9 minutes ago
"This kid had OME, we did myringotomy and grommet insertion, everything was handled after that.", Told me the senior resident at my hospital.
But why did the patient came back if everything was really 'handled', doc?", I enquired. "Oh, the grommet we inserted got infected. It can happen, you know", replied the doc anticipating my question.
But why did it got infected?
What was a grommet and what does the seventh fancy word in the start means?
But wait, what is OME anyway?
Kid had a pale look, constantly watching ben-10 on his tablet and would duck 5 times in a 30 minute span, revealing something was wrong with his face. The history laid everything out, an infection causing him distress in the ear which caused him to duck. Wow, history is so important, isn't it.
"Doc, please don't inject me anything with a syringe", the kid requested whilst pointing out to a nearby syringe placed in a kidney tray.
"I won't, lil bro, don't you worry!", I pacified his increasing anxiety whilst tapping on his tiny shoulders.
Coming back to our point, we divide the ear in three parts; Outer, inner and middle ear. Now your middle ear plays a very significant part in your hearing. So the middle 👂 is linked to the 👃 through a tube called the "auditory tube" or "Eustachian tube". Obviously this isn't properly developed in kids. Kids also have a pair of tonsils laying very near to the opening of this auditory tube in the 👃 called the "Adenoids". Now your son, brother, cousin, friend or in this case, that kid watching ben-10 gets a flu or common cold. There's alot that can happen, but usually either the Adenoids get inflammed and this closes the opening of the auditory tube or the Auditory tube gets haywired.
The fluid from your tube moves towards the middle ear and there's no way for it to be removed, so the mid 👂 gets blocked. Fluid retention causes enormous pain in the kids. .
So the surgeon had done the Myringotomy, cutting a small piece of the mid 👂 membrane and draining the fluid through it. Then he placed a grommet, a small piece that gets fixed in the mid ear for ventilation and adjusting the air pressure difference according to the needs of the body.