Myringotomy with Ventilation Tube Insertion

dc.contributor.authorHarris, Tashneem
dc.contributor.authorLinder, Thomas
dc.contributor.editorFagan, Johan
dc.date.accessioned2026-07-07T09:43:08Z
dc.date.available2026-07-07T09:43:08Z
dc.date.issued2025-03-08
dc.description.abstractVentilation tubes (grommets) are generally inserted for refractory middle ear effusions with persistent conductive hearing loss, present for a minimum duration of 3 months and with hearing loss exceeding 25dB. They may also be inserted as an adjunct procedure in acute mastoiditis secondary to acute suppurative otitis media. Preoperative assessment: •Pneumatic otoscopy to confirm the diagnosis of middle ear effusion •Pure tone audiometry within the preceding 3months, or age appropriate hear-ing test, as well as tympanometry •A middle ear effusion may be caused by pathology (benign or malignant) in the nasopharynx which causes tubal dysfunction. Therefore, particularly in adult patients the nasopharynx should be examined, and the neck palpated for metastases from a nasopharyngeal ma-lignancy •A CSF leak may present as a middle ear effusion. A high index of suspicion is therefore necessary in the presence of a clear serous or watery effusion or when the history is suggestive of a CSF leak
dc.identifier.apacitationHarris, T., & Linder, T. (2025). Myringotomy with Ventilation Tube Insertion. In J. Fagan. (Ed.), <i>Open Access Atlas of Otolaryngology, Head & Neck Operative Surgery</i> (pp.4). Cape Town, South Africa: University of Cape Town. http://hdl.handle.net/11427/43489en_ZA
dc.identifier.chicagocitationHarris, Tashneem, and Thomas Linder. "Myringotomy with Ventilation Tube Insertion" In <i>OPEN ACCESS ATLAS OF OTOLARYNGOLOGY, HEAD & NECK OPERATIVE SURGERY</i>, edited by Johan Fagan., 4. Cape Town, South Africa: University of Cape Town. 2025. http://hdl.handle.net/11427/43489.en_ZA
dc.identifier.citationHarris, T. & Linder, T. 2025. Myringotomy with Ventilation Tube Insertion. In <i>Open Access Atlas of Otolaryngology, Head & Neck Operative Surgery</i>. J. Fagan, Ed.Cape Town, South Africa: University of Cape Town. 4. http://hdl.handle.net/11427/43489 .en_ZA
dc.identifier.ris TY - Chapter in Book AU - Harris, Tashneem AU - Linder, Thomas AB - Ventilation tubes (grommets) are generally inserted for refractory middle ear effusions with persistent conductive hearing loss, present for a minimum duration of 3 months and with hearing loss exceeding 25dB. They may also be inserted as an adjunct procedure in acute mastoiditis secondary to acute suppurative otitis media. Preoperative assessment: •Pneumatic otoscopy to confirm the diagnosis of middle ear effusion •Pure tone audiometry within the preceding 3months, or age appropriate hear-ing test, as well as tympanometry •A middle ear effusion may be caused by pathology (benign or malignant) in the nasopharynx which causes tubal dysfunction. Therefore, particularly in adult patients the nasopharynx should be examined, and the neck palpated for metastases from a nasopharyngeal ma-lignancy •A CSF leak may present as a middle ear effusion. A high index of suspicion is therefore necessary in the presence of a clear serous or watery effusion or when the history is suggestive of a CSF leak CY - Cape Town, South Africa DA - 2025-03-08 DB - OpenUCT DP - University of Cape Town ED - Fagan, Johan J1 - Open Access Atlas of Otolaryngology, Head & Neck Operative Surgery KW - Myringotomy, Grommet, Ventilation Tube LK - https://open.uct.ac.za PP - Cape Town, South Africa PY - 2025 T1 - Myringotomy with Ventilation Tube Insertion TI - Myringotomy with Ventilation Tube Insertion UR - http://hdl.handle.net/11427/43489 ER - en_ZA
dc.identifier.urihttp://hdl.handle.net/11427/43489
dc.identifier.vancouvercitationHarris T, Linder T. Myringotomy with Ventilation Tube Insertion. In Fagan J, editor.. Open Access Atlas of Otolaryngology, Head & Neck Operative Surgery. Cape Town, South Africa: University of Cape Town; 2025. p.4. [cited yyyy month dd]. http://hdl.handle.net/11427/43489.en_ZA
dc.language.isoen
dc.publisherUniversity of Cape Town
dc.publisher.departmentDivision of Otorhinolaryngology
dc.publisher.facultyFaculty of Health Sciences
dc.publisher.locationCape Town, South Africa
dc.rights.urihttp://creativecommons.org/licenses/by-nc/4.0/
dc.sourceOpen Access Atlas of Otolaryngology, Head & Neck Operative Surgery
dc.source.pagination4
dc.subjectMyringotomy, Grommet, Ventilation Tube
dc.titleMyringotomy with Ventilation Tube Insertion
dc.typeChapter in Book
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