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DISEASES OF MIDDLE EAR

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INDICATIONS <strong>OF</strong> MYRINGOTOMY/ VENTILATION TUBE<br />

INSERTION<br />

Impending rupture of TM.<br />

Infection not responding to medical treatment.<br />

Infection in immature or immuno-compromised host.<br />

Pain or vertigo.<br />

Prolonged serious hearing loss which may compromise speech and<br />

IQ development.<br />

Recurrent otitis media.<br />

COMPLICATIONS<br />

Injury to incudostapedial joint or stapes.<br />

Injury to jugular bulb with profuse bleeding.<br />

Middle ear infection.<br />

Failure to resolve the ear infection.<br />

Persistent perforation after the tube falls out of the ear drum.<br />

Chronic ear drainage.<br />

Infection.<br />

Hearing loss.<br />

Scarring of the ear drum.<br />

Foreign body reaction to the tube itself.<br />

MASTOIDECTOMY & RELATED PROCEDURES<br />

MASTOIDECTOMY<br />

-The purpose of these procedures is to eradicate DISEASE present in<br />

the inaccessible parts of the temporal bone.<br />

- Middle ear.<br />

- Mastoid.<br />

- Attic/Antrum.<br />

-Increase the Air Reservior<br />

Adenoidectomy and/or tonsillectomy<br />

for the treatment of otitis media with effusion is controversial, some<br />

studies support it while others do not.

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