{"id":13354,"date":"2023-10-17T10:44:35","date_gmt":"2023-10-17T10:44:35","guid":{"rendered":"https:\/\/leicesterleicestershireandrutland.icb.nhs.uk\/?p=13354"},"modified":"2023-10-17T10:45:31","modified_gmt":"2023-10-17T10:45:31","slug":"policy-for-myringotomy-with-or-without-grommets-children-only","status":"publish","type":"post","link":"https:\/\/leicesterleicestershireandrutland.icb.nhs.uk\/pl\/policy-for-myringotomy-with-or-without-grommets-children-only\/","title":{"rendered":"Zasady dotycz\u0105ce myringotomii z przelotkami lub bez \u2013 tylko dla dzieci"},"content":{"rendered":"<p><strong>Kategoria<\/strong><\/p>\n\n\n\n<p>Kryteria progowe<\/p>\n\n\n\n<p>Myringotomia to operacja polegaj\u0105ca na wykonaniu niewielkiego naci\u0119cia w b\u0142onie b\u0119benkowej. Ewentualny klej jest zasysany z ucha \u015brodkowego iw razie potrzeby w b\u0142on\u0119 b\u0119benkow\u0105 zak\u0142ada si\u0119 przelotk\u0119. Ma to na celu zmniejszenie ci\u015bnienia w uchu spowodowanego nagromadzeniem si\u0119 p\u0142ynu i usuni\u0119cie ropy z ucha.<\/p>\n\n\n\n<p>Zabieg przeprowadzany jest w kr\u00f3tkim znieczuleniu og\u00f3lnym. Operacj\u0119 t\u0119 czasami sugeruje si\u0119 dzieciom, kt\u00f3re maj\u0105 problemy ze s\u0142uchem, stale cierpi\u0105 na infekcje ucha, maj\u0105 nagromadzony \u015bluz w uchu \u015brodkowym, zwany uchem klejowym.<\/p>\n\n\n\n<p>Wytyczne dotycz\u0105 dzieci z nawracaj\u0105cymi infekcjami ucha.<\/p>\n\n\n\n<p><\/p>\n\n\n\n<p><strong>Uprawnienia<\/strong><\/p>\n\n\n\n<figure class=\"wp-block-table\"><table><tbody><tr><td><strong>LLR ICB sfinansuje t\u0119 procedur\u0119, je\u015bli spe\u0142nione zostan\u0105 poni\u017csze warunki<\/strong><br>&nbsp;<br>Proces skierowania na myringotomi\u0119 z pier\u015bcieniami lub bez:<br>\u00b7 Dzieci z podejrzeniem OME<br>\u00b7 Dzieci z zespo\u0142em Downa<br>\u00b7 Dzieci z rozszczepem podniebienia<\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n<p><\/p>\n\n\n\n<p><strong>\u015acie\u017cka opieki 1: Dzieci z podejrzeniem OME<\/strong><\/p>\n\n\n\n<figure class=\"wp-block-image size-large\"><img data-recalc-dims=\"1\" fetchpriority=\"high\" decoding=\"async\" width=\"800\" height=\"1019\" src=\"https:\/\/i0.wp.com\/leicesterleicestershireandrutland.icb.nhs.uk\/wp-content\/uploads\/2023\/10\/OME.png?resize=800%2C1019&#038;ssl=1\" alt=\"\" class=\"wp-image-13355\" srcset=\"https:\/\/i0.wp.com\/leicesterleicestershireandrutland.icb.nhs.uk\/wp-content\/uploads\/2023\/10\/OME.png?resize=804%2C1024&amp;ssl=1 804w, https:\/\/i0.wp.com\/leicesterleicestershireandrutland.icb.nhs.uk\/wp-content\/uploads\/2023\/10\/OME.png?resize=236%2C300&amp;ssl=1 236w, https:\/\/i0.wp.com\/leicesterleicestershireandrutland.icb.nhs.uk\/wp-content\/uploads\/2023\/10\/OME.png?resize=768%2C978&amp;ssl=1 768w, https:\/\/i0.wp.com\/leicesterleicestershireandrutland.icb.nhs.uk\/wp-content\/uploads\/2023\/10\/OME.png?resize=9%2C12&amp;ssl=1 9w, https:\/\/i0.wp.com\/leicesterleicestershireandrutland.icb.nhs.uk\/wp-content\/uploads\/2023\/10\/OME.png?w=1039&amp;ssl=1 1039w\" sizes=\"(max-width: 800px) 100vw, 800px\" \/><\/figure>\n\n\n\n<p><strong>\u015acie\u017cka opieki 2: Dzieci z zespo\u0142em Downa<\/strong><\/p>\n\n\n\n<figure class=\"wp-block-image size-large is-resized\"><img data-recalc-dims=\"1\" decoding=\"async\" width=\"750\" height=\"1024\" src=\"https:\/\/i0.wp.com\/leicesterleicestershireandrutland.icb.nhs.uk\/wp-content\/uploads\/2023\/10\/Downs.png?resize=750%2C1024&#038;ssl=1\" alt=\"\" class=\"wp-image-13356\" style=\"aspect-ratio:0.732421875;width:812px;height:auto\" srcset=\"https:\/\/i0.wp.com\/leicesterleicestershireandrutland.icb.nhs.uk\/wp-content\/uploads\/2023\/10\/Downs.png?resize=750%2C1024&amp;ssl=1 