Following a severe cold, a 10-year-old girl complained of severe right-sided earache. On examination by her pediatrician, the tympanic membrane looked reddened and bulged laterally. A diagnosis of otitis media was made. A yellowish area was apparent close to the umbo and it appeared that perforation of the tympanic membrane was about to take place. It was decided to do a myringotomy (incise the tympanic membrane). Where would you do a myringotomy? What structures do you have to avoid in this operation? What are the features normally seen on the tympanic membrane with an otoscope?

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The Answer of Following a severe cold, a 10-year-old girl complained of severe right-sided earache. On examination by her pediatrician, the tympanic membrane looked reddened and bulged laterally. A diagnosis of otitis media was made. A yellowish area was apparent close to the umbo and it appeared that perforation of the tympanic membrane was about to take place. It was decided to do a myringotomy (incise the tympanic membrane). Where would you do a myringotomy? What structures do you have to avoid in this operation? What are the features normally seen on the tympanic membrane with an otoscope?

Following a Severe Cold, a 10-Year-Old Girl Complained of Severe