Myringotomy and Insertion of Tubes

A Myringotomy is a small cut made in the tympanic membrane (eardrum) to relieve pressure caused by pus or fluid in the middle ear. A small tube (ventilating tube or grommet) may need to be inserted to allow fluid to continue to drain from the ear and allow air to pass inside. The tube usually falls out by itself and the cut will heal.

An overnight hospital stay is not normally necessary for a myringotomy.

Preparation for Procedure

Your child’s anaesthetist will meet you and your child before the operation to outline the type of anaesthesia to be used and will welcome any questions you have.

A premedication may be ordered. This usually takes the form of a medicine to be swallowed that will provide pain relief, sedation or both. If it is planned to start the anaesthesia by injection, local anaesthetic cream can be put on at this time to numb the skin where the intravenous needle/drip is to be put in.

Length of Procedure

Your child will be away from you for approximately 15 minutes.

After the Surgery

When your child returns from their procedure they may have a small amount of bleeding from their ears. If eardrops have been used during the procedure cotton wool may be placed in their ears to prevent the drops draining out.

Your child will need to stay in the Paediatric Day Unit approximately 1-2 hours after the procedure.

Nausea and Vomiting

Your child may experience some nausea and vomiting after they return to the ward.

Your child may return from theatre with an intravenous needle/ drip (IV) in their hand/arm so that if they are vomiting medication can be given to them. The nurse will remove the IV before you go home.

Diet and Fluids

There is no need for a special diet following this procedure, but it is recommended that your child  not eat greasy foods as it may cause vomiting. Do not be concerned if your child vomits after leaving Hospital, but if they are unable to keep fluids down and continue to vomit, please contact your family doctor.

Pain Relief

Paracetamol (Panadol) may be given 4-6 hourly for 24 hours if required.  If this is not adequate please call your family doctor.

Follow Up Appointments

Before you go home an appointment will generally be made to see the doctor approximately 6 weeks after the procedure.

Discharge Care

Your child’s care will be explained to you by their doctor and will include water precautions.

Eardrops and/or antibiotics may be prescribed for your child. These may be collected from the hospital Pharmacy when you leave the ward.

Return to School and Sport

Your child should reduce their activities during the next 24 hours and be kept in a safe situation under adult supervision to help them fully recover from the anaesthetic and procedure.

Most children are able to return to school the next day.

If you have any concerns after your child’s discharge please telephone your family doctor or the WCH on  (08) 8161 7000.

In an emergency situation, please call an ambulance or take your child to the nearest doctor or hospital.

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