2. ANDOVER EAR, NOSE 8: THROAT CENTER P 198 MASSACHUSEITS AVENUE . NORTH ANDOVER, MA O I 845
978.685.7550
Myrlngoiomy 8. Ventilation Tubes (Ear Tubes) rargux
Risks include bul are not limiled lo: Bleeding Infection , Scarring - Otorhea (ear drainage)
Hearing loss
Tympanic membrane perforation (hole in ear drum) Extruded or retained iube (tube falls info middle ear or
into ear canal) Anesthesia -risk ‘Recurrent or residual disease Need for additional surgery or therapy
I have had an opportunity to ask questions re ording the benefits, risks and ulfemoflves of the above
procedure (please initial)