Abstract
Myringotomy and grommet insertion is a common surgical procedure in paediatric. It is relatively simple and safe procedure but few complications has been documented. We presented here a case of migration of grommet ventilation tube into the medial ear which is a very rare complication.Bangladesh Journal of Medical Science Vol.17(3) 2018 p.493-495
Highlights
Myringotomy and grommet insertion is the surgical option for persistent Otitis Media with Effusion (OME)
The grommet tube will be extruded into the external ear canal following the outward migration of the epithelial layer of tympanic membrane
Boedts postulated that extrusion of the grommet into the external ear canal is due to keratin accumulations under the phalange of tube that leads to slowly extrusion of the tube.[2]
Summary
Myringotomy and grommet insertion is the surgical option for persistent Otitis Media with Effusion (OME). A retrospective study by Djordjeviy V, et al found that the most common long term complications of myringotomy and grommet insertion were atrophic tympanic membrane, followed by tympanosclerosis, persistent perforation, retraction of tympanic membrane, granulation tissue formation, sensorineural hearing loss and cholesteatoma.[1] none of the patients had medial migration of the grommet into the medial ear. Based on history and otoscopy finding we concluded that the grommet in the left ear has migrated
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