Advantages and disadvantages of eardrum tube placement

There are advantages and disadvantages to eardrum tube placement, but the advantages outweigh the disadvantages. It is mainly used for patients with otitis media, middle ear effusion, and bullous otitis media. It can only be effective if the treatment is targeted. If the medication is used blindly without targeting the symptoms, it will lead to some complications. Therefore, when using the medication, if you want to avoid disadvantages, you should use it correctly.

Indications: Myringotomy is suitable for otitis media with exudate, middle ear effusion, and bullous otitis media: 1. Acute suppurative otitis media: The tympanic membrane is congested, edematous, or has a papillary protrusion. 2. Acute suppurative otitis media with very small perforation of the tympanic membrane, poor drainage, ear pain, fever and other symptoms that do not improve after treatment. 3. Patients with acute catarrhal otitis media, barotitis media and secretory otitis media who are not effectively treated with tympanic membrane puncture.

Contraindications 1. For patients with secretory otitis media for the first time, tympanic membrane puncture can be performed first. 2. Glomus jugularis tumor (tympanic type). 3. People with severe heart disease or blood disease. Preoperative preparation 1. Prepare surgical instruments. The basic instruments include an otoscope, a myringotomy knife, cotton wool, and a thin suction tube. 2. Disinfect the external auditory canal and the surface of the tympanic membrane with 75% ethanol.

Anesthesia and positional anesthesia: Infants do not need anesthesia, children over 1 and a half years old use general anesthesia, and adults mostly use local anesthesia. Use a rolled cotton ball or a small cotton pad to soak the tympanic membrane anesthetic. The tympanic membrane anesthetic is a mixture of equal amounts of pure phenol (carbolic acid), menthol crystals and cocaine crystals. Directly anesthetize the tympanic membrane for 10 to 15 minutes. When the tympanic membrane turns white, the operation can be performed. General anesthesia can also be used for nervous adults. Body position: Adults undergoing local anesthesia can sit, and children undergoing general anesthesia are in the same position as for ear surgery. When the child does not need anesthesia, straighten the child's upper limbs and keep them close to the sides of the trunk, extend the lower limbs, and wrap the child tightly with a sheet. An assistant holds the child's head in place. Another assistant will fix the child's body and then perform the operation.

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