Sometimes mastoidectomy (removal of the bone and air cells behind the air which may harbor infection) is performed at the same time as tympanoplasty. Which route is used will depend on the size and shape of the ear canal and location and size of the perforation. It may be performed completely through the ear canal, with no external incision, or through an incision in the crease behind the ear. The operation is performed at the Shea Ear Clinic Surgery Center as an outpatient with the patient under anesthesia. This may also include repair of the tiny bones in the middle ear, called ossicles (the hammer, anvil, and stirrup). Tympanoplasty is an operation to repair the ear drum when it is not working correctly or when there is a perforation (hole) in it, usually from infection, a ventilation tube, or sometimes from trauma. If a tube remains in the eardrum for more than 2 or 3 years, however, it may need to be removed by your doctor. In most cases, ear tubes do not need to be removed and usually are pushed out on their own after about 6 to 18 months, as the eardrum heals.They are so small that you usually cannot see the tubes just by looking into your child’s ear. More than 25 of them could fit on the face of a dime. An ear tube is made of plastic and looks like a tiny spool. When air is able to get behind the eardrum, the fluid inside the ear can flow out or dry up, taking away the pain or pressure your child may have been feeling and making future infections less likely. In a BM-T, the surgeon will put small tubes in your child’s eardrums to allow air to get inside.Bilateral Myringotomy (Tympanostomy) Tubes (BMT)īM-T is a surgery to treat children who have otitis media (oh-TITE-us MEE-dee-ya) or middle ear infections that won’t go away with medication middle ear fluid that won’t go away or hearing loss or speech delays caused by frequent ear infections.
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