750w, https:\/\/i0.wp.com\/leicesterleicestershireandrutland.icb.nhs.uk\/wp-content\/uploads\/2023\/10\/Downs.png?resize=220%2C300&amp;ssl=1 220w, https:\/\/i0.wp.com\/leicesterleicestershireandrutland.icb.nhs.uk\/wp-content\/uploads\/2023\/10\/Downs.png?resize=768%2C1049&amp;ssl=1 768w, https:\/\/i0.wp.com\/leicesterleicestershireandrutland.icb.nhs.uk\/wp-content\/uploads\/2023\/10\/Downs.png?resize=9%2C12&amp;ssl=1 9w, https:\/\/i0.wp.com\/leicesterleicestershireandrutland.icb.nhs.uk\/wp-content\/uploads\/2023\/10\/Downs.png?w=872&amp;ssl=1 872w\" sizes=\"(max-width: 750px) 100vw, 750px\" \/><\/figure>\n\n\n\n<p><strong>\u015acie\u017cka opieki 3: Dzieci z rozszczepem podniebienia<\/strong><\/p>\n\n\n\n<figure class=\"wp-block-image size-large\"><img data-recalc-dims=\"1\" decoding=\"async\" width=\"800\" height=\"661\" src=\"https:\/\/i0.wp.com\/leicesterleicestershireandrutland.icb.nhs.uk\/wp-content\/uploads\/2023\/10\/Cleft-Palate.png?resize=800%2C661&#038;ssl=1\" alt=\"\" class=\"wp-image-13357\" srcset=\"https:\/\/i0.wp.com\/leicesterleicestershireandrutland.icb.nhs.uk\/wp-content\/uploads\/2023\/10\/Cleft-Palate.png?resize=1024%2C846&amp;ssl=1 1024w, https:\/\/i0.wp.com\/leicesterleicestershireandrutland.icb.nhs.uk\/wp-content\/uploads\/2023\/10\/Cleft-Palate.png?resize=300%2C248&amp;ssl=1 300w, https:\/\/i0.wp.com\/leicesterleicestershireandrutland.icb.nhs.uk\/wp-content\/uploads\/2023\/10\/Cleft-Palate.png?resize=768%2C634&amp;ssl=1 768w, https:\/\/i0.wp.com\/leicesterleicestershireandrutland.icb.nhs.uk\/wp-content\/uploads\/2023\/10\/Cleft-Palate.png?resize=15%2C12&amp;ssl=1 15w, https:\/\/i0.wp.com\/leicesterleicestershireandrutland.icb.nhs.uk\/wp-content\/uploads\/2023\/10\/Cleft-Palate.png?w=1039&amp;ssl=1 1039w\" sizes=\"(max-width: 800px) 100vw, 800px\" \/><\/figure>\n\n\n\n<p><strong>Przewodnictwo<\/strong><\/p>\n\n\n\n<figure class=\"wp-block-table\"><table><tbody><tr><td><a href=\"https:\/\/www.nice.org.uk\/guidance\/ng233\">Przegl\u0105d | Zapalenie ucha \u015brodkowego z wysi\u0119kiem w wieku poni\u017cej 12 lat | Wskaz\u00f3wki | \u0141ADNY<\/a><\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n<figure class=\"wp-block-table\"><table><tbody><tr><td>Data przegl\u0105du ARP 73: 2026 r<\/td><\/tr><\/tbody><\/table><\/figure>","protected":false},"excerpt":{"rendered":"<p>Category Threshold Criteria A myringotomy is an operation to make a tiny cut in the eardrum. Any glue is sucked from the middle ear and if required a grommet is [&hellip;]<\/p>\n","protected":false},"author":542,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_eb_attr":"","_jetpack_memberships_contains_paid_content":false,"footnotes":""},"categories":[57],"tags":[86,87,83],"class_list":["post-13354","post","type-post","status-publish","format-standard","hentry","category-policies","tag-ent","tag-paediatrics","tag-threshold"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.4 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Policy for Myringotomy with or without Grommets \u2013 Children Only - LLR ICB<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/leicesterleicestershireandrutland.icb.nhs.uk\/pl\/policy-for-myringotomy-with-or-without-grommets-children-only\/\" \/>\n<meta property=\"og:locale\" content=\"pl_PL\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Policy for Myringotomy with or without Grommets \u2013 Children Only - LLR ICB\" \/>\n<meta property=\"og:description\" content=\"Category Threshold Criteria A myringotomy is an operation to make a tiny cut in the eardrum. 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