• With the aid of an operating microscope and speculum, the left ear was examined. Any cerumen was cleared with a wax curette and fine suction. The procedure was then repeated on the right ear.

Cerumen removal

• With the aid of an operating microscope and speculum, the left ear was examined. Any cerumen was cleared with a wax curette and fine suction. The procedure was then repeated on the right ear.

Cerumen disimpaction

•  The left ear was examined with an operating microscope and cerumen impaction noted.  The cerumen was cleared using a speculum, wax curette, fine suction and alligator forceps. The external auditory canal and tympanic membrane were then examined and noted to be {NORMAL/ABNORMAL:19111:p}. The procedure was repeated for the right ear. The right external auditory canal and tympanic membrane were then examined and noted to be {NORMAL/ABNORMAL:19111:p}.

Mastoid bowl cleaning

• With the aid of an operating microscope and speculum, the left ear was examined. The mastoid bowl was identified. The auditory canal and mastoid bowl were then meticulously debirded using a wax curette, right angle hook, fine suction and alligator foceps. The procedure was/was not repeated on the contralateral side.

Myringotomy

• Informed consent was obtained. With the aid of an operating microscope and speculum, the {left/right:311354:o} ear was examined. Phenol was applied to the tympanic membrane to ensure anesthesia. A myringotomy blade was used to make an incision in a radial fashion in the anterior/inferior portion of the tympanic membrane and any fluid was suctioned out. Antibiotic drops were then placed in the ear. The procedure was/was not repeated on the contralateral side.

Myringotomy with tubes

• Informed consent was obtained. With the aid of an operating microscope and speculum, the {left/right:311354:o} ear was examined. Phenol was applied to the tympanic membrane to ensure anesthesia. A myringotomy blade was used to make an incision in a radial fashion in the anterior/inferior portion of the tympanic membrane and any fluid was suctioned out. Alligators, pick and fine suction were used to place a tympanostomy tube. Antibiotic drops were placed in the ear. The procedure was/was not repeated on the contralateral side.

Intratympanic injection

• Informed consent was obtained. With the aid of an operating microscope and speculum, the {left/right:311354:o} ear was examined. A drop of phenol was applied to the tympanic membrane to ensure anesthesia. A fine needle was used to make a pinpoint vent in the tympanic membrane. Dexamethasone was then injected into the mesotympanum until it could be seen emanating from the vent. The procedure was/was not repeated on the contralateral side

References

Aluko AA. Use of Phenol as a Local Anaesthetic for Adult Grommet Insertion in Resource-Limited Settings: A Preliminary Report. Int J Otolaryngol. 2019 Aug 1;2019:2893418. doi: 10.1155/2019/2893418. PMID: 31467553; PMCID: PMC6699334.