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Ear tube insertion - Overview

Alternative Names

Myringotomy; Tympanostomy; Ear tube surgery

Definition of Ear tube insertion:

Ear tube insertion is the placement of tubes near a childâ ' s eardrums. It is done to allow the fluid behind a childâ ' s eardrums to drain so that the ears can function normally.

Description:

While the child is under general anesthesia (asleep and not able to feel pain), a small surgical cut is made in the eardrum. The built-up fluid is suctioned out through this cut. Then, a small tube is inserted through the eardrum. The tube allows air to flow in and fluid to constantly flow out of the middle ear.

Why the Procedure Is Performed:

Ear tube insertion may be recommended when fluid builds up behind your child's eardrum and does not go away after 4 months or longer. Fluid buildup may cause some hearing loss while it is present. But most children do not have long-term damage to their hearing or their ability to speak even when the fluid remains for many months.

An ear infection is another reason for inserting an ear tube. If an infection does not go away with the usual medical treatment, or if a child has many ear infections over a short period of time, the doctor may recommend ear tubes.

Ear tube insertion is also used sometimes for people of any age who have:

  • Barotrauma (pressure injury) from flying or deep sea diving
  • Hyperbaric oxygen therapy
  • A complication from a severe ear infection, such as mastoiditis, brain infection, meningitis, or facial nerve paralysis
  • Reviewed last on: 1/10/2009
  • Neil K. Kaneshiro, MD, MHA, Clinical Assistant Professor of Pediatrics, University of Washington School of Medicine. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.

References

American Academy of Family Physicians; American Academy of Otolaryngology - Head and Neck Surgery; American Academy of Pediatrics Subcommittee on Otitis Media With Effusion. Otitis media with effusion. Pediatrics. 2004; 113(5):1412-29.

Paradise JL, Feldman HM, Campbell TF, Dollaghan CA, Rockette HE, Pitcairn DL, et al. Tympanostomy tubes and developmental outcomes at 9 to 11 years of age. N Engl J Med. 2007; 356(3):248-61.

The information provided herein should not be used during any medical emergency or for the diagnosis or treatment of any medical condition. A licensed medical professional should be consulted for diagnosis and treatment of any and all medical conditions. Call 911 for all medical emergencies. Links to other sites are provided for information only -- they do not constitute endorsements of those other sites. © 1997- A.D.A.M., Inc. Any duplication or distribution of the information contained herein is strictly prohibited.
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