Middle Ear Infection Tympanostomy Tube: And How Tubes are Inserted in Ears

What are the underlying issues?

Myringotomy is a popular and secure procedure. But, there are some rare complications that could be encountered, and these could include:

Perforation of the eardrum

The eardrum is perforated It’s an extremely rare condition that happens when the incision made in the eardrum fails to heal. The hole can be repaired with an operation known as a myringoplasty (also known as tympanoplasty).


Scarring of the eardrum

Eardrum scarring repeated insertion of a tympanostomy tube may result in scarring that is called tympanosclerosis. However, this will not interfere with your hearing and usually doesn’t require any treatment.


Tympanostomy tubes can disappear too quickly or remain for too long

Sometimes, the tubes are removed very quickly and consequently require a second procedure to insert them again. If the tympanostomy tube remains longer than the recommended timeframe it could cause perforation of the eardrum and, consequently, has to be removed from the ear by an ENT surgeon.


Ear infections

Ear issues may still happen in spite of having a myringotomy however, it is extremely rare for them to occur. They tend to heal on their own and do not require antibiotics.


Who is in need of tubes for the ear?

The placement of ear tubes can be suggested by the health care provider of your child or a pediatric specialist who suffers from:

  • Ear fluids for three or more months, and hearing issues
  • Fluid in both or one of the ears for more than 3 months, as well as problems that are due to it (such as problems with balance and ear pain or difficulties at school or behavior, or with fluid in both or one of the ears that will not disappear quickly)
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What are the potential risks and benefits of the ear tubes?

The potential risks and benefits will differ for every child. It is essential to discuss this with your child’s medical doctor and surgeon. Below are a few potential benefits to be discussed

  • Ear tubes could help decrease the risk of infections to the ear.
  • Hearing restoration is possible in children with hearing issues.
  • Speech development isn’t harmed.
  • Ear tubes provide the child time to develop and also for the eustachian tube, which is located in the middle of the ear more effectively.
  • Children’s behavior, sleep, and communication might be improved in the event that ear infections cause issues.

Middle Ear Infection Tympanostomy Tube: And How Tubes are Inserted in Ears

Here are a few of the potential risks that could be discussed

  • Children who have hearing tubes are still suffering from infections in the ear.
  • There could be issues when tubes are released:

The tubes typically fall out within one year. After that when ear infections return they might need to be replaced.

If they are in the ear for too long, the surgeon might have to take them out.

When they are removed the eardrums may cause a tiny scar to the eardrum. It could lead to hearing loss.

  • Children may get an infection following the time that tubes are placed.
  • Sometimes, when the tube has been removed it is possible that a small gap remains inside the eardrum. This hole might require repair by surgery.


How Tubes are Inserted in Ears

How Tubes are Inserted in Ears. Tympanostomy refers to the procedure that inserts the ear canals. It’s usually performed as an outpatient process. That means your child is going to undergo surgery and will return home the same day. Prior to the procedure, you will have meetings with various staff members from the healthcare team that is involved with the treatment of your child. They could include:

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Nurses assist in preparing the child to undergo surgery. Operating room nurses aid surgeons during surgery. The nurses in the recovery room take care of your child as is recovering from anesthesia general.



A specialist who inserts the tubes.



A specialist administers anesthesia and supervises your child’s condition during the procedure.

The procedure involves creating an opening small within the eardrum in order to drain the fluid and ease the pressure in the middle of the ear. The tube can be put inside the eardrum’s opening so that air can flow through the middle ear, and also stop fluid from accumulating.

Hearing in children is typically restored when the fluid is eliminated. The tubes will usually disappear by themselves within 1 year. The child will be monitored closely. Most children are able to return home within one or two hours following surgery.

  • As recommended by your pediatric surgeon.
  • The child’s care after the ear tubes are placed

These are the directions that can be handed out to you after the placement of ear tubes into your child’s ear:

  • Drops for the ear may be prescribed.
  • Contact your child’s surgeon for these symptoms:

Ear drainage in the initial few days, or an increase in discharge from the ears

Aural pain


The ear tube is dislocated

  • Earplugs to bathe or swim are advised.

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