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This ventilation tube is characterized by its reversible insertion feature; the tube is notched on both flanges
in a style similar to Paparella-type tubes
for atraumatic insertion
The small flange (1.78 mm) may be inserted in the tympanic membrane to encourage early extrusion
When longer term ventilation is desired
the larger flange (2.16 mm) may be inserted to help delay extrusion
Each V notch is positioned 180° from the other to help the surgeon conceptualize the location of the inserted flange and notch behind the tympanic membrane
