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Chronic Ear Problems; Myringotomy


Question

Why is my child still experiencing chronic ear problems and drainage after Myringotomy surgery?

Answer of our experts

Experiencing these problems is not that uncommon. However, it needs to be investigated.  Often in this scenario, the tube has come partially out of the eardrum or the eardrum may be obstructed.  In other cases, there may be pre-existing infections that can persist despite the tube.  Occasionally tubes even need to be removed and replaced.  In children with CdLS, the problem is compounded if their ear canals are small.  It can be very difficult to see adequately whether the Myringotomy tubes are in place.  If there is any question, it may be worth returning to the operating room to suction and culture the ear and replace the tube, assuming aggressive treatment with oral antibiotics and antibiotic drops has failed.  RS/ TK 7-13-10

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Recommendation(s)

Ears and hearing

R39
Hearing should be assessed in individuals with CdLS at an early age and should be followed up over time. Those with severe sensorineural hearing loss should be assessed for auditory neuropathy.
R40
Regular eye (ophthalmologic) and ear, nose and throat (otolaryngologic) evaluations are recommended in adults with CdLS.
R41
Otitis media (middle ear infections) with fluid build up and sinusitis in individuals with CdLS should be considered and treated according to the national guidelines for the general population.

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