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Myringotomy in Panama.

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What is myringotomy?

It is a transtympanic surgical procedure performed to drain fluids or liquids that can accumulate in the tympanic cavity. It involves the placement of drainage tubes in the ear canal to relieve ear pressure by draining fluids.

Tympanostomy is characterized by providing a solution to patients who have an accumulation of fluids such as mucus, blood, pus, or any other fluid that affects their hearing capacity.

Thanks to the placement of these ventilation tubes, the surgery helps drain the patient’s tympanic cavity and, at the same time, relieve pressure in the area and eliminate infection.

In some cases, the incision on the tympanic membrane is accompanied by the placement of small drainage tubes that allow continuous drainage of ear fluid and prevent reinfection.

Miringotomia En Panamá
Miringotomia En Panamá

Myringotomy surgical technique.

As mentioned at the beginning, myringotomy is a surgical procedure that, although quick and outpatient, must be performed by an expert physician with the appropriate technique.

It starts by cleaning the affected ear area. The entire tympanic area and the external auditory canal must be disinfected to avoid major complications. Local anesthesia is used. However, total numbing may be recommended in children.

Upon completion of the above steps, the surgery is performed. The physician may use vision instruments, such as a microscope, to clearly observe the incision site.

With a small needle, the tympanic cavity is perforated and any fluids that may be inside are suctioned out. In other cases, it is decided to place a transtympanic drainage tube temporarily or permanently, depending on the physician’s considerations.

The surgery lasts approximately 10 to 20 minutes and does not require hospitalization, so the patient can return to his normal routine at the end.

How to prepare for this surgery?

The doctor will probably recommend some tests before performing the myringotomy, such as: blood tests, tympanogram and physical examinations of the ear including a hearing test.

In addition, discontinuation of anti-inflammatory medications will be recommended. The ENT specialist should be informed about the medications the patient is taking so that they can make recommendations that will favor the surgery.

Finally, patient is asked not to eat or drink for at least eight hours prior to surgery.

Side effects of myringotomy.

Before talking about the side effects, you should be aware that these are isolated cases. That is to say, it is rare for any of these side effects to occur, although the risk does exist.

Risks must be considered in order to maintain a good care after the surgery. Likewise, it is necessary to trust the doctor who performs this treatment in order to minimize the risks of this surgery.

Miringotomia En Panamá

Frequently asked questions.

No, anesthesia is applied in the process to avoid pain. Once it wears off, you may feel a slight discomfort in the area which may be minimized compared to the relief felt when the fluids are drained from the ear.

It is a safe and effective surgery to treat problems of infection or impossibility of expulsion, where fluids accumulate inside the eardrum. The success rate of this treatment, in both adults and children, is high since it manages to solve the problem without further complications.

There is no specific recovery time. It will depend on each case and the care that the patient takes.

The patient should avoid getting the ear wet to prevent dead tissue from blocking the tube, as well as keeping regular appointments with the physician to evaluate the progress of the treatment.

The tympanic drainage tube can remain in the patient's ear for 4 to 9 months in order to improve the condition of the Eustachian tubes. Another option is to leave this tube in a fixed way, following the doctor's care and recommendations.

Why Is Tympanostomy Performed?

Tympanostomy is a medical procedure that involves creating a small opening in the tympanic membrane, the membrane that separates the outer ear from the middle ear. This procedure is performed for the purpose of:

  • Draining Middle Ear Fluid: Tympanostomy is often done to relieve pressure and drain accumulated fluid in the middle ear. This can occur in situations such as ear infections, serous otitis media (accumulation of sterile fluid in the middle ear), or Eustachian tube blockage.
  • Improving Hearing: By draining accumulated fluid in the middle ear, tympanostomy can improve hearing in cases where fluid accumulation was affecting sound transmission to the inner ear.
  • Pain Reduction: In the case of ear infections with pus accumulation, tympanostomy can relieve pain by allowing pus to drain.
  • Facilitating Medication Administration: In some cases, tympanostomy is performed to allow the direct administration of medications into the middle ear, especially when dealing with infections resistant to conventional treatments.
¿Para Qué Se Hace La Miringotomía?

Postoperative Care:

After tympanostomy, it is essential to follow the postoperative care recommended by the physician to ensure optimal recovery. These care instructions include:

  • Keeping the Ear Dry: Avoid water from entering the treated ear for at least a week after the surgery. Use cotton balls soaked in petroleum jelly when showering or bathing.
  • Avoid Inserting Objects in the Ear: Do not insert cotton swabs or other objects into the ear to prevent injuries or infections.
  • Prescribed Medication: If ear drops or other medications are prescribed, follow the doctor’s instructions carefully. Make sure you understand how to administer them.
  • Medical Follow-Up: Schedule follow-up appointments as recommended by the doctor to assess progress and ensure the tympanic membrane opening heals properly.
  • Avoid Exposure to Dirty Water: Avoid swimming in untreated waters, such as lakes or ponds, for at least several weeks after the surgery.
  • Pay Attention to Abnormal Symptoms: If you experience fever, increased pain, or any other unusual symptoms, contact your doctor immediately.

It is important to remember that recovery after tympanostomy is typically quick and effective. However, following postoperative care is essential to minimize the risk of complications and ensure a smooth recovery. If you have any questions or concerns during the recovery process, do not hesitate to contact your doctor.

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Laura Ruiz Ruiz
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La verdad mi hija y yo nos sentimos muy bien atendidas por el el dr. Lech, estamos siguiendo el tratamiento lo cual ha estado haciendo un buen efecto en ella y mejorando su calidad de vida. Muy agradecida siempre!!!
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Yanixa Baloy
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Excelente Dr. Muy amable y excelente atención..lo recomiendo.
Xiomara Pinillo
Xiomara Pinillo
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Buen Dia Esperando todo se encuentren bien.- Lo que puedo comentarle es q el Dr. Lech es una excelente persona, no solo como medico sino como un ser humano, es muy especial en la atencion a sus paciente.- Soy fiel testigo de eso porque lo he vivido y he escuchado de otras persona y colegas. Bendiciones a tod@s.-
Michel Guerrero
Michel Guerrero
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Excelente su atención, muy empático y atento, muchas gracias, lo recomiendo.
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