Surgical techniques for in-office myringotomy and tube placement in adults

Myringotomy with and without tube insertion is the most commonly performed operation in otolaryngology. A majority of these are performed under general anesthesia, but for adult patients, in-office myringotomy and tube placement may be the better option. Not only does it reduce exposure to anesthesia but also helps reduce healthcare costs. We will give an overview of different ways to anesthetize the tympanic membrane, instruments needed, and procedure setup. This article will also discuss different procedure setup techniques and tips for clinicians to perform tube placement to allow for a seamless procedure.