The KOH test procedure may be performed by a physician, nurse practitioner, physician assistant, medical assistant, nurse, midwife or medical laboratory technician. If fungal cultures are required, the test is performed by a technologist who specializes in microbiology.
Myringoplasty. Myringoplasty means surgery confined to the tympanic membrane itself. The middle ear bones (ossicles) are not touched and the tympanic membrane is not lifted from its position in the ear canal. Myringoplasty is most often performed in the office for small eardrum perforations.yringoplasty means surgery confined to the tympanic membrane itself. The middle ear bones (ossicles) are not touched and the tympanic membrane is not lifted from its position in the ear canal. Myringoplasty is most often performed in the office for small eardrum perforations.
Background. Myringotomy is a surgical procedure of the eardrum or tympanic membrane. The procedure is performed by making a small incision with a myringotomy knife through the layers of tympanic membrane (see the image below).his surgical procedure permits direct access to the middle ear space and allows the release of middle-ear fluid, which is the end product of otitis media with effusion (OME), whether acute or chronic. OME is classified as serous, mucoid, or purulent. Myringotomy (radial incision).