| Description |
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The clinical appearance of a tube granuloma may vary from a small nubbin of friable granulation tissue adjacent to the base of the tube, or protruding from its lumen, to a large polypoid mass of granulation tissue which surrounds and sometimes completely engulfs the tube.
In some cases, the mass of granulation tissue may become large enough to block off completely the external auditory canal.
The treatment of a tube granuloma consists of the removal of the tube (which may be only loosely attached to the lateral surface of the tympanic membrane), and the simultaneous removal of the granulation tissue under a general anesthetic.
The brief but brisk bleeding which accompanies removal of the granulation tissue can be easily controlled by the insertion of a pack moistened with topical adrenalin solution (1:1000).
If necessary, a new tube can be inserted at the same time. |
