In-office myringotomy and tympanostomy tube insertion

Peter Filip, Aparna Govindan, Maura Cosetti

Research output: Contribution to journalArticlepeer-review


We describe the nuances of performing in-office microscopic and endoscopic myringotomy and tympanostomy tube placement for the treatment of otitis media and Eustachian tube dysfunction. With the advent of new high-definition video technology, the endoscope has been safely applied to the clinic setting and is non–inferior to the standard microscopic approach. In this article, we will outline the indications, patient selection, approach selection, topical anesthetic options, procedural details, complications, and challenges of in-office myringotomy and tympanostomy tube placement.

Original languageEnglish
Pages (from-to)104-110
Number of pages7
JournalOperative Techniques in Otolaryngology - Head and Neck Surgery
Issue number2
StatePublished - Jun 2021


  • Endoscopic
  • In-office
  • Microscopic
  • Middle Ear Ventilation
  • Myringotomy and Tympanostomy


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