely to ensure a successful recovery. In general, you should:

  • Take all medications exactly as directed by your surgeon.
  • Change your gauze regularly.
  • Avoid submerging your head under water.

Wear earplugs when you bathe or shower.

Myringotomy: Definition, Procedure & Recovery (2024)
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