A myringotomy is a medical procedure involving a small incision in the eardrum. This surgical opening releases fluid or pressure accumulated in the middle ear, often due to ear infections or “glue ear.” Unlike a myringotomy with tube placement, this article focuses on recovery when no ear tubes are inserted, allowing the incision to heal naturally.
Immediate Post-Procedure Experience
Following a myringotomy, patients typically recover from anesthesia before being discharged home the same day. General anesthesia, commonly used for children, can cause temporary grogginess, irritability, or nausea as its effects wear off. Some individuals might also experience mild dizziness or balance issues for a few hours after the procedure. Initial sensations in the treated ear may include a feeling of pressure or mild discomfort.
Managing Common Symptoms
Mild ear pain or discomfort is common in the first day or two after a myringotomy, usually managed with over-the-counter pain relievers like acetaminophen. Some ear drainage, which may appear clear, yellowish, or slightly blood-tinged, is normal for approximately two to four days following the procedure. This drainage indicates that trapped fluid is successfully exiting the middle ear through the incision. Temporary changes in hearing are also possible, with some experiencing immediate improvement, while others might feel their ear is temporarily clogged or muffled before hearing fully improves over the next few days to weeks.
Recovery and Activity Guidelines
The incision typically heals quickly, often within a week or two, though full eardrum recovery can take up to four weeks. Most individuals can resume normal daily activities, including returning to school or work, within one to two days after the procedure. Avoid submerging the ear in water until a healthcare provider confirms the eardrum has healed. When showering or bathing, earplugs or cotton balls coated with petroleum jelly may be recommended to prevent water from entering the ear canal.
When to Contact Your Doctor
While myringotomy recovery is generally straightforward, certain signs warrant prompt medical attention. Contact your doctor if you experience persistent or worsening severe ear pain not relieved by medication. A fever higher than 101°F (38.3°C) after the first 24 hours or any signs of infection, such as increased redness, swelling, or warmth around the ear, should also be reported. Additionally, seek medical advice if you notice excessive, foul-smelling, or continuous drainage from the ear, new hearing loss, or dizziness that lasts longer than 12 hours.