Which of the following is done FIRST when performing a myringotomy?

The first step in performing a myringotomy is the removal of cerumen from the ear canal. Before making any incisions or performing procedures that involve the tympanic membrane, it's essential to have a clear view of the anatomical structures. Cerumen, or earwax, can obstruct the view and potentially complicate the procedure.

By removing cerumen first, the surgical team ensures that they can properly visualize the tympanic membrane. This step also helps to prevent any contamination of the surgical area and reduces the risk of complications during the myringotomy. Once the ear canal is clear, the surgeon can proceed with incising the tympanic membrane, followed by suctioning any fluid from the middle ear and inserting drainage tubes if necessary. This systematic approach enhances the safety and effectiveness of the procedure.