Friday, December 24, 2010

In case of Adenoidectomy with myringotomy, which surgery will you perform first?

The advantage of doing Adenoidectomy first is that a pack can be left in nasopharynx which will get more time to stop bleeding by pressure as it will be removed after completion of myringotomy.

But by doing adenoidectomy first, we may be converting a clean myringotomy into iatrogenic ASOM.

so better do Myringotomy with Grommet insertion first.


In any case of neck swelling especially for surgery, better to get a CT or MRI


Case of nasal bleed especially in a medically complicated cases or on oral anticoagulants, better to take up patients for  cauterization of bleeding points under general anesthesia.

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