THIS INSTRUMENT (Richards Manufacturing Co.) serves two purposes—(1) to do a myringotomy, and, (2) to insert simultaneously a plastic tube through the opening into the middle ear. Besides accomplishing both the myringotomy and insertion of plastic tube with one single motion, the instrument has the following advantages: Its handle is angled so that the operator's hand does not cover up the vision during the procedure. It has a cutting tip which also leads the tube through the opening into the middle ear. The incision it makes is somewhat smaller than the tube itself, which results in stretching of the fibers of the drum when the tube is inserted and thus holds the tube snugly in place.
The instrument provides excellent visualization of the drum during the procedure and facilitates the placement of the opening and the tube in the proper location. Since the drum does not respond well to
Majoros M. Plastic Tube Injector in Serous Otitis Media. Arch Otolaryngol. 1967;85(4):455. doi:10.1001/archotol.1967.00760040457020
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