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Otorrhea (ear discharge) is the most common complication of tympanostomy tube placement, affecting between 25–75% of children receiving this procedure. [2] [6] [9] [10] Saline washouts and antibiotic drops at the time of surgery are effective measures to reduce rates of otorrhea, which is why antibiotic ear drops are not routinely prescribed.
Long term otitis media (or 'glue ear') [2] Insertion of a tympanostomy tube. [4] [5] [6] If aspiration is performed as part of the insertion, the risk of tympanosclerosis occurring increases. [7] Risk also increases if a larger tube is used, [8] or if the procedure is repeated. [9] Atherosclerosis [10]
Aural/Ear syringe: used to flush out anything like ear wax or foreign bodies from the external ear Toynbee's auscultation tube: Otoscope/Auriscope: to examine the external auditory canal and ear drum; used during aural toileting, removal of wax, myringotomy, stapedectomy and to dilate the stenosis of canal Mouth gag - •Doyen's mouth gag
The ear is washed and a small incision made in the eardrum. Any fluid that is present is then aspirated, the tube of choice inserted, and the ear packed with cotton to control any slight bleeding that might occur. This is known as conventional (or cold knife) myringotomy and usually heals in one to two days. [13]
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Balloon Eustachian tuboplasty (BET) [1] is a minimally invasive procedure for the causal treatment of Eustachian tube dysfunction (ETD), an often-chronic disorder in which the regulation of middle ear pressure and the removal of secretions are impaired. The dysfunction often causes significant discomfort in affected patients and can trigger ...
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For normally nourished children 1 year of age and older, two formulae are used to estimate the appropriate diameter and depth for tracheal intubation. The internal diameter of the tube in mm is (patient's age in years + 16) / 4, while the appropriate depth of insertion in cm is 12 + (patient's age in years / 2). [33]