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MYRINGOTOMY AND GROMMET
INSERTION
Indications
• Acute suppurative otitis media with bulging TM
• Serous otitis media
• Aerootitis media
• Atelectatic TM
PROCEDURE
• Under operating
microscope,ideally
performed with sharp
myringotome and suction
apparatus.
• In ASOM,Curvilinear
incision made over
posteroinferior quadrant.
• In SOM radial incision
made over the
anteroinferior quadrant.
MYRINGOTOMY SET
VENTILATION TUBES
COMPLICATIONS
• Dislodgement
• Infection
• Persistent perforation
• Tympanosclerosis
• Thinning of TM

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Myringotomy and grommet insertion