Mastoiditis with antibiotics, surgical procedures may be performed (while continuing the medication). The most common procedure is a myringotomy, a small incision in the tympanic membrane (eardrum), or the insertion of a tympanostomy tube into the eardrum. These serve to drain the pus from the middle ear, helping to treat the infection. The tube is extruded spontaneously after a few weeks to months, and the incision heals naturally. If there are complications, or the mastoiditis does not respond to the above treatments, it may be necessary to perform a mastoidectomy: a procedure in which a portion of the bone is removed
Myringotomy the incidence of post-operative otorrhea, tube blockage, or extrusion. Evidence suggests that tympanostomy tubes only offer a short-term hearing improvement in children with simple OME who have no other serious medical problems. No effect on speech and language development has yet been shown. A retrospective study of success rates in 96 adults and 130 children with otitis media treated with CO laser myringotomy showed about a 50% cure rate at six months in both groups. To date, there have been no published systematic reviews. Balloon dilation eustachian tuboplasty (BDET), a new treatment, has proven to be effective in treating OME