Thursday, September 27, 2007

Explanation of an Ear Operation

QUESTION: Following many infections in her nose and throat, my daughter now
needs an operation on her ear, to let out all the fluid that has built up.
Our doctor has carefully explained what he wants to do, including the part
about the tube in the ear, but both my daughter and I are still pretty scared.
Would you please explain this operation to us?
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ANSWER: When frequent and repeated infections leave the middle ear filled
with fluid that persists long after it should, removal is necessary if the ear
is to return to normal. The operation is called a "myringotomy" and consists
of making a small incision in the eardrum, through which the fluid may be
removed. It is a simple procedure, and usually does not require an overnight
stay at the hospital. A light, general anesthesia is ordinarily required for
children, although adults may only need a local anesthetic for this procedure.
After the fluid is removed, a small tube is placed in the incision to permit
drainage of any additional fluid which may develop. The tube generally falls
out by itself, and the ear drum (tympanic membrane) then heals over
completely. You will receive additional instructions from your doctor, but
you must take precautions to keep water out of the ear while showering or
bathing. While complications are infrequent, a fever of over 101 degrees
Fahrenheit, bleeding or a pus-like discharge from the ear, or continuing pain
are all signs that require additional medical attention. Procedures of this
type may make even the bravest flinch, but in this case it is a minor
procedure, and important for the proper healing of your daughter's ear. There
is little to fear, and all will soon be over, with excellent results I am
sure.

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