Cover Image
close this bookMinor Surgical Procedures in Remote Areas (MSF, 1989, 172 p.)
View the document(introduction...)
View the documentNotice
close this folderChapter 1: Wounds - Burns
View the documentDressings
View the documentWounds
View the documentBurns
close this folderChapter 2: Infection of soft tissues
View the documentAbscess
View the documentTreatment of tropical myositis
View the documentInfections of the hand and fingers
close this folderChapter 3: Catheterisation and drainage
View the documentCatheterisation of large veins
View the documentLumbar puncture
View the documentPleural puncture
View the documentThoracic drainage
View the documentPericardial puncture
View the documentDrainage of ascites and intra-peritoneal perfusion
View the documentPuncture and drainage of the knee
close this folderChapter 4: ent procedures
View the documentEpistaxis
View the documentEar drainage
View the documentDental extraction
close this folderChapter 5: uro-genital procedures
View the documentUrinary catheterisation
View the documentReduction of a paraphymosis
View the documentEpisiotomy
View the documentSuturing episiotomies or perineal tears
View the documentIntra-uterine procedures
View the documentTreatment of a bartholin abscess
close this folderChapter 6: treatment of trauma
View the documentFractures and disIocations: the basics
View the documentShoulder and arm trauma
View the documentTrauma of the lower limb
View the documentPeriod of immobilization for major fractures
close this folderAppendix
View the documentList of essential supplies (absolutely necessary)
View the documentDisinfection and Sterilization of medical equipment and supplies
View the documentBibliography

Ear drainage

Incision of the tympanic membrane.

Indication

Acute otitis with fever, intense pain, and an inflamed distended non-perforated tympanic membrane.

Material

Drainage needle

Otoscope with a light or a speculum with a head-light.

Technique

Figures 71, 72

While viewing the membrane, and without anesthesia, make a radial incision in the posterior-inferior quadrant with a stylet or a special lancet.

Aspirate the pus with a soft catheter, gently removing the serous fluid and pack gently with cotton.

Antibiotic therapy

Systemic:

Ampicillin if less then 5 years of age: 100 mg/kg/day PO x 3 -10 days

Phenoxymethyl penicillin / Penicillin V older than 5 years of age:

Adult : 3 x 2 tablets/day (tablets of 400.000 U)
Child : 50 to 100.000 U/kg/day x 5 to 10 days, or procaine penicillin or PPF


FIGURE

100.000 U/kg/day x 3 days, followed by penicillin V during 4 to 6 days.

Erythromycine for those allergic to betalactamines:

Adult : 1 g in 3 divided doses/day x 10 days
Child : 50 mg/kg/day in 3 divided doses/day x 10 